From 1 April 2026, we are moving from five Hospital Management Boards (HMB) to three new HMB structures:
- Aintree Hospital Management Board
- Royal Liverpool and Liverpool Women’s Hospital Management Board
- Liverpool Heart and Chest Hospital / Broadgreen / Diagnostic and Treatment Centre Hospital Management Board.
The sites will be run by Hospital Leadership Teams, with two newly formed HLTs for the Royal and Liverpool Women’s and LHCH/BGH/DTC and new site structures.




Why are we doing this?
- Size and scale: Each HMB will oversee hospitals of a similar size, with comparable staff numbers and budgets
- Standardised and consistent: Management arrangements will be standardised with consistent role banding and a clear process for any exceptions
- Corporate services: This clarity allows Corporate Service to be better aligned to support the organisation and the new HMBs. For example, services will be able to apply a consistent approach to business partner support based on staffing levels at each hospital.
How will this affect services?
It’s important to note that these changes only relate to management arrangements:
- There will be no changes to how services are delivered
- How patients access care, where services are located, and hospital names will remain the same
- Where more than one hospital sits under an HMB, each site will continue to operate as it does now and maintain its identity.