A restructuring of Wirral University Teaching Hospital will put 65 roles at risk, it has announced.

The posts most at risk were “concentrated in support services and managerial functions”, the north west acute trust told staff earlier this month. It is now consulting with employees an trade unions about the planned changes.

A “small number” of “non-management roles” would also be affected, a trust statement added.

Wirral chief executive David Allison said increasing demand and finite resources meant the trust had to “continuously review the way in which we deliver services to ensure the best and most appropriate care for our patients”.

He said the changes would focus on “removing inefficiencies; maximising benefits of new technology; ensuring management is streamlined and efficient and securing the financial viability of the trust”.

Monitor closed an investigation into Wirral in March. This  had been launched following  concerns that the its costs appeared higher than expected.

Earlier this week Frank Field, the MP for Birkenhead, sent a letter to Jeremy Hunt criticising the relationship between the trust and Wirral Clinical Commissioning Group.

Mr Field claimed that relationships between individuals at the CCG and Wirral’s Arrowe Park Hospital had dented the “independence” of local health services, and called for an inquiry into the matter.

He said in the letter that Arrowe Park had a “long history of not being able properly to manage its budget” and claimed “closures, sackings and loss of patient services has been its traditional negative stance”.

In response to Mr Field’s letter, a spokeswoman for the trust said the relationship with the CCG was “conducted entirely in line with our constitution” and in an “open and transparent way”.