Besides being a major healthcare services provider to over 350,000 people the Foundation Trust also provides clinical education for Trust Staff and external delegates under the brand of "The Health Academy" in addition to teaching for medical students from the University of Manchester and University of St Andrews.

Both Chorley and Preston Hospitals also provide training for student nurses from the University of Central Lancashire.

A&E consultants at Royal Preston Hospital wrote to the Board raised concerns over unsafe staffing and dangerous levels of overcrowding in the A&E department.

[9] In March 2022 it was reported that patients were routinely waiting more than 60 hours to be admitted to a ward from the accident and emergency department.

[10] In March 2016 the trust decided to downgrade the Emergency Department in Chorley to the status of an urgent care centre, open from 8am to 8pm with an out of hours GP service overnight, because they were unable to attract sufficient medical staff.

[11] In January 2017 the trust reinstated the ED at Chorley on a part-time 12 hour basis with the UCC operating 24/7 run by GTD healthcare.