A successful outcome for St Helens and Knowsly NHS Trust with the migration of 65 million images by Pukka-j. St Helens and Knowsley NHS Trust provide a full range of acute in-patient, out-patient, day case and emergency services to the local communities of St Helens, Knowsley, parts of Halton and Liverpool, extending to the whole of Cheshire, Merseyside, North Wales and the Isle of Man