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General practice is the name given in various nations, such as the United Kingdom, Australia, New Zealand and South Africa to the services provided by General practitioners. In some nations, such as the US, similar services may be described as family medicine or primary care. The term Primary Care in the UK may also include services provided by community pharmacy, optometrist, dental surgery and community hearing care providers. The balance of care between primary care and secondary care - which usually refers to hospital based services - varies from place to place, and with time. In many countries there are initiatives to move services out of hospitals into the community, in the expectation that this will save money and be more convenient.
The Royal Sussex County Hospital is an acute teaching hospital in Brighton, England. Together with the Princess Royal Hospital, it is administered by the University Hospitals Sussex NHS Foundation Trust. The services provided at the hospital include an emergency department, cancer services at the Sussex Cancer Centre, cardiac surgery, maternity services, and both adult and neonatal intensive care units.
The South East Coast Ambulance Service NHS Foundation Trust (SECAmb) is the NHS ambulance services trust for south-eastern England, covering Kent, Surrey, West Sussex and East Sussex. It also covers a part of north-eastern Hampshire around Aldershot, Farnborough, Fleet and Yateley. The service was made an NHS foundation trust on 1 March 2011.
The Care Quality Commission (CQC) is an executive non-departmental public body of the Department of Health and Social Care of the United Kingdom. It was established in 2009 to regulate and inspect health and social care services in England.
Holy Trinity Church is a former Anglican church in Hove, in the English city of Brighton and Hove. Built in the early 1860s to provide extra capacity for Anglican worshippers in the rapidly growing town of Hove, its use declined in the 20th century and it was closed in 2007 following a Diocesan review. Until 2015—when a planning application to convert the building into a doctors surgery was approved—its future was uncertain, and a heritage group has described it as one of Britain's top ten threatened Victorian and Edwardian buildings. The church, which has been a medical centre since 2017, has Grade II listed status, reflecting its architectural and historic importance.
111 is a free-to-call single non-emergency number medical helpline operating in England, Scotland and parts of Wales. The 111 phone service has replaced the various non-geographic 0845 rate numbers and is part of each country's National Health Service: in England the service is known as NHS 111; in Scotland, NHS 24; and in Wales, either NHS Direct Wales or 111 depending on area.
Circle Health Ltd is a healthcare company based in Britain, co-founded in 2004 by Babylon Health founder and former investment banker Ali Parsa and consultant ophthalmologist Massoud Fouladi. The company is financed by venture capital largely from Toscafund Asset Management, and Centene Corporation holds a minority stake. Circle began with independent hospitals near Bath and Reading, and now has over 50 hospitals in England, Wales and Scotland, together with two in China.
Clinical commissioning groups (CCGs) are NHS organisations set up by the Health and Social Care Act 2012 to organise the delivery of NHS services in England. The announcement that GPs would take over this commissioning role was made in the 2010 white paper "Equity and Excellence: Liberating the NHS". This was part of the government's stated desire to create a clinically-driven commissioning system that was more sensitive to the needs of patients. The 2010 white paper became law under the Health and Social Care Act 2012 in March 2012. At the end of March 2013 there were 211 CCGs, but a series of mergers had reduced the number to 135 by April 2020.
The Montefiore Hospital is a private hospital in Hove, part of the English coastal city of Brighton and Hove. It opened in November 2012 and is operated by Spire Healthcare, the second largest provider of private healthcare in the United Kingdom. The hospital is located in a large and "distinctive Edwardian commercial building" designed by prolific local architects Clayton & Black between 1899 and 1904. Originally built for local department store Hanningtons as a furniture depository, the "magnificent red-brick building" was converted into offices for the Legal & General insurance company in 1972. Six years after that firm moved to a new site in Hove, Spire Healthcare bought the empty building and spent £25 million converting it into a hospital.
Brighton and Sussex University Hospitals NHS Trust was an NHS foundation trust ran two acute hospitals, the Royal Sussex County Hospital in Brighton and the Princess Royal Hospital in Haywards Heath. It also operated a number of other hospitals and medical facilities, including the Royal Alexandra Children's and Sussex Eye Hospitals in Brighton, Hove Polyclinic, the Park Centre for Breast Care at Preston Park and Hurstwood Park Neurosciences Centre in Haywards Heath. The Trust also provided services in Brighton General Hospital, Lewes Victoria Hospital, Bexhill Renal Satellite Unit, Eastbourne District General Hospital and Worthing Hospital.
Sussex Community NHS Foundation Trust is a community health trust established as a result of the Transforming Community Services programme. It is the main provider of NHS community health services across West Sussex Brighton & Hove and has an annual budget of £185m. It became an NHS Foundation Trust in March 2016.
The Practice PLC is one of the largest providers of Primary Care in the English NHS.
Out-of-hours services are the arrangements to provide access to healthcare at times when General Practitioner surgeries are closed; in the United Kingdom this is normally between 6.30pm and 8am, at weekends, at Bank Holidays and sometimes if the practice is closed for educational sessions.
The Modality Partnership is a large GP partnership formed in 2009. Such large practices are often described as a "super partnership". According to the King's Fund in 2016 it was one of England’s largest super-practices. In 2018 it had about 400,000 patients and was thought to be the largest practice in England.
Healthcare in Worcestershire is now the responsibility of three Clinical Commissioning Groups, covering, respectively Redditch and Bromsgrove, Wyre Forest and South Worcestershire.
Healthcare in Kent is now mainly the responsibility from 1 April 2020 of the Kent & Medway Clinical Commissioning Group. Certain specialised services are directly commissioned by NHS England, coordinated through the South East integrated regional team. Some NHS England structures are aligned on a Kent & Medway basis, others on a South East basis and there is liaison with London that provides many tertiary healthcare services to the residents of Kent.
Healthcare in Sussex was the responsibility of seven Clinical Commissioning Groups covering: Brighton and Hove; Coastal West Sussex; Horsham and Mid Sussex; Crawley; Eastbourne Hailsham and Seaford; Hastings and Rother; High Weald; and Lewes-Havens from 2013 to 2020. From April 2020 they will be merged into three covering East Sussex, West Sussex, and Brighton and Hove.
Healthcare in the West Midlands is now the responsibility of five clinical commissioning groups (CCG): Birmingham and Solihull; Sandwell and West Birmingham; Dudley; Wolverhampton; and Walsall.
Lakeside Healthcare Groupwhich operates from a number of sites across Cambridgeshire, Lincolnshire and Northamptonshire, is one of the biggest General practice / Primary Care Providers in the National Health Service with 80 partners and almost 200,000 patients.
GP Federations became popular among English general practitioners after 2010 as a means to exploit the opportunities - or mitigate the threats - posed by the Five Year Forward View proposals in the English NHS which envisaged delivering primary care at a larger scale than the traditional GP list. It is widely believed that ‘Practices cannot survive on their own – they have to look at ways of making themselves stronger.’ 15 sites were selected in December 2015 to test new enhanced primary care models serving populations of 30,000 to 50,000 patients. Some, but by no means all, clinical commissioning groups have given financial support to encourage the formation of federations.
References
- ↑ "Brighton and Hove's family doctors take on EPIC challenge to ease pressure in A&E". Brighton and Hove News. 19 August 2014. Retrieved 12 March 2015.
- ↑ "Dermatology procurement delayed after preferred bidder pulls out". Health Service Journal. 17 February 2015. Retrieved 12 March 2015.