 | This article needs to be updated. The reason given is: Clinical commissioning groups have been replaced with integrated care systems.(July 2022) |
Healthcare in Buckinghamshire was the responsibility for the Aylesbury Vale, Chiltern, and Milton Keynes. They managed the clinical commissioning groups until July 2022.
From 1947 to 1965 NHS services in Buckinghamshire were managed by the North-West Metropolitan and Oxford regional hospital boards. In 1974 the boards were abolished and replaced by regional health authorities. Buckinghamshire came under the Oxford RHA. Regions were reorganized in 1996 and Buckinghamshire came under the Anglia and Oxford Regional Health Authority. Buckinghamshire was divided between area health authorities, Slough being managed by Berkshire from 1974 until 1982 when it was divided into three district health authorities: Aylesbury, Milton Keynes and Wycombe. in 1993 the whole county was one health authority. Regional health authorities were reorganized and renamed strategic health authorities in 2002. Buckinghamshire was under Thames Valley SHA. In 2006 regions were again re organized and Buckinghamshire came under NHS South Central until that was abolished in 2013. There is one primary care trust for the area.
Under the sustainability and transformation plan for the county, Louise Watson, director of NHS England’s new care models vanguard programme, was appointed managing director at the Buckinghamshire integrated care system in February 2018. She reported to the partnership board of chief executives from all the organizations involved: Aylesbury Vale and Chiltern clinical commissioning groups; Buckinghamshire Healthcare NHS Trust; Buckinghamshire County Council; Oxford Health NHS Foundation Trust; South Central Ambulance Service; and the GP Federation Fed Bucks [1]
Louise Patten was appointed the permanent chief executive of both Oxford shire and Buckinghamshire CCGs in January 2019, leading to suggestions that this might be followed by a merger. [2]
The two clinical commissioning groups worked under a federation arrangement from July 2016 and proposed a merger in April 2018. The county was one of eight proposed Accountable care systems in England. [3]
The Buckinghamshire CCG, created through the merger of Aylesbury Vale and Chiltern CCGs forecast an overspend of £19.2 million for 2017/8. [4]
The main providers of NHS acute hospital care in the county are Buckinghamshire Healthcare NHS Trust and Milton Keynes University Hospital NHS Foundation Trust. There are two hospitals with accident and emergency facilities: Milton Keynes University Hospital and Stoke Mandeville Hospital in Aylesbury. Another at Wexham Park Hospital is located just over the southern county border. Royal Buckinghamshire Hospital is a substantial private provider of treatment for spinal injuries. Ambulance services are provided by South Central Ambulance Service.
NHS Mental Health services are provided by Oxford Health NHS Foundation Trust.
The Thames Valley Health Innovation and Education Cluster (TVHIEC) is a publicly funded partnership authorised by the Department of Health to improve innovation and education within the NHS across the Thames Valley. It was established on 1 April 2010 and is based in Oxford. The Thames Valley Health Innovation and Education Cluster is one of seventeen HIECs established by the Department of Health in January 2010 to improve the quality of healthcare through increased innovation within health/social care and applied healthcare education across England. The themes of Thames Valley HIEC are:
Healthcare in Dorset was primarily the responsibility of Dorset Clinical Commissioning Group until July 2022. Dorset County Council is leading in the development of an electronic health record, to be called the Dorset Care Record, provided by Orion Health. It is intended to enable all health and social care providers to share records.
Healthcare in Cumbria was the responsibility of Cumbria Clinical Commissioning Group until July 2022. On 1 April 2017 32 GP practices left the CCG and merged with Lancashire North CCG to form Morecambe Bay CCG.
Healthcare in Kent has, from 1 July 2022, been mainly the responsibility of the Kent & Medway Integrated Care Board. 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 and Medway basis, others on a South East basis and there is liaison with London to provide many tertiary healthcare services.
Healthcare in Bedfordshire is the responsibility of Bedfordshire and Luton Integrated Care Systems.
Healthcare in Somerset, England was the responsibility of three clinical commissioning groups (CCGs) until July 2022. These covered the ceremonial county of Somerset, which comprises the areas governed by the three unitary authorities of Somerset, North Somerset and Bath and North East Somerset.
Healthcare in Sussex is the responsibility of NHS Sussex, an integrated care system and the NHS Sussex Partnership NHS Foundation Trust.
Healthcare in Cornwall was until July 2022 the responsibility of Kernow clinical commissioning group, until it got replaced by Integrated care system, as a result of the Health and Care Act 2022. As far as the NHS is concerned, Cornwall includes the Isles of Scilly.
Healthcare in the West Midlands was, until July 2022, the responsibility of five integrated care groups: Birmingham and Solihull, Sandwell and West Birmingham, Dudley, Wolverhampton, and Walsall.
Healthcare in Cambridgeshire was the responsibility of NHS Cambridgeshire and Peterborough Clinical Commissioning Group until July 2022. This was one of the largest in the United Kingdom.
Healthcare in Gloucestershire was the responsibility of two clinical commissioning groups, covering Gloucestershire and South Gloucestershire, until July 2022. The health economy of Gloucestershire has always been linked with that of Bristol.
Healthcare in Hampshire was the responsibility of six clinical commissioning groups until July 2022. These were based in Southampton, Portsmouth, North East Hampshire and Farnham, South Eastern Hampshire, West Hampshire, and North Hampshire. In 2018, the Hampshire and Isle of Wight Partnership of Clinical Commissioning Groups was set up. Maggie MacIsaac was Chief Executive.
Healthcare in Norfolk was the responsibility of five clinical commissioning groups: Great Yarmouth and Waveney CCG, Norwich CCG, North Norfolk CCG, West Norfolk CCG and South Norfolk CCG, they merged in April 2020 becoming the Norfolk and Waveney CCG until they were replaced by an integrated care system in July 2022. Social Care is the responsibility of Norfolk County Council.
Healthcare in Berkshire was the responsibility of five clinical commissioning groups until July 2022: Windsor, Ascot and Maidenhead, Slough, Bracknell and Ascot and Wokingham.
Healthcare in Yorkshire from 2016 was the responsibility of 19 clinical commissioning groups, which were replaced by integrated care systems in July 2022.
Healthcare in Derbyshire was the responsibility of five clinical commissioning groups covering North Derbyshire, Southern Derbyshire, Erewash, Hardwick, and Tameside and Glossop. North Derbyshire, Southern Derbyshire, Erewash and Hardwick announced in November 2018 that they planned to merge.
Healthcare in Nottinghamshire was, until July 2022, the responsibility of six clinical commissioning groups, covering Nottingham City, Nottingham North & East, Mansfield and Ashfield, Newark and Sherwood, Rushcliffe, and Nottingham West. They planned to merge in April 2020.
Healthcare in Cheshire was the responsibility of Eastern Cheshire, South Cheshire, Vale Royal and West Cheshire clinical commissioning groups until July 2022.
Healthcare in Hertfordshire was the responsibility of the Herts Valleys, East, and North Hertfordshire clinical commissioning groups until July 2022.
Healthcare in Oxfordshire, England, is managed by the Buckinghamshire, Oxfordshire and Berkshire West integrated care system.