Healthcare in Cambridgeshire

Last updated

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.

Contents

History

From 1947 to 1965, NHS services in Cambridgeshire were managed by the East Anglian Regional Hospital Board. In 1974, the boards were abolished and replaced by regional health authorities. Cambridgeshire came under the East Anglian RHA. Regions were reorganised in 1996 and Cambridgeshire came under the Anglia and Oxford Regional Health Authority. Cambridgeshire had an area health authority from 1974 until 1982 when it was divided into three district health authorities: Cambridge, Huntingdon and Peterborough. In 1993 these were reunited. Regional health authorities were reorganised and renamed strategic health authorities in 2002. Cambridgeshire was under the Norfolk, Suffolk and Cambridgeshire SHA. In 2006 regions were again reorganised and Cambridgeshire came under NHS East of England until that was abolished in 2013. There were two primary care trusts for the area: Cambridgeshire and Peterborough.[ citation needed ]

UnitingCare Partnership

UnitingCare Partnership was a partnership established by Cambridgeshire and Peterborough NHS Foundation Trust and Cambridge University Hospitals NHS Foundation Trust as a limited liability partnership to manage an £800m integrated older people's services contract in Cambridgeshire and Peterborough. [1] In December 2015 the contract was terminated, as it was agreed by both parties that it was not financially viable. However it appeared that the new model of care would continue without the financial incentives built into the contract. [2] The National Audit Office undertook an investigation into the collapse of the contract, which was published in July 2016. Their verdict was that the contract "failed for financial reasons which could, and should, have been foreseen". [3]

Integrated care system

Cambridgeshire and Peterborough health and social care commissioners and providers developed a sustainability and transformation plan in March 2016 with Dr Neil Modha, the Chief Clinical Officer of Cambridgeshire and Peterborough Clinical Commissioning Group as its leader [4]

Cambridgeshire and Peterborough Clinical Commissioning Group's problems were said by PricewaterhouseCoopers to be "among the broadest and deepest set of issues facing any CCG we have worked with" in June 2018 after it finished 2017–18 with a £42 million deficit. [5]

The Cambridgeshire and Peterborough Integrated Care System signed an eight-year contract with Orion Health in 2021 to develop a shared care record that will be used by eight health and care organisations and all the GP practices in its area. [6]

Commissioning

Until 2022, NHS services in the area were commissioned by NHS Cambridgeshire and Peterborough CCG.[ citation needed ]

In vitro fertilisation

In 2017 the CCG decided to suspend NHS-funded in vitro fertilisation (IVF) fertility services indefinitely. Suspending the service saved the CCG £598,000 in 2018/19. [7] [8] The Department of Health and Social Care said the decision not to fund IVF was "not acceptable". The CCG was facing a deficit of £192 million and was expected to make savings of £33 million in 2019/20. [9] In July 2021, the CCG decided to reinstate the service, providing one cycle of IVF to women under the age of 40. [8]

Services

Primary care

As of July 2021, there are 85 GP practices in the area. [10]

Community services

Cambridgeshire and Peterborough NHS Foundation Trust and Cambridgeshire Community Services NHS Trust provide community care services in the county.

There are three hospices in Cambridgeshire:

Acute care

Cambridge University Hospitals NHS Foundation Trust, North West Anglia NHS Foundation Trust and Royal Papworth Hospital NHS Foundation Trust are the NHS hospital trusts in the area. Plans are approved for the development of Cambridge Children's Hospital, which is a collaboration between Cambridge University Hospitals, the University of Cambridge and the Cambridgeshire and Peterborough NHS Foundation Trust. Building work is due to start in 2023 and the hospital is earmarked for completion in 2025. [14]

In March 2018 Cambridgeshire County Council announced an exploratory deal with CareRooms which would involve low acuity self funding patients. Homeowners would be paid £50 a night to accommodate patients leaving hospital and the company would provide any necessary equipment. [15] Each placement would have biometric monitoring and instant access to a video GP service. The hosts would have to go through a vetting and training process. If care - above a room and meals - is required it would be provided by a regulated care provider. [16] Chief executive Paul Gaudin claimed the environment would be much safer than the current facilities that patients are often discharged into. Chairwoman of the council committee Anna Bailey states they 'have not committed to piloting CareRooms, but we think the innovative concept is interesting and worth exploring...We would like to give CareRooms the space to explore its concept.[ citation needed ]

Ambulance services

Ambulance services are provided by the East of England Ambulance Service and Magpas.[ citation needed ]

Mental health

Cambridgeshire and Peterborough NHS Foundation Trust is the main NHS provider.[ citation needed ]

Healthwatch

Healthwatch is an organisation set up under the Health and Social Care Act 2012 to act as a voice for patients.[ citation needed ]

See also

Related Research Articles

<span class="mw-page-title-main">City of Peterborough</span> City and Unitary Authority in Cambridgeshire, England

The City of Peterborough, commonly known as Peterborough, is a unitary authority district with city status in the ceremonial county of Cambridgeshire, England. The area is named after its largest settlement, Peterborough but also covers a wider area of outlying villages and hamlets.

<span class="mw-page-title-main">Fulbourn Hospital</span> Hospital in Cambridge

Fulbourn Hospital is a mental health facility located between the Cambridgeshire village of Fulbourn and the Cambridge city boundary at Cherry Hinton, about 5 miles (8 km) south-east of the city centre. It is managed by the Cambridgeshire and Peterborough NHS Foundation Trust. The Ida Darwin Hospital site is situated behind Fulbourn Hospital. It is run and managed by the same trust, with both hospitals sharing the same facilities and staff pool.

<span class="mw-page-title-main">Hinchingbrooke Hospital</span> Hospital in England

Hinchingbrooke Hospital is a small district general hospital in Hinchingbrooke near Huntingdon, Cambridgeshire. Opened in 1983, it serves the Huntingdonshire area, and has a range of specialities as well as an emergency department and a maternity unit. The hospital is managed by the North West Anglia NHS Foundation Trust.

Cambridgeshire and Peterborough NHS Foundation Trust (CPFT) provides community, mental health and learning disability services in Cambridgeshire, England. The trust provides specialist services across the east of England and across Britain.

UnitingCare Partnership was a limited liability partnership formed by Cambridgeshire and Peterborough NHS Foundation Trust and Cambridge University Hospitals NHS Foundation Trust

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 Devon was the responsibility of two clinical commissioning groups until July 2022, one covering Northern, Eastern and Western Devon, and one covering South Devon and Torbay. It was announced in November 2018 that the two were to merge.

<span class="mw-page-title-main">Healthcare in Kent</span>

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 Staffordshire was the responsibility of six clinical commissioning groups until July 2022, covering Stafford & Surrounds, North Staffordshire, South East Staffordshire and Seisdon Peninsula, East Staffordshire, Cannock Chase, and Stoke-on-Trent.

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 Essex is now the responsibility of six clinical commissioning groups: Basildon and Brentwood, Mid Essex, North East Essex, Southend, Thurrock and West Essex.

Healthcare in Suffolk was the responsibility of two clinical commissioning groups until July 2022: Ipswich and East Suffolk, and West Suffolk.

Healthcare in Northumberland was the responsibility of the Northumberland, Newcastle Gateshead, and North Tyneside clinical commissioning groups from 2013 to 2022 before being replaced by integrated care systems.

Healthcare in Lancashire in 2015 was the responsibility of seven clinical commissioning groups covering Blackpool, Chorley and South Ribble, East Lancashire, Fylde and Wyre, Greater Preston, Lancaster North and West Lancashire. In 1 April 2017 32 GP practices from Cumbria Clinical Commissioning Group merged with Lancashire North CCG to form Morecambe Bay CCG which was abolished in July 2022 when integrated care systems were introduced.

Healthcare in Northamptonshire was the responsibility of Northamptonshire Clinical Commissioning Group until July 2022, with some involvement of Cambridgeshire and Peterborough CCG.

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.

<span class="mw-page-title-main">North West Anglia NHS Foundation Trust</span> English Healthcare trust

North West Anglia NHS Foundation Trust was formed on 1 April 2017 from the acquisition of Hinchingbrooke Health Care NHS Trust by Peterborough and Stamford Hospitals NHS Foundation Trust. It runs Peterborough City Hospital, Stamford and Rutland Hospital and Hinchingbrooke Hospital.

References

  1. "Mental health should be given the same status as acute health, says CPFT's chief Aidan Thomas". cambridge-news.co.uk. Cambridge News. 12 May 2015. Archived from the original on 2 October 2015. Retrieved 12 July 2021.
  2. "Cambridgeshire CCG five-year contract crumbles after eight months". nationalhealthexecutive.com. National Health Executive. 4 December 2015. Retrieved 8 February 2016.
  3. "Investigation into the collapse of the UnitingCare Partnership contract in Cambridgeshire and Peterborough". nao.org.uk. National Audit Office. 14 July 2016. Retrieved 12 July 2021.
  4. "The leaders chosen for 41 of England's STPs". hsj.co.uk. Health Service Journal. 30 March 2016. Retrieved 18 April 2016.
  5. "Exclusive: Scathing review says CCG's problems are among worst ever seen". hsj.co.uk. Health Service Journal. 7 June 2018. Retrieved 7 June 2018.
  6. "Cambridgeshire and Peterborough build shared care record". Building Better Healthcare. 26 October 2021. Retrieved 8 December 2021.
  7. "Cambridgeshire and Peterborough CCG suspends funded IVF indefinitely". bionews.org.uk. BioNews. 12 August 2019. Retrieved 23 August 2019.
  8. 1 2 "NHS-funded IVF reinstated in Cambridgeshire". bbc.co.uk. BBC News. 7 July 2021. Retrieved 12 July 2021.
  9. "Unfair funding for Cambridgeshire to last for another three years". cambridgeindependent.co.uk. Cambridge Independent. 16 August 2019. Retrieved 23 August 2019.
  10. "Local practices". cambridgeshireandpeterboroughccg.nhs.uk. NHS Cambridgeshire and Peterborough CCG. Retrieved 12 July 2021.
  11. "Arthur Rank Hospice Charity". arhc.org.uk. Arthur Rank Hospice Charity. Retrieved 12 July 2021.
  12. "Sue Ryder Thorpe Hall Hospice". sueryder.org. Sue Ryder . Retrieved 12 July 2021.
  13. "Our hospices". each.org.uk. East Anglia's Children's Hospices. Retrieved 12 July 2021.
  14. "Early designs unveiled for Cambridge Children's Hospital". Building Better Healthcare. 15 October 2021. Retrieved 7 December 2021.
  15. "Councillor in call for clarity over proposal to place patients leaving hospital in spare rooms". Hunts Post. 26 March 2018. Retrieved 10 April 2018.
  16. "Controversial 'CareBnB' firm returns to launch new trial". Health Service Journal. 1 March 2018. Retrieved 10 April 2018.