 | This article needs to be updated. The reason given is: Clinical commissioning groups have been replaced with integrated care systems.(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. [1]
From 1947 to 1974 NHS services in Derbyshire (apart from those for Glossop and Buxton) were managed by the Sheffield Regional Hospital Board. In 1974 the boards were abolished and replaced by regional health authorities. Derbyshire came under the Trent RHA. Regions were reorganised in 1996 and Derbyshire came under the West Midlands Regional Health Authority. From 1974 there was an area health authority covering the county. From 1982 there were two district health authorities, North and South. Eight primary care trusts were established in the county in 2002: Central Derby, Greater Derby, High Peak and Dales, Erewash, Derbyshire Dales and South Derbyshire, North Eastern Derbyshire, Amber Valley and Chesterfield. They were merged into two: Derby City and Derbyshire County in 2006. They were managed by the Trent Strategic Health Authority which was merged into NHS East Midlands in 2006.
In March 2016 Gary Thompson, the Chief Officer of Southern Derbyshire Clinical Commissioning Group was appointed the leader of the Derbyshire Sustainability and transformation plan footprint [2] which covers the whole county apart from Glossop. The plan envisages bed reductions: 400 in the acute sector, 85 in community hospitals and 50 mental health beds. Some community hospitals will be closed. Burton Hospital A&E was likely to be downgraded as part of the STP for Staffordshire. This would affect much of the south of the county. [3]
A contract for a shared care record across the county was set up in 2021 with Orion Health for the Integrated Care System. [4]
Glossop has always been included in Greater Manchester for purposes of healthcare commissioning. Services for that area are commissioned by NHS Tameside and Glossop Clinical Commissioning Group. The four other CCGs announced that they planned to have a single shared chief officer, and would move to a ”single strategic commissioning organisation” in May 2017. [5] In November 2017 all four decided to stop prescriptions for gluten-free food in a bid to save £650,000 per year, despite guidance which said they should offer prescriptions for gluten-free bread and flour. [6]
There were 36 practices in North Derbyshire CCG in 2016. [7]
Out-of-hours services are provided in the county by Derbyshire Health United. A proposal by Southern Derbyshire Clinical Commissioning Group to establish just one hub for extended hours access in their area for pre-bookable appointments after 6.30pm on weekdays and on Saturday and Sunday, was abandoned after the Derbyshire local medical committee complained that this was inappropriate in a rural area. It was later planned to establish four hubs. [8]
The Derbyshire Joint Area Prescribing Committee announced in June 2018 that it was decommissioning its scheme, called Pharmacy First, on which they had spent £3 million in 2015/2016, much of it on over-the-counter medicines, which do not need a prescription, and which came within the scope of NHS England's blacklist. [9]
University Hospitals of Derby and Burton NHS Foundation Trust and Chesterfield Royal Hospital NHS Foundation Trust are located in the county. Services for Glossop and Buxton are largely provided by Manchester hospitals.
Derbyshire Healthcare NHS Foundation Trust and Pennine Care NHS Foundation Trust are the main providers of mental health care in the county. Derbyshire Community Health Services NHS Foundation Trust announced plans to merge with Derbyshire Healthcare NHS Foundation Trust in November 2016. [10]
Cavendish Hospital in Buxton is partly run by Stockport NHS Foundation Trust. There are 16 community hospital beds and ten older people's mental health beds. [11]
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 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 Somerset County Council and the unitary authorities of North Somerset and Bath and North East Somerset.
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 were merged into three covering East Sussex, West Sussex, and Brighton and Hove.
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, United Kingdom, was, until July 2022, the responsibility of Kernow clinical commissioning group, a National Health Service (NHS) organisation set up by the Health and Social Care Act 2012 to organise the delivery of NHS services in England. As far as the NHS is concerned, Cornwall includes the Isles of Scilly.
The "Greater Manchester Model" of NHS health care was a system uniquely devolved within England, by way of close integration with the Greater Manchester Combined Authority and local authorities, led by the Mayor of Greater Manchester. In July 2022 the Greater Manchester integrated care system took over responsibility for health and social care in the conurbation. The financial plan for 2022-23 had an initial shortage of £187 million.
Healthcare in the West Midlands was, until July 2022, the responsibility of five clinical commissioning groups: Birmingham and Solihull, Sandwell and West Birmingham, Dudley, Wolverhampton, and Walsall.
Healthcare in Surrey was the responsibility of five Clinical Commissioning Groups: East Surrey, North West Surrey, Surrey Downs, Guildford and Waverley, and Surrey Heath from 2013 to 2020 when East Surrey, North West Surrey, Surrey Downs, Guildford and Waverley merged to form Surrey Heartlands CCG. The new organisation started with a £62 million deficit.
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 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 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 Leicestershire was the responsibility of three clinical commissioning groups covering West Leicestershire, Leicester City and East Leicestershire and Rutland until July 2022. As far as the NHS is concerned Rutland is generally treated as part of Leicestershire.
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.
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 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 Hertfordshire was the responsibility of the Herts Valleys, East, and North Hertfordshire clinical commissioning groups until July 2022.