 | This article needs to be updated. The reason given is: Clinical commissioning groups have been replaced with integrated care systems.(July 2022) |
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. [1]
The Gloucestershire sustainability and transformation partnership was one of four integrated care systems established by NHS England in May 2018. [2]
People living in the most deprived areas of the city of Gloucester – Barton and Tredworth, Matson, Podsmead, Tuffley and Westgate – live almost 14 years less than those in the most affluent areas like Longlevens and Quedgeley. [3]
From 1947 to 1974, NHS services in Gloucestershire were managed by the South-West Regional Hospital Board. In 1974 the boards were abolished and replaced by regional health authorities; Gloucestershire came under the South Western RHA. Regions were reorganised in 1996 and Gloucestershire still came under the South Western Regional Health Authority. From 1974 there was a single area health authority covering the county. From 1982 it was split into two district health authorities, Cheltenham and District DHA and Gloucester DHA. There were four primary care trusts established in the county in 2002: South Gloucestershire PCT, West Gloucestershire PCT, Cotswold & Vale PCT, and Cheltenham & Tewkesbury PCT. They were managed by the Avon, Gloucestershire and Wiltshire Strategic Health Authority and in 2006 three were merged into Gloucestershire PCT while South Gloucestershire PCT remained a separate organization. In 2013, PCTs were abolished and replaced by clinical commissioning groups. In 2022, the CCGs were in turn abolished and replaced with integrated care systems.
Bristol, North Somerset and South Gloucestershire formed a sustainability and transformation plan area in March 2016 with Robert Woolley, Chief Executive of University Hospitals Bristol NHS Foundation Trust as its leader. The remainder of Gloucestershire formed a separate area under Mary Hutton, the Accountable Officer of Gloucestershire CCG. [4]
The implementation of Transforming Community Services in the county was controversial. The transfer to the community interest company Gloucester Care Services was challenged in the courts by local resident and service user Michael Lloyd on behalf of a well organised campaign, Stroud Against The Cuts, which claimed that social enterprises were a stepping stone to privatisation, allowing the private sector to compete for contracts after only a few years. [5] It was successfully argued in court by David Lock QC that while services could be commissioned from NHS providers without the need for a procurement process, it had been unlawful for them to be transferred to a social enterprise without competition. It was therefore decided to set up a new NHS trust, Gloucestershire Care Services NHS Trust. [6]
Gloucestershire CCG supported an "arts on prescription" service, known as Artlift, to prevent chronic conditions from becoming acute. Patients with long term conditions such as depression or chronic pain were referred for ten weeks of arts activity. The scheme had better completion and attendance rates than other health referral programmes such as exercise schemes. [7]
The CCGs for Bristol, North Somerset and South Gloucestershire merged in April 2018. [8] [9] Gloucestershire Care Services NHS Trust merged with 2gether NHS Foundation Trust (which also covered Herefordshire) in October 2019 to form Gloucestershire Health and Care NHS Foundation Trust. [10]
In 2015, a survey by the Health Service Journal showed that 34 of 188 CCGs who responded had restricted access to some services. Restrictions were usually introduced by a number of CCGs acting together across an area. Gloucestershire and Bristol CCGs were proposing restricted access to acupuncture, adenoidectomy and post-operative physiotherapy. [11]
It was reported in 2017 that NHS cuts in South Gloucestershire would increase delays to cancer treatment and include cuts to care for children with complex needs. Patients would wait longer for non-urgent operations. Holly Maltby of 38 Degrees said, "These plans shed light on just how seriously patient care in South Gloucestershire could be affected. They also begin to paint a picture for how services in other areas of England are likely to be hit too – with cancer treatment and children in need affected." [12]
As of 2020, there are 27 GP surgeries in South Gloucestershire. [13] Out-of-hours services formerly provided by South Western Ambulance Service NHS Foundation Trust were transferred to Care UK in 2017. [14]
Gloucestershire Health and Care NHS Foundation Trust is the main provider.
Palliative care is provided by Sue Ryder at Leckhampton Court in Cheltenham, Longfield in Minchinhampton, Great Oaks in Coleford, and Longfield's Hospice in Stroud.
Gloucestershire Health and Care NHS Foundation Trust provides mental health and learning disability services throughout Gloucestershire and Herefordshire. [15]
Gloucestershire Hospitals NHS Foundation Trust and North Bristol NHS Trust provide most of the county's acute care. Specialist stroke services in the county were centralised at Gloucestershire Royal Hospital from summer 2012. [16]
In 2021, Gloucestershire Integrated Care System decided to centralise emergency general surgery, vascular surgery and acute medicine at Gloucestershire Royal Hospital, and to move orthopaedic and gastroenterology services to Cheltenham General Hospital. Cheltenham, where 34 beds would be closed, would keep a reduced-hours emergency department. Gloucestershire Royal would have 41 extra beds. [17]
Healthcare in the city of Bristol, England and the surrounding area is largely provided by the National Health Service (NHS). Until July 2022, this was provided through the Bristol, North Somerset and South Gloucestershire clinical commissioning group. Facilities include a large teaching hospital – Bristol Royal Infirmary – which offers nationally commissioned specialist cardiac, cancer and children's services from its city-centre campus to patients in the southwest of England and beyond.
Healthcare in London, which consumes about a fifth of the NHS budget in England, is in many respects distinct from that in the rest of the United Kingdom, or England.
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.
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 Worcestershire was the responsibility of three Clinical Commissioning Groups until July 2022, covering, respectively Redditch and Bromsgrove, Wyre Forest and South Worcestershire.
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 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.
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 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 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 Northamptonshire was the responsibility of Northamptonshire Clinical Commissioning Group until July 2022, with some involvement of Cambridgeshire and Peterborough CCG.
Healthcare in Durham, from 2013 to July 2022, was the responsibility of NHS Durham Dales, Easington and Sedgefield, and Sunderland and South Tyneside clinical commissioning groups. In July 2019 they proposed to merge into two, one covering Durham, and the other covering Tees Valley and including Darlington.
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 Lincolnshire was, until July 2022, the responsibility of five clinical commissioning groups covering Lincolnshire West, Lincolnshire East, North East Lincolnshire, North Lincolnshire, and South Lincolnshire.
{{cite web}}: CS1 maint: url-status (link)