Healthcare in Hampshire

Last updated

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.

Contents

History

From 1947 to 1965 NHS services in Hampshire were managed by South-West Metropolitan Regional Hospital Board. In 1965 a new board was formed for Wessex which covered Hampshire. In 1974 the boards were abolished and replaced by regional health authorities. Hampshire came under the Wessex RHA. Regions were reorganised in 1996 and Hampshire came under the South and West Regional Health Authority. Hampshire had an area health authority from 1974 until 1982 when it was divided into four district health authorities for Basingstoke and North Hampshire, Southampton and South West Hampshire, Winchester and Portsmouth and South East Hampshire. Basingstoke and North Hampshire and Winchester were amalgamated into North and Mid Hampshire District in 1994. Regional health authorities were reorganised and renamed strategic health authorities in 2002. Hampshire was part of Hampshire and Isle of Wight SHA. In 2006 regions were again reorganised and Hampshire came under NHS South Central until that was abolished in 2013. There were three primary care trusts for the area: NHS Southampton City, NHS Hampshire, and NHS Portsmouth.

Sustainability and transformation plans

Hampshire and the Isle of Wight formed a sustainability and transformation plan area in March 2016 with Richard Samuel, the Chief Officer of Fareham and Gosport and South Eastern Hampshire Clinical Commissioning Groups as its leader [1]

It is proposed to cut 300 beds in the acute sector and to move some services from St Mary's hospital on the Isle of Wight to the mainland and to establish integrated primary care hubs with multiprofessional primary care teams with extended skills. [2]

Four clinical commissioning groups, North Hampshire, Fareham and Gosport, North East Hampshire and Farnham, and South Eastern Hampshire, formed a Partnership Board in May 2017 to deal with the Hampshire and Isle of Wight STP and the Frimley Health and Care System STP. [3]

Commissioning

Care UK have a contract for elective treatment and urgent care services with Portsmouth CCG which was renewed for 5 years in September 2015. It is worth £54.6 million. [4]

In 2018 the Isle of Wight CCG became part of the Hampshire CCG Partnership with Fareham and Gosport, North Hampshire, North East Hampshire and Farnham, and South Eastern Hampshire CCGs. [5]

Primary care

There are 173 GP practices in the county. Out-of-hours services are provided by Hampshire Doctors on Call Service. GPs and community services in Portsmouth adopted a shared electronic health record system in October 2015. [6]

A practice-based pharmacist scheme established in West Hampshire in 2015 which employed 9.6 whole-time equivalent pharmacists and 2.2 pharmacy technicians reduced the cost of medication by conducting medication reviews. Savings were more than double the cost of the scheme. [7]

In 2021, a five-year contract was agreed upon for information technology support for 228 GP sites across the county and the Isle of Wight with Healthcare Computing, in partnership with NHS Arden & Greater East Midlands Commissioning Support Unit. [8]

Acute services

Acute services are provided by Hampshire Hospitals NHS Foundation Trust, Portsmouth Hospitals NHS Trust and University Hospital Southampton NHS Foundation Trust. Proposals made in 2015 for a new critical treatment hospital at North Waltham, Hampshire were not supported by the local clinical commissioning groups Joint Commissioners' Steering Group. [9] Since 2008 there have been proposals to reorganise vascular services and to concentrate them in Southampton, but the Portsmouth trust has repeatedly objected. [10]

There are four hospitals in the county with accident and emergency facilities: Basingstoke and North Hampshire Hospital, the Royal Hampshire County Hospital in Winchester, Southampton General Hospital (a major trauma centre) and the Queen Alexandra Hospital in Portsmouth. In addition, Frimley Park Hospital is located just over the county border from Farnborough, and the Royal Bournemouth Hospital is closer to parts of the New Forest District than Southampton. Ambulance services are provided by South Central Ambulance Service (SCAS), except in the northeast of the county, where it is provided by South East Coast Ambulance Service (SECAmb).

Mental health and community services

Solent NHS Trust, Southern Health NHS Foundation Trust and Surrey and Borders Partnership NHS Foundation Trust are the main providers of NHS mental health and community services. Vista Healthcare runs a low secure private hospital in Winchfield.

The primary and acute care system in North East Hampshire and Farnham established a mental health cafe as a joint initiative which has reduced mental health hospital admissions by 33%. [11]

Millbrook Healthcare runs the wheelchair service.

Hampshire County Council announced in 2020 that its Digitally Enabled Care provided by Argenti had saved them £3.4 million in 2019/20 because 39% of those using the service avoided an increase in their package of care or an admission to hospital. [12]

Healthwatch

There are three local Healthwatches for Hampshire, Portsmouth and Southampton.

See also

Related Research Articles

<span class="mw-page-title-main">Isle of Wight NHS Trust</span>

The Isle of Wight NHS Trust is an NHS trust which provides physical health, mental health and ambulance services for the Isle of Wight. The trust is unique in being the only integrated acute, community, mental health and ambulance health care provider in England. It runs St Mary's Hospital and the Isle of Wight Ambulance Service.

Southern Health NHS Foundation Trust is an NHS foundation trust which provides community health, mental health and learning disability services across Hampshire. It is one of the largest providers of such services in 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 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 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 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 Surrey, England 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 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 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 Berkshire was the responsibility of five clinical commissioning groups until July 2022: Windsor, Ascot and Maidenhead, Slough, Bracknell and Ascot and Wokingham.

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 Hertfordshire was the responsibility of the Herts Valleys, East, and North Hertfordshire clinical commissioning groups until July 2022.

<span class="mw-page-title-main">Gosport War Memorial Hospital</span> NHS hospital in Hampshire, England

Gosport War Memorial Hospital is a hospital in Gosport, Hampshire, England, part of the Southern Health NHS Foundation Trust.

References

  1. ↑ "The leaders chosen for 41 of England's STPs". Health Service Journal. 30 March 2016. Retrieved 18 April 2016.
  2. ↑ "Sustainability and Transformation Plans: Find out about your STP". NHS Support Federation. March 2017. Retrieved 30 March 2017.
  3. ↑ "Health groups to form new merger". Basingstoke Gazette. 7 May 2017. Retrieved 30 May 2017.
  4. ↑ "Care UK wins Portsmouth treatment centre contract". Health Service JOurnal. 1 September 2015. Retrieved 20 October 2015.
  5. ↑ "CCG to lose powers by joining commissioning partnership". Health Service Journal. 22 May 2018. Retrieved 16 August 2018.
  6. ↑ "Patient records being shared in full among health workers in Portsmouth". Portsmouth News. 2 November 2015. Retrieved 2 November 2015.
  7. ↑ "Practice-based pharmacist scheme doubles return on investment". Pharmaceutical Journal. 22 February 2019. Retrieved 26 March 2019.
  8. ↑ "Boost for GP IT services". Building Better Healthcare. 7 April 2021. Retrieved 5 June 2021.
  9. ↑ "Basingstoke hospital plans shelved as 'not affordable'". BBC News. 24 September 2015. Retrieved 3 October 2015.
  10. ↑ "Stop-start vascular services shake-up creaks back into action". Health Service Journal. 20 August 2015. Retrieved 7 October 2015.
  11. ↑ "Surging Ahead". Commissioning Review. 14 July 2016. Retrieved 7 December 2016.
  12. ↑ "Telecare helps council save £3.4m in social care costs". Homecare Insight. 20 July 2020. Retrieved 7 September 2020.
This page is based on this Wikipedia article
Text is available under the CC BY-SA 4.0 license; additional terms may apply.
Images, videos and audio are available under their respective licenses.