 | This article needs to be updated. The reason given is: Clinical commissioning groups have been replaced with integrated care systems.(July 2022) |
Healthcare in Hertfordshire was the responsibility of the Herts Valleys, East, and North Hertfordshire clinical commissioning groups until July 2022.
From 1947 to 1965 NHS services in Hertfordshire were managed by the North-West Metropolitan, East Anglian and North-East Metropolitan regional hospital boards. In 1974 the boards were abolished and replaced by regional health authorities. Hertfordshire came under the North West Metropolitan RHA. Regions were reorganised in 1996 and Hertfordshire came under the North West Thames Regional Health Authority. Hertfordshire was one of the area health authorities, subdivided into four district health authorities: North, East, South West and North West.[ clarification needed ] In 1993 the county was divided into three health authorities: East and North Hertfordshire; North West Hertfordshire; South West Hertfordshire. Regional health authorities were reorganised and renamed strategic health authorities in 2002. Hertfordshire was under Bedfordshire and Hertfordshire SHA. In 2006 regions were again reorganised and Hertfordshire came under NHS East of England until that was abolished in 2013. There was one primary care trust for the area.
In October 2017 the two CCGs decided that obese patients “will not get non‐urgent surgery until they reduce their weight” unless there are “exceptional circumstances” and Smokers would not be referred for non-urgent surgery “unless they have stopped smoking for eight weeks or more”. They also decided to reduce funding for In vitro fertilisation from three cycles to one for patients who meet the criteria; that female sterilisation will only be funded in exceptional circumstances; that gluten-free food will not be available on prescription for most patients who need it; and that over the counter medicines will no longer be prescribed except in exceptional circumstances.
Herts Valleys needs to save £45 million in 2017-18 to break even. East and North Hertfordshire needs to save £23 million. [1]
The sustainability and transformation plan for the county includes both Hertfordshire and West Essex. It claims that the use of the hospital sector will be reduced and the use of community and primary care sector increased. There is no clear account of how the problems with local hospitals are to be tackled. [2] Paul Burstow was appointed to chair the partnership in November 2018. [3]
Primary and community care services are provided by Hertfordshire Community NHS Trust.
The main providers of NHS acute hospital care in the county are West Hertfordshire Hospitals NHS Trust and East and North Hertfordshire NHS Trust. Ambulance services are provided by East of England Ambulance Service. There has been longstanding criticism of hospital facilities in the area. In 2019 West Herts 21st Century Hospital Solution, a local campaign group engaged BDP Healthcare to produce plans for a new acute general hospital in West Hertfordshire. They say this would be “financially feasible and far preferable to existing plans to carry out piecemeal repairs”, but NHS managers say this option vastly exceeds the funding threshold, and they propose to apply for £350 million of central government funding for “significant investment” at Watford General Hospital, upgrades to surgery facilities at St Albans City Hospital and the consolidation of Hemel Hempstead Hospital. [4]
NHS Mental Health services are provided by Hertfordshire Partnership University NHS Foundation Trust.
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 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 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 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 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 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 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.