 | This article needs to be updated. The reason given is: Clinical commissioning groups have been replaced with integrated care systems.(July 2022) |
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.
From 1947 to 1974 NHS services in Northumberland were managed by Newcastle Regional Hospital Board. In 1974 the boards were abolished and replaced by regional health authorities. Northumberland came under the Northern RHA. Regions were reorganised in 1996 and Northumberland came under the Northern and Yorkshire Regional Health Authority. Northumberland from 1974 had one district health authority. A primary care trust, the Northumberland Care Trust, was established covering the whole the county in 2002. It was managed by the North East Strategic Health Authority from 2002 until 2013.
Northumberland CCG took on the responsibilities of the former PCT on 1 April 2013. Steven Mason, chief executive of Northumberland County Council was appointed its accountable officer in January 2017, replacing the former chief clinical officer Alistair Blair, who was to lead a new accountable care organisation. [1]
Northumberland, Tyne and Wear formed a sustainability and transformation plan area in March 2016 with Stephen Eames, the Chief Executive of North Cumbria University Hospitals NHS Trust as its leader. [2] This plan, as far as Cumbria was concerned, was abandoned in April 2017. [3] The plan proposed to eliminate a projected 2020/21 deficit of £641 million and establish a Northumbria accountable care organisation. It planned to improve prevention services to reduce smoking and obesity. The North East commissioning support unit was to be transformed into a community interest company owned by its 11 CCG customers. [4]
In April 2018 it emerged that there were proposals to merge the STP for Northumberland, Tyne and Wear with those for Cumbria and Darlington, Teesside, Hambleton, Richmondshire and Whitby; this would create the largest STP in the country with a population of 3.2 million. North Tees and Hartlepool NHS Foundation Trust chief executive Alan Foster was made lead for all three STPs in October 2017. The twelve CCGs involved set up a joint commissioning committee with delegated decision-making powers. [5]
Northumbria Healthcare NHS Foundation Trust and Northumberland County Council formed a partnership called the NHS Northumbria International Alliance which provides consultancy services for the development of integrated care systems. It has contracts in China [6] and in Ireland with Vanguard Health Services International. [7]
The Northumberland, Tyne and Wear Region had the highest death rate from respiratory diseases of any region in Europe in 2015 at 154 per 100,000 population. [8]
North Tyneside Clinical Commissioning Group was rated as inadequate by NHS England and entered into a management arrangement with Newcastle Gateshead CCG in January 2017. [9]
Northumbria is a vanguard area for the development of integrated primary and acute care systems as proposed in the Five Year Forward View. It was given £8.3 million in 2015 as a transformation fund and planned to create a single 'accountable care organisation' for the county to become operational in 2017. [10] This would be the first in the NHS and would take over most of the functions of the clinical commissioning group. It would also undermine the principles of the NHS internal market. [11]
There are 44 GP practices in Northumberland which have agreed to form a county-wide federation. Out-of-hours services are provided by Northern Doctors Urgent Care.
North Tyneside Clinical Commissioning Group set up a 12-month pilot using LIVI in August 2020 to offer online video appointments for all of its patients. This was expected to deliver an extra 21,000 GP appointments a year. Livi GPs would have full access to patient records. [12]
Palliative care is provided by HospiceCare which has two centres in Alnwick and Berwick.
In May 2017 Care North East, which represents 1,747 out of 2,806 private care homes in Northumberland refused to agree a three-year contract with Northumberland County Council. They said the current cost of providing residential care in Northumberland was £535.88 per resident, per week. The council was offering £506.43. [13]
Northumbria Healthcare NHS Foundation Trust has had a partnership with the county council since 2011. The CCG and Northumberland County Council were co-located. [14]
Mental health services in the county are provided by Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust.
Acute hospital services are provided by Northumbria Healthcare NHS Foundation Trust. It opened the first specialist emergency care hospital in the UK, at Cramlington in 2015, with emergency consultants on site 24 hours a day. The North East Ambulance Service covers the county.
Healthwatch Northumberland is an organisation set up under the Health and Social Care Act 2012 to act as a voice for patients.
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 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 Suffolk was the responsibility of two clinical commissioning groups until July 2022: Ipswich and East Suffolk, and West Suffolk.
Healthcare in Shropshire was the responsibility of two clinical commissioning groups until July 2022: Shropshire, and Telford and Wrekin.
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 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.