 | 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, since 2013, is the responsibility of the Northumberland, Newcastle Gateshead and North Tyneside clinical commissioning groups.
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 proposes to eliminate a projected 2020/21 deficit of £641 million and establish the Northumbria accountable care organisation. It plans to improve prevention services - reducing smoking and obesity. The North East commissioning support unit is 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 12 CCGs involved have set up a joint commissioning committee with delegated decision making powers. [5]
Northumbria Healthcare NHS Foundation Trust and the 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 has been given £8.3 million as a transformation fund and plans to create a single ‘accountable care organisation’ for the county which would 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 would deliver an extra 21,000 GP appointments a year. Livi GPs will 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 are co-located. [14]
Mental health services in the county are provided by 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.
Northumbria Healthcare NHS Foundation Trust is an NHS foundation trust which provides hospital and community health services in North Tyneside and hospital, community health and adult social care services in Northumberland.
Healthcare in Dorset is primarily the responsibility of Dorset Clinical Commissioning Group. 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 is now the responsibility of the two clinical commissioning groups, 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 is now the responsibility of Cumbria Clinical Commissioning Group. From 1 April 2017 32 GP practices will leave the CCG and merge with Lancashire North CCG to form Morecambe Bay CCG.
Healthcare in Worcestershire is now the responsibility of three Clinical Commissioning Groups, covering, respectively Redditch and Bromsgrove, Wyre Forest and South Worcestershire.
Healthcare in Kent is now mainly the responsibility from 1 April 2020 of the Kent & Medway Clinical Commissioning Group. 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 & Medway basis, others on a South East basis and there is liaison with London that provides many tertiary healthcare services to the residents of Kent.
Healthcare in Bedfordshire is now the responsibility of Bedfordshire and Luton Integrated Care Systems.
Healthcare in Somerset, England is the responsibility of three clinical commissioning groups (CCGs) covering 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 will be merged into three covering East Sussex, West Sussex, and Brighton and Hove.
Healthcare in Staffordshire is now the responsibility of six clinical commissioning groups, covering: Stafford & Surrounds; North Staffordshire; South East Staffordshire and Seisdon Peninsula; East Staffordshire; Cannock Chase; Stoke-on-Trent.
Healthcare in Cornwall, United Kingdom, is now 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.
Healthcare in Greater Manchester is mainly provided by the Greater Manchester element of England's public health service, the National Health Service (NHS). This care is provided to all permanent residents of the United Kingdom, free at the point of use and paid for from general taxation from a variety of hospitals, clinics and other public care settings, with private and voluntary services operating and funded independently. The “Greater Manchester Model” of NHS health care is a system uniquely devolved within England, by way of close integration with the Greater Manchester Combined Authority and local authorities, with a vision led by the Mayor of Greater Manchester.
Healthcare in the West Midlands is now the responsibility of five clinical commissioning groups (CCG): Birmingham and Solihull; Sandwell and West Birmingham; Dudley; Wolverhampton; and Walsall.
Healthcare in Surrey was the responsibility of 5 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 Suffolk is now the responsibility of two clinical commissioning groups: Ipswich and East Suffolk, and West Suffolk.
Healthcare in Shropshire is now the responsibility of two clinical commissioning groups: Shropshire, and Telford and Wrekin.
Healthcare in Leicestershire is now the responsibility of three clinical commissioning groups covering West Leicestershire, Leicester City and East Leicestershire and Rutland. 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. From 1 April 2017 32 GP practices from Cumbria Clinical Commissioning Group will merge with Lancashire North CCG to form Morecambe Bay CCG.
Healthcare in Northamptonshire is now the responsibility of Northamptonshire Clinical Commissioning Group, 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. Social Care is the responsibility of Norfolk County Council.