 | This article needs to be updated. The reason given is: Clinical commissioning groups have been replaced with integrated care systems.(July 2022) |
Healthcare in Shropshire was the responsibility of two clinical commissioning groups until July 2022: Shropshire, and Telford and Wrekin.
From 1947 to 1974 NHS services in Shropshire were managed by the Birmingham Regional Hospital Board. In 1974 the boards were abolished and replaced by regional health authorities. Shropshire still came under the Birmingham RHA. Regions were reorganised in 1996 and Shropshire came under the West Midlands Regional Health Authority. From 1974 there was an area health authority covering the county and from 1982 one district health authority. Two primary care trusts were established in the county in 2002 one for Telford and the Wrekin and one for Shropshire. They were managed by the West Mercia Strategic Health Authority which was merged into NHS West Midlands in 2006.
Shropshire and Telford and Wrekin formed a sustainability and transformation plan area in March 2016 with Simon Wright, the Chief Executive of Shrewsbury and Telford Hospital NHS Trust as its leader [1] The 2021 deficit was £131.4 million. Closing the A&E at either Telford or Shrewsbury was suggested, to create one hospital specialising in emergency care, allowing the other to specialise in routine surgery. Neither Shropshire County Council nor Telford and Wrekin Council have been prepared to support the plans, because they focus too much on hospitals and neglect GP services. [2]
Shropshire Clinical Commissioning Group was put in special measures in November 2015 after its financial position deteriorated. It expected an in-year deficit of £10.6m for 2015/6. [3] David Evans, the accountable officer of Telford and Wrekin CCG was appointed accountable officer for both groups from April 2016 and developed a joint management team. [4]
There are 44 GP practices in Shropshire and 22 in Telford and the Wrekin. Out-of-hours services are provided by Shropdoc. In August 2017 Shropdoc was forced to seek extra funding, saying that the costs of providing out-of-hours contracts were greater than the funding provided. [5]
Shrewsbury and Telford Hospital NHS Trust provides acute services for the county. Robert Jones and Agnes Hunt Orthopaedic Hospital is located in the county but serves a much wider area.
South Staffordshire and Shropshire Healthcare NHS Foundation Trust is the main NHS provider of mental health services, while Shropshire Community Health NHS Trust provides community services.
There are two Healthwatch organisations.
NHS West Midlands was a strategic health authority (SHA) of the National Health Service in England. It operated in the West Midlands region, which is coterminous with the local government office region. It was abolished in April 2013.
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 Bedfordshire is the responsibility of Bedfordshire and Luton Integrated Care Systems.
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. In 2021 the three Sussex CCGs were merged into one, Sussex CCG. In 2022 Sussex CCG transitioned into an Integrated Care Board or ICB.
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, 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 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 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 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 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.
Healthcare in Nottinghamshire was, until July 2022, the responsibility of six clinical commissioning groups, covering Nottingham City, Nottingham North & East, Mansfield and Ashfield, Newark and Sherwood, Rushcliffe, and Nottingham West. They planned to merge in April 2020.
Healthcare in Herefordshire was the responsibility of Herefordshire Clinical Commissioning Group until July 2022.