 | This article needs to be updated. The reason given is: Clinical commissioning groups have been replaced with integrated care systems.(July 2022) |
Healthcare in Yorkshire from 2016 was the responsibility of 19 clinical commissioning groups, which were replaced by integrated care systems in July 2022.
From 1947 to 1974 NHS services in Yorkshire were managed by the Leeds and Sheffield regional hospital boards. In 1974 the boards were abolished and replaced by regional health authorities. Yorkshire came under the Leeds and Sheffield RHAs. Regions were reorganised in 1996 and most of Yorkshire came under the Yorkshire Regional Health Authority. South Yorkshire was under the Trent Regional Health Authority. In 1994 the Yorkshire RHA merged into Northern and Yorkshire. Yorkshire from 1974 had 17 district health authorities. Barnsley, Sheffield and Rotherham each had their own DHA. In 1994 the 17 in Yorkshire were merged into seven: Bradford, East Riding, Grimsby and Scunthorpe, Leeds, North Yorkshire, Wakefield, and West Yorkshire. Thirteen primary care trusts were established covering the whole of the county in 2002. They were managed by three strategic health authorities: West Yorkshire, South Yorkshire, and North and East Yorkshire and Northern Lincolnshire. They were merged into one, Yorkshire and the Humber, in 2006.
The CCGs took on the responsibilities of the former PCTs on 1 April 2013. As of 2016, the CCGs were:
Subsequently, there were a series of amalgamations.
There are three sustainability and transformation plans for the county: [1] [2]
The Vale of York CCG was put in special measures after it forecast a £6.3 million deficit in 2015-16. Non-elective admissions at York Teaching Hospital NHS Foundation Trust were 14% more than planned and emergency department attendances 17% more. There have been ongoing financial problems in York since the year 2000. [8]
Harrogate and Rural District CCG decided in October 2016 that anyone who smoked or had a Body Mass Index of more than 30 would be referred to a weight management or smoking cessation service for six months before they would be considered for elective surgery. [9] Ian Eardley of the Royal College of Surgeons said, "The policies for smokers and overweight patients that Harrogate and Rural District CCG intend to impose ignore the public outcry that surrounded similar plans." [10]
North Kirklees and Greater Huddersfield CCGs decided in January 2017 that they would stop most individual funding requests, and stop prescribing gluten-free products, sunscreens and multivitamins, hoping to save £750,000 over the next 18 months. [11] The two CCGs started sharing the same chief officer, Carol McKenna, in October 2017. They were already sharing some other staff. [12]
The three CCGs in Leeds West, Leeds North, and Leeds South and East, with a joint population of 860,000 and more than 100 GP practices merged in April 2018. [13] In 2020 they initiated an innovative advertising campaign with temperature-triggered advertising on bus shelters, urging people to safeguard their health with different messages for different temperatures. [14]
Out-of-hours services are provided by Humber Teaching NHS Foundation Trust (York), Yorkshire Doctors Urgent Care, Care UK (Rotherham), Yorkshire Ambulance Service, Local Care Direct (West Yorkshire and Craven), Nestor Primecare Services Limited (Hambleton, Richmondshire and Whitby). West Wakefield Health and Wellbeing Ltd is a Multispecialty community provider established in 2015.
In January 2017 the clinical commissioning groups in Leeds agreed to suspend 80% of the Quality and Outcomes Framework targets for the rest of 2016/17. A similar strategy was adopted by NHS Wales. [15]
The Haxby Group, which operates from 11 sites in York and Hull, with a list of 60,000 patients was rated outstanding and praised for building multidisciplinary teams by the Care Quality Commission in 2019. [16]
Leeds Community Healthcare NHS Trust and Locala are NHS providers of community services. Humber NHS Foundation Trust won a contract for community and out of hours services in Whitby in March 2016 after there were problems with a bid from Virgin Care. The 7-year contract is worth £45 million. [17]
Wakefield - Connecting Care, one of the NHS England Vanguard projects has established a team of clinicians, community and social care staff to provide care to elderly people in care homes and supported housing which has reduced emergency admissions by 27%. [18]
Mental health services in the county are provided by Bradford District Care NHS Foundation Trust, Humber NHS Foundation Trust, Leeds and York Partnership NHS Foundation Trust, Rotherham Doncaster and South Humber NHS Foundation Trust, South West Yorkshire Partnership NHS Foundation Trust, and Tees, Esk and Wear Valleys NHS Foundation Trust.
Bradford District Care NHS Foundation Trust, Leeds and York Partnership NHS Foundation Trust, Leeds Community Healthcare NHS Trust and South West Yorkshire Partnership NHS Foundation Trust agreed to form the West Yorkshire Mental Health Services Collaborative in April 2018. It hoped to eliminate non-specialist out-of-area placements within 12 months, reduce unnecessary emergency attendances by 40%, and form a single acute bed base for the region with a single bed management function. [19]
Acute hospital services are provided by:
The Yorkshire Ambulance Service covers the county.
The Working Together vanguard established in 2016 includes Barnsley Hospital NHS Foundation Trust, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield Children's NHS Foundation Trust, Rotherham NHS Foundation Trust, Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Mid Yorkshire Hospitals NHS Trust and also Chesterfield Royal Hospital NHS Foundation Trust. It has established a federation board which will make decisions about services ceded under delegated authority. It is chaired by Sir Andrew Cash. [20]
It was agreed in 2019 that the acute stroke services in Rotherham and Barnsley would close, and services would be concentrated in Sheffield, Doncaster and Wakefield. [21]
The Vale of York CCG set up a randomised control trial with Health Navigator which used artificial intelligence to identify patients at high risk of unplanned hospital attendance. They were given a referral to the company’s ‘Pro-active Health Coaching’ service. There was a 36% reduction in A&E attendances among those supported. In 2019 the service was extended to 1,800 patients. [22]
North Yorkshire County Council and City of York Council sponsored an expansion of the CareRooms scheme in Selby and York in 2021 to help people recover after being discharged from hospital. Tele-care and monitoring equipment is fitted in the rooms to ensure guests vital signs are checked and there is 24-hour video access to a GP service. [23] It was said to make use of the "resources that exist within local communities" in a report proposing further expansion to Richmond, Scarborough and Whitby. [24]
A mental health trust provides health and social care services for people with mental health disorders in England.
Yorkshire Ambulance Service NHS Trust (YAS) is the NHS ambulance service covering most of Yorkshire in England. It is one of ten NHS Ambulance Trusts providing England with emergency medical services as part of the National Health Service it receives direct government funding for its role.
Leeds Teaching Hospitals NHS Trust is an NHS hospital trust in Leeds, West Yorkshire, England.
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 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 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 Lincolnshire was, until July 2022, the responsibility of integrated care systems 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.
In England, a sustainability and transformation plan (STP) is a non-statutory requirement which promotes integrated provision of healthcare, including purchasing and commissioning, within each geographical area of the National Health Service. The plans were introduced in 2016 but by 2018 had been overtaken by progress towards integrated care systems.
The NHS Nightingale Hospital Yorkshire and the Humber is one of the temporary NHS Nightingale Hospitals set up by NHS England in 2020 to help to deal with the COVID-19 pandemic. The hospital was constructed inside the Harrogate Convention Centre, Harrogate, and from 4 June 2020 was repurposed as a radiology diagnostic clinic.