Healthcare in Merseyside

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Healthcare in Liverpool reflects the unique historical legacy of the port. The city had five of the most deprived areas in the country in 2012 according to a Church Urban Fund report.[ citation needed ] According to Mayor Joe Anderson, "The people in Calderstones, Woolton, and Childwall outlive the people in other areas of Liverpool, like parts of north Liverpool, by 10 to 12 years or so". [1]

Contents

History

Liverpool's Health of the Town Committee appointed Thomas Fresh as 'Inspector of Nuisances' on 4 September 1844 The city appointed its first medical officer of health, William Henry Duncan, in 1847. [2] [3] In 1851, a boy born in inner Liverpool had a life expectancy of only 26 years [4]

Management structures

Liverpool has had unstable administrative arrangements with the North West region, and in particular with Manchester since the establishment of the NHS. In 1946 drawing the boundary between the Liverpool and Manchester regional hospital boards proved to be particularly difficult because of "the jealousy felt by Liverpool for Manchester and the reluctance of Preston to consider any scheme centred on Liverpool or Manchester." [5]

NHS North West was established as a strategic health authority in 2006. It had oversight of 24 primary care trusts, 23 acute trusts, 8 mental health trusts, 7 specialist trusts, as well as the North West Ambulance Service. In October 2011 NHS North West, alongside NHS Yorkshire and Humberside and NHS North East became a part of the NHS North of England SHA cluster – a temporary administrative merger to manage the North of England health economy until the planned dissolution of SHAs in March 2013. The authority closed on 31 March 2013 as part of the Health and Social Care Act 2012.

Sustainability and transformation plan

The Liverpool City Region submitted proposals for greater local control of the NHS and social care in 2015 following developments in Manchester. [6]

Cheshire and Merseyside formed a sustainability and transformation plan area in March 2016 with Louise Shepherd, the chief executive of Alder Hey Children's NHS Foundation Trust as its leader [7]

Plans to merge the four clinical commissioning groups in north Merseyside were rejected by NHS England in September 2020 because they insisted on a single commissioning body for the entire Cheshire and Merseyside system. [8] In October 2021 John Ashton was shortlisted for the position of chair of the Cheshire and Merseyside Integrated Care System. Although he was the highest scoring candidate the board decided not to appoint anyone. David Flory was to continue as interim chair. [9]

Commissioning

The three clinical commissioning groups covering Liverpool, South Sefton, and Southport and Formby, announced plans to merge in March 2017 [10] and were abolished in 2022 when all CCGs in England were replaced with integrated care systems.

Acute services

Liverpool is unusual in having a large number of small specialist NHS trusts. In October 2014 plans were unveiled in the Healthy Liverpool programme, approved by Liverpool Clinical Commissioning Group and supported by the city council which would concentrate services, especially for cancer patients and major trauma at the Royal Liverpool University Hospital. [11] The proposals, which will be subject to public consultation, include:

Dr Fazlani, chair of the CCG said “If we reduced emergency admissions to hospitals by just 11% we would be able to afford an extra one and a half GPs in every practice in the city. This is the virtuous circle we are aiming to create". [12]

There will be fewer hospitals in Liverpool under the Healthy Liverpool plans to shake-up the city's NHS by providing more care in the community. Cardiology services are offered at four or five sites in Liverpool in 2015 but it is proposed that they will be delivered by a single team at one or two sites. [13]

Between 2010 and 2015 hospitals in Merseyside lost a large number of beds, mostly in general hospitals, though there was some increase in specialist hospitals. [14]

Beds available20152010
Arrowe Park & Clatterbridge760813
St Helens & Whiston693716
Liverpool Heart and Chest153148
Alder Hey Children's206218
Aintree672788
Clatterbridge Cancer Centre6984
Liverpool Women's140182
Walton Centre160134
Royal Liverpool & Broadgreen802892
Five Boroughs Partnership314339
Southport & Ormskirk491502
Mersey Care632411
Warrington & Halton599643

In 2022 there were discussions on plans to bring six NHS trusts in the city into a £2bn group of hospital providers which could be called the 'United Hospitals of Liverpool' led by David Nigel Dalton the interim chief executive of Liverpool University Hospitals NHS Foundation Trust. [15]

As of 2022, hospital trusts based in Merseyside included the following:

Community services

Liverpool Community Health NHS Trust was the main NHS provider, but its contract, valued at £81.7 million was taken over by Mersey Care NHS Foundation Trust in November 2017. [16]

A government-funded initiative, More Independent, is being piloted across four UK regions, of which Liverpool is one. It offers gadgets – life enhancing technologies – designed to help people who use NHS or social services live more independently, monitor their health, make everyday life simpler, and help them stay in touch with their family or careers. [17]

Liverpool is the site of Europe’s first dedicated 5G health and social care pilot, Liverpool 5G Health and Social Care, which is based in Kensington, Liverpool and is testing eleven new technologies. These include Safehouse Sensors, which are installed in homes of vulnerable people to detect falls, changes in temperature and unusual behaviour patterns and PAMAN, a video link to a local pharmacy which helps people to take medicines at home safely. The technical infrastructure is provided by Blu Wireless Technology. It uses existing fibre and equipment erected on street furniture like lampposts. [18] It was given an additional £4.3 million in August 2020 to develop a private independent 5G network for health and social care services in selected areas of Liverpool. This is to include a medical grade device to manage and monitor health conditions remotely, an app tp teach anxiety reduction techniques, a remote GP triaging service, wound care and management and sensor technology. [19]

Primary care

Out-of-hours services are provided by Urgent Care 24 Limited.

Dharmana's family and general practice, in Walton was put in special measures by the Care Quality Commission in January 2015 after being rated "inadequate". In October 2015 it was closed. [20] SSP Health had a contract for the provision of 11 primary care services in Liverpool and 9 in Sefton from 2013 to 2016. [21]

See also

Related Research Articles

<span class="mw-page-title-main">Walton Centre</span> Neurological hospital in Liverpool, England

The Walton Centre, formerly known as the Walton Centre for Neurology and Neurosurgery, is a major neurology hospital located in the suburb of Fazakerley in the city of Liverpool, England. It is one of several specialist hospitals located within the Liverpool City Region alongside Liverpool Heart and Chest Hospital, Alder Hey Children's Hospital, Liverpool Women's Hospital, Mersey Regional Burns and Plastic Surgery Unit and Clatterbridge Cancer Centre. The wards in the hospital are all named after pioneering neurosurgeons in the 20th and 21st century. It is managed by the Walton Centre NHS Foundation Trust.

NHS North West was a strategic health authority (SHA) of the National Health Service in England. It operated in the North West region, which is coterminous with the local government office region.

Wirral University Teaching Hospital NHS Foundation Trust (WUTH) is an NHS Foundation Trust. It provides healthcare for people of the Wirral Peninsula and the surrounding areas of North West England and North Wales.

Healthcare in the city of Bristol, England and the surrounding area is largely provided by the National Health Service (NHS). Until July 2022, this was provided through the Bristol, North Somerset and South Gloucestershire clinical commissioning group. Facilities include a large teaching hospital – Bristol Royal Infirmary – which offers nationally commissioned specialist cardiac, cancer and children's services from its city-centre campus to patients in the southwest of England and beyond.

<span class="mw-page-title-main">Clinical commissioning group</span>

Clinical commissioning groups (CCGs) were National Health Service (NHS) organisations set up by the Health and Social Care Act 2012 to organise the delivery of NHS services in each of their local areas in England. On 1 July 2022 they were abolished and replaced by Integrated care systems as a result of the Health and Care Act 2022.

<span class="mw-page-title-main">Mersey Care NHS Foundation Trust</span>

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.

Liverpool Community Health NHS Trust was one of the community health trusts created in 2012 under the Transforming Community Services programme.

The Five Year Forward View was produced by NHS England in October 2014 under the leadership of Simon Stevens as a planning document.

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 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 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.

The "Greater Manchester Model" of NHS health care was a system uniquely devolved within England, by way of close integration with the Greater Manchester Combined Authority and local authorities, led by the Mayor of Greater Manchester. In July 2022 the Greater Manchester integrated care system took over responsibility for health and social care in the conurbation. The financial plan for 2022–23 had an initial shortage of £187 million.

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 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 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 Cheshire was the responsibility of Eastern Cheshire, South Cheshire, Vale Royal and West Cheshire clinical commissioning groups until July 2022.

References

  1. ↑ "Your Q&A with Mayor of Liverpool Joe Anderson on the future of the city's green spaces: Part II". Liverpool Echo. 14 November 2014. Retrieved 16 November 2014.
  2. ↑ Halliday, S. (2003). "Duncan of Liverpool: Britain's first Medical Officer". Journal of Medical Biography . 11 (3): 142–149. doi:10.1177/096777200301100307. PMID   12870037.
  3. ↑ Ashton, John R. (2004). "Aphorism of the Month: "The following is my entire establishment… your servant, William Henry Duncan"". Journal of Epidemiology and Community Health. 58 (8): 717. PMC   1732861 .
  4. ↑ Daunton, Martin (11 April 2004). "London's 'Great Stink' and Victorian Urban Planning". BBC History. Retrieved 16 November 2014.
  5. ↑ Webster, Charles (1988). The Health Services Since the War. London: HMSO. p. 268. ISBN   0116309423.
  6. ↑ Hudson, Bob (7 October 2015). "What do the government's devolution plans mean for a national health service?" . Retrieved 18 October 2015.
  7. ↑ "The leaders chosen for 41 of England's STPs". Health Service Journal. 30 March 2016. Retrieved 18 April 2016.
  8. ↑ "NHS England rejects four-way merger and insists on one CCG for 2.7m people". Health Service Journal. 18 September 2020. Retrieved 26 October 2020.
  9. ↑ "North by North West: Bitter taste for 'Marmite' candidate". Health Service Journal. 1 November 2021. Retrieved 8 December 2021.
  10. ↑ "Three-way merger to create largest CCG in England". Health Service Journal. 13 March 2017. Retrieved 18 May 2017.
  11. ↑ "Liverpool reconfiguration plans unveiled". Health Service Journal. 17 October 2014. Retrieved 16 November 2014.
  12. ↑ "New Healthcare Vision for Liverpool is unveiled". BayTV Liverpool. 4 November 2014. Retrieved 16 November 2014.
  13. ↑ "Massive shake-up of Liverpool's NHS to see less hospitals and more care in the community". Liverpool Echo. 13 July 2015. Retrieved 13 July 2015.
  14. ↑ "How many beds has your hospital lost since David Cameron came to power?". Liverpool Echo. 19 October 2015. Retrieved 19 October 2015.
  15. ↑ "£2bn 'hospital group' under discussion". Health Service Journal. 24 February 2022. Retrieved 21 April 2022.
  16. ↑ "Winner of troubled community services contract named". Health Service Journal. 3 October 2017. Retrieved 23 December 2017.
  17. ↑ "I do it Mi Way". More Independent. Retrieved 11 July 2015.
  18. ↑ "Extra £1.48 million for Liverpool 5G Health and Social Care pilot". Homecare insight. 29 March 2019. Retrieved 7 May 2019.
  19. ↑ "Liverpool 5G awarded £4.3m to develop private network for social care services". Homecare Insight. 6 August 2020. Retrieved 19 September 2020.
  20. ↑ "First special measures GP practice to close". Health Service Journal. 7 October 2015. Retrieved 7 November 2015.
  21. ↑ "'Unworkable' primary care contracts put out for re-tender". Health Service Journal. 25 May 2016. Retrieved 31 July 2016.
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