Healthcare in Dorset

Healthcare in Dorset is now the responsibility of Dorset Clinical Commissioning Group. Dorset HealthCare University NHS Foundation Trust is responsible for all community and mental health services across the county. The main hospital providers are Royal Bournemouth & Christchurch Hospitals NHS Foundation Trust, Dorset County Hospital NHS Foundation Trust and Poole Hospital NHS Foundation Trust.

History

From 1947 to 1965 NHS services in Dorset were managed partly by South-West Metropolitan Regional Hospital Board and partly by the South-Western Board, which was responsible for the Lyme Regis area. In 1965 a new Board was formed for Wessex which also covered Dorset apart from Lyme Regis. In 1974 the Boards were abolished and replaced by Regional Health Authorities. The whole of Dorset came under the Wessex RHA. Regions were reorganised in 1996 and Dorset came under the South and West Regional Health Authority. Dorset had an Area Health Authority from 1974 until 1982 when it was divided into two District Authorities for East and West Dorset which were amalgamated in 1992. Regional Health Authorities were reorganised and renamed Strategic Health Authorities in 2002. Dorset was part of Dorset and Somerset SHA. In 2006 regions were again reorganised and Dorset came under NHS South West until that was abolished in 2013. There were two Primary Care Trusts for the area: Bournemouth & Poole Teaching PCT and Dorset PCT.

Dorset formed a sustainability and transformation plan area in March 2016 with Tim Goodson, the Chief Officer of Dorset Clinical Commissioning Group as its leader.[1]

Primary care

There are 98 GP practices, operating at 135 sites, in the county.[2] Out-of-hours services are provided by South Western Ambulance Service NHS Foundation Trust.

Healthwatch

Healthwatch Dorset, an organisation set up under the Health and Social Care Act 2012 to act as a voice for patients, organised mystery shopping in Spring 2014, visiting every practice to see how easy it was to make a complaint. Their report was generally favourable.[3] It has over 250 volunteers, and won the 'Making a Difference through Volunteering' Award in the national 'Healthwatch Network Awards of Achievement 2015, which had 150 entries.[4]

Public health

In 2012 public health responsibilities were transferred away for the NHS to local authorities. Public Health Dorset was established as a partnership of Bournemouth Borough Council, Poole Borough Council, and Dorset County Council.

Relations between providers

In 2011 Dorset County Hospital NHS Foundation Trust stopped providing services in community hospitals operated by Dorset HealthCare University NHS Foundation Trust. They had run outpatient clinics, surgery and radiology in six of the hospitals run by the community and mental health provider but said they would save £2.5 million a year by doing so. This was in response to a 3% reduction in activity commissioned by NHS Dorset.[5]

Acute services

Proposals to merger Poole Hospital NHS Foundation Trust with Royal Bournemouth & Christchurch Hospitals NHS Foundation Trust in order to save money were blocked by the Competition Commission in 2013. Both trusts said they were "deeply disappointed" and felt the merger was the best option to ensure "high-quality hospital services to local people".[6]

The Clinical Commissioning Group launched a major review into the way healthcare is provided across the county in October 2014. They are spending £2.75 million on the review and have hired a consortium of consultants, headed by McKinsey & Company. The Dorset Health Campaign has slammed the cost of the review and the appointment of the consultants, and has said it fears there will be increased privatisation in the service in Dorset following the review. The CCG says it does not have the specialist skills, experience, capacity and expertise to deliver a major Clinical Services Review of this kind and that the cost is less than 0.3 per cent of the annual budget of the CCG.[7]

Plans to develop a major emergency hospital with 24-hour access to consultants will be developed at Royal Bournemouth Hospital. Poole Hospital will be come the centre for planned care according to plans agreed by the CCG in May 2015.[8] The merger between Bournemouth and Poole was proposed again in 2016 because "the many benefits associated with these changes could be achieved more easily under one management structure.”[9]

Community Care

Macmillan Caring Locally is based in Dorset, supporting cancer patients in the county.

Palliative care is provided by Forest Holme Hospice and the Lewis-Manning Hospice in Poole, Weldmar Hospicecare Trust in Dorchester, and Julia's House in Bournemouth.

See also

References

  1. ↑ "The leaders chosen for 41 of England's STPs". Health Service Journal. 30 March 2016. Retrieved 18 April 2016.
  2. ↑ "Councils reject NHS plans due to lack of GP investment". Pulse. 30 November 2016. Retrieved 2 December 2016.
  3. ↑ "Dorset GP surgeries 'mystery shopped' over complaints procedure". Bournemouth Echo. 4 June 2014. Retrieved 14 December 2014.
  4. ↑ "Dorset Healthwatch wins national award". Western Gazette. 6 July 2015. Retrieved 6 July 2015.
  5. ↑ "Dorset County Hospitals to cut services in the community". Health Service Journal. 21 December 2011. Retrieved 17 November 2014.
  6. ↑ "Dorset hospital trusts merger plan blocked". BBC News. 13 October 2013. Retrieved 17 November 2014.
  7. ↑ "Health chiefs set to spend £2.75million on review into saving money in NHS". Dorset Echo. 15 November 2014. Retrieved 17 November 2014.
  8. ↑ "Bournemouth is CCG's preferred choice for emergency centre". Health Service Journal. 12 May 2016. Retrieved 31 July 2016.
  9. ↑ "Bournemouth and Poole reopen talks on blocked merger". 8 September 2016. Retrieved 3 November 2016.

External links

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