Healthcare in Yorkshire

Healthcare in Yorkshire is now (as of 2016) the responsibility of 19 Clinical Commissioning Groups covering:

History

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. 13 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.

West Yorkshire formed a sustainability and transformation plan area in March 2016 with Rob Webster, the Chief Executive designate of South West Yorkshire Partnership NHS Foundation Trust as its leader. South Yorkshire and Bassetlaw formed a separate sustainability and transformation plan area with Sir Andrew Cash OBE, the Chief Executive of Sheffield Teaching Hospitals NHS Foundation Trust as its leader. The East Yorkshire area of Coast, Humber and Vale will be another sustainability and transformation plan area.[1]

Commissioning

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. [2]

Primary care

There are GP practices in the county. Out-of-hours services are provided by Humber 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.

Community Care

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.[3]

Mental health services

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 Foundation NHS Trust.

Acute Hospitals

Acute hospital services are provided by Airedale NHS Foundation Trust, Barnsley Hospital NHS Foundation Trust, Bradford Teaching Hospitals NHS Foundation Trust, Calderdale and Huddersfield NHS Foundation Trust, Doncaster and Bassetlaw Hospitals NHS Foundation Trust, Harrogate and District NHS Foundation Trust, Leeds Teaching Hospitals NHS Trust, Mid Yorkshire Hospitals NHS Trust, Rotherham NHS Foundation Trust, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield Children's NHS Foundation Trust and York Teaching Hospital NHS Foundation Trust.

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 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.[4]

References

  1. ↑ "The leaders chosen for 41 of England's STPs". Health Service Journal. 30 March 2016. Retrieved 18 April 2016.
  2. ↑ "Three NHS executives hired to transform struggling CCG". Health Service Journal. 12 April 2016. Retrieved 19 June 2016.
  3. ↑ "FT beats private provider to delayed £45m contract". Healthy Service Journal. 14 March 2016. Retrieved 1 May 2016.
  4. ↑ "Seven trusts combine leadership to accelerate vanguard changes". Health Service Journal. 1 July 2016. Retrieved 2 July 2016.
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