“Healthcare in Northumberland”的意思、由来-开放百科全书

Healthcare in Northumberland, since 2013, is the responsibility of the Northumberland, Newcastle Gateshead and North Tyneside Clinical Commissioning Groups.

History

From 1947 to 1974 NHS services in Northumberland were managed by Newcastle Regional Hospital Board. In 1974 the Boards were abolished and replaced by Regional Health Authorities. Northumberland came under the Northern RHA. Regions were reorganised in 1996 and Northumberland came under the Northern and Yorkshire Regional Health Authority. Northumberland from 1974 had one District health authority. A Primary care trust, the Northumberland Care Trust, was established covering the whole the county in 2002. It was managed by the North East Strategic health authority from 2002 until 2013.

Northumberland CCG took on the responsibilities of the former PCT on 1 April 2013. Steven Mason, chief executive of Northumberland County Council was appointed its accountable officer in January 2017, replacing the former chief clinical officer Alistair Blair, who was to lead a new accountable care organisation.^[1]

Sustainability and transformation plan

Northumberland, Tyne and Wear formed a sustainability and transformation plan area in March 2016 with Stephen Eames, the Chief Executive of North Cumbria University Hospitals NHS Trust as its leader.^[2] This plan, as far as Cumbria was concerned, was abandoned in April 2017. ^[3] The plan proposes to eliminate a projected 2020/21 deficit of £641 million and establish the Northumbria accountable care organisation. It plans to improve prevention services - reducing smoking and obesity. The North East commissioning support unit is to be transformed into a community interest company owned by its 11 CCG customers.^[4]

In April 2018 it emerged that there were proposals to merge the STP for Northumberland, Tyne and Wear with those for Cumbria and Darlington, Teesside, Hambleton, Richmondshire and Whitby; this would create the largest STP in the country with a population of 3.2 million. North Tees and Hartlepool NHS Foundation Trust chief executive Alan Foster was made lead for all three STPs in October 2017. The 12 CCGs involved have set up a joint commissioning committee with delegated decision making powers.^[5]

Public Health

The Northumberland, Tyne and Wear Region had the highest death rate from respiratory diseases of any region in Europe in 2015 at 154 per 100,000 population.^[8]

Commissioning

North Tyneside Clinical Commissioning Group was rated as inadequate by NHS England and entered into a management arrangement with Newcastle Gateshead CCG in January 2017.^[9]

Development

Northumbria is a vanguard area for the development of integrated primary and acute care systems as proposed in the Five Year Forward View. It has been given £8.3 million as a transformation fund and plans to create a single ‘accountable care organisation’ for the county which would become operational in 2017.^[10] This would be the first in the NHS and would take over most of the functions of the clinical commissioning group. It would also undermine the principles of the NHS internal market.^[11]

Primary care

There are 44 GP practices in Northumberland which have agreed to form a county-wide federation. Out-of-hours services are provided by Northern Doctors Urgent Care.

Community Care

Palliative care is provided by HospiceCare which has two centres in Alnwick and Berwick.

In May 2017 Care North East, which represents 1,747 out of 2,806 private care homes in Northumberland refused to agree a three-year contract with Northumberland County Council. They said the current cost of providing residential care in Northumberland was £535.88 per resident, per week. The council was offering £506.43.^[12]

Mental health

Mental health services in the county are provided by Northumberland, Tyne and Wear NHS Foundation Trust.

Hospital services

Acute hospital services are provided by Northumbria Healthcare NHS Foundation Trust. It opened the first specialist emergency care hospital in the UK, at Cramlington in 2015, with emergency consultants on site 24 hours a day. The North East Ambulance Service covers the county.

Healthwatch Northumberland is an organisation set up under the Health and Social Care Act 2012 to act as a voice for patients.

See also

References

1. ^{{cite news|title=Council chief confirmed as CCG boss|url=https://www.hsj.co.uk/hsj-local/commissioners/nhs-northumberland-ccg/council-chief-confirmed-as-ccg-boss/7014618.article|accessdate=25 January 2017|publisher=Health Service Journal|date=6 January 2017}}
2. ^{{cite news|title=The leaders chosen for 41 of England's STPs|url=http://www.hsj.co.uk/sectors/commissioning/revealed-the-leaders-chosen-for-41-of-englands-stps/7003640.article|accessdate=18 April 2016|publisher=Health Service Journal|date=30 March 2016}}
3. ^{{cite news|title=How Cumbria strove for new heights in healthcare|url=https://www.hsj.co.uk/hsj-knowledge/channels-and-networks/delivering-change/how-cumbria-strove-for-new-heights-in-healthcare/7017512.article|accessdate=16 May 2017|publisher=Health Service Journal|date=25 April 2017}}
4. ^{{cite news|title=Sustainability and Transformation Plans: Find out about your STP|url=http://nhsfunding.info/stps-find-plan-area/?mc_cid=7db7785dad&mc_eid=df6dc85992|accessdate=30 March 2017|publisher=NHS Support Federation|date=March 2017}}
5. ^{{cite news|title=Three STPs to share leader and form integrated care system|url=https://www.hsj.co.uk/service-design/three-stps-to-share-leader-and-form-integrated-care-system/7022129.article|accessdate=29 May 2018|publisher=Health Service Journal|date=10 April 2018}}
6. ^{{cite news |title=International Expertise |url=https://www.northumbria.nhs.uk/about-us/international-expertise/ |accessdate=4 February 2019 |publisher=Northumbria NHS |date=2018}}
7. ^{{cite news |title=New health partnership agreed between Northumberland and Ireland |url=https://www.newspostleader.co.uk/news/new-health-partnership-agreed-between-northumberland-and-ireland-1-9451909 |accessdate=4 February 2019 |publisher=News Post Leader |date=23 November 2018}}
8. ^{{cite book|last1=Ballas|first1=Dimitris|last2=Dorling|first2=Danny|last3=Hennig|first3=Benjamin|title=The Human Atlas of Europe|date=2017|publisher=Policy Press|location=Bristol|isbn=9781447313540|page=72}}
9. ^{{cite news|title=CCGs make management change|url=http://www.newsguardian.co.uk/news/ccgs-make-management-change-1-8328813|accessdate=11 February 2017|publisher=News Guardian|date=16 January 2017}}
10. ^{{cite news|title=Funding boost of £8.3m for NHS in Northumberland|url=http://www.northumberlandgazette.co.uk/news/local-news/funding-boost-of-8-3m-for-nhs-in-northumberland-1-7386746|accessdate=24 September 2015|publisher=Northumberland Gazette|date=31 July 2015}}
11. ^{{cite news|title=CCG plans handover to 'accountable care organisation'|url=http://www.hsj.co.uk/news/commissioning/exclusive-ccg-plans-handover-to-accountable-care-organisation/5089255.article#.VgPdVejkJv4|accessdate=24 September 2015|publisher=Health Service Journal|date=30 July 2015}}
12. ^{{cite news|title=Northumberland care home chaos as providers refuse to sign new council contract in fees row|url=http://www.chroniclelive.co.uk/news/north-east-news/northumberland-care-home-chaos-providers-13032449|accessdate=5 July 2017|publisher=Chronicle Live|date=14 May 2017}}
13. ^{{cite news|title=10 ways a vanguard improved care|url=http://healthcareleadernews.com/article/10-ways-vanguard-improved-care|accessdate=23 August 2017|publisher=Health Care Leader|date=1 July 2017}}