Healthcare in Nottinghamshire

Healthcare in Nottinghamshire is now the responsibility of four Clinical Commissioning Groups, covering Nottingham City, Nottingham North & East, Mansfield and Ashfield, and Nottingham West.

History

From 1947 to 1974 NHS services in Nottinghamshire were managed by the Sheffield Regional Hospital Board. In 1974 the Boards were abolished and replaced by Regional Health Authorities. Northamptonshire came under the Trent RHA. From 1974 there was one Area health authority covering the county. From 1982 there were three District Authorities, Bassetlaw, Nottingham and Central Nottinghamshire. In 1992 Bassetlaw and Central Nottinghamshire were merged into North Nottinghamshire. Eight Primary care trusts were established in the county in 2002: Ashfield, Broxtowe and Hucknall, Gedling, Mansfield District, Newark and Sherwood, Nottingham City, and Rushcliffe. All but Nottingham City were merged into Nottinghamshire County Teaching PCT in 2006. They were managed by the East Midlands Strategic health authority which was merged into NHS East Midlands in 2006.

Sustainability and transformation plans

Nottinghamshire formed a sustainability and transformation plan area in March 2016 with David Pearson, the Director of Adult Social Care at Nottinghamshire County Council as its leader.[1]

The area faces a projected 2020/21 financial gap of £628 million and is proposing to reduce beds over two years at Nottingham University Hospital by 200 and 20 at Sherwood Forest Hospital. It aims for an increase of 10% in primary care and self-care activity. [2] A single leader is be appointed by the four greater Nottingham clinical commissioning groups who will be “responsible for setting the direction of healthcare commissioning for the area”.[3]

Primary care

Out-of-hours services are provided in the south of the county by NEMS Community Benefit Services Limited, by Nottinghamshire Healthcare NHS Foundation Trust in Bassetlaw, and by Central Nottinghamshire Clinical Services for the remainder.

Acute services

Doncaster and Bassetlaw Hospitals NHS Foundation Trust, Nottingham University Hospitals NHS Trust and Sherwood Forest Hospitals NHS Foundation Trust are the main acute providers in the county. A merger between Nottingham University Hospitals NHS Trust and Sherwood Forest Hospitals NHS Foundation Trust but in November 2016 it was announced that the merger would not proceed.[4]

Community Care

Mid Nottinghamshire Better Together a Multispecialty community provider, has supported a reduction of 107 acute hospital beds and is hoped to deliver savings of more than £46 million by 2019 for an investment of £17.3 million. [5]

Mental health

Nottinghamshire Healthcare NHS Foundation Trust is the main NHS provider.

References

  1. ↑ "The leaders chosen for 41 of England's STPs". Health Service Journal. 30 March 2016. Retrieved 18 April 2016.
  2. ↑ "Sustainability and Transformation Plans: Find out about your STP". NHS Support Federation. March 2017. Retrieved 30 March 2017.
  3. ↑ "Single leader to be appointed across four CCGs in ACS area". Health Service Journal. 21 June 2017. Retrieved 15 July 2017.
  4. ↑ "Trusts cancel merger plan, blaming 'operational challenges'". Health Service Journal. 2 November 2016. Retrieved 3 November 2016.
  5. ↑ Clews, Mary-Louise. "\New Models Army". Commissioning Review (Summer 2016): 20–23.
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