Healthcare in Yorkshire is now (as of 2016) the responsibility of 19 Clinical Commissioning Groups covering:
Contents
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.
Councillor Peter Gruen, chair of the Leeds Health Scrutiny Board, expressed concern about the West Yorkshire and Harrogate Sustainability and transformation plan, which in January 2017 had not been published. He said current efforts focused too much on short-term solutions and were failing to address the root causes.
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.
Harrogate and Rural District CCG decided in October 2016 that anyone who smoked or had a Body Mass Index of more than 30 would be referred to a weight management of smoking cessation service for six months before they would be considered for elective surgery. North Kirklees and Greater Huddersfield CCGs decided in January 2017 that they would stop most individual funding requests, and stop prescribing gluten-free products, sunscreens and multivitamins, hoping to save £750,000 over the next 18 months.
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.
In January 2017 the Clinical Commissioning Groups in Leeds agreed to suspend 80% of the Quality and Outcomes Framework targets for the rest of 2016/17. A similar strategy has already been adopted by NHS Wales.
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.
Wakefield - Connecting Care, one of the NHS England Vanguard projects has established a team of clinicians, community and social care staff to provide care to elderly people in care homes and supported housing which has reduced emergency admissions by 27%.
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.