Healthcare in Shropshire was the responsibility of two
clinical commissioning group
Clinical commissioning groups (CCGs) were NHS organisations set up by the Health and Social Care Act 2012 to organise the delivery of NHS services in each of their local areas in England. On 1 July 2022 they were abolished and replaced by Integ ...
s until July 2022: Shropshire, and Telford and Wrekin.
History
From 1947 to 1974 NHS services in Shropshire were managed by the Birmingham
Regional Hospital Board
In geography, regions, otherwise referred to as zones, lands or territories, are areas that are broadly divided by physical characteristics (physical geography), human impact characteristics (human geography), and the interaction of humanity and ...
. In 1974 the boards were abolished and replaced by
regional health authorities. Shropshire still came under the Birmingham RHA. Regions were reorganised in 1996 and Shropshire came under the West Midlands Regional Health Authority. From 1974 there was an
area health authority
Area health authorities were 90 bodies responsible for administering the National Health Service, established in England by the National Health Service Reorganisation Act 1973 in 1974. Each covered a geographical population which matched a Local Go ...
covering the county and from 1982 one
district health authority
A district health authority was an administrative territorial entity of the National Health Service in England and Wales introduced by the National Health Service Reorganisation Act 1973.
District health authorities existed in Britain from 1974 t ...
. Two
primary care trusts were established in the county in 2002 one for Telford and the Wrekin and one for Shropshire. They were managed by the West Mercia
Strategic Health Authority which was merged into
NHS West Midlands
NHS West Midlands was a strategic health authority (SHA) of the National Health Service in England. It operated in the West Midlands region, which is coterminous with the local government office region. It was abolished in April 2013.
Gener ...
in 2006.
Sustainability and transformation plan
Shropshire and Telford and Wrekin formed a
sustainability and transformation plan
In England, a sustainability and transformation plan (STP) is a non-statutory requirement which promotes integrated provision of healthcare, including purchasing and commissioning, within each geographical area of the National Health Service. The ...
area in March 2016 with Simon Wright, the Chief Executive of
Shrewsbury and Telford Hospital NHS Trust
Shrewsbury and Telford Hospital NHS Trust is the main provider of hospital services for Shropshire, Telford and Wrekin and North Powys. It runs the Royal Shrewsbury Hospital, the Princess Royal Hospital in Telford, Oswestry Maternity Unit, and ...
as its leader The 2021 deficit was £131.4 million. Closing the A&E at either Telford or Shrewsbury was suggested, to create one hospital specialising in emergency care, allowing the other to specialise in routine surgery. Neither
Shropshire County Council
Shropshire County Council was the county council of the non-metropolitan county of Shropshire in England.
History
The Council came into its powers under the Local Government Act 1888 on 1 April 1889 and was known as Salop County Council from for ...
nor
Telford and Wrekin Council
Telford and Wrekin Council is the local authority of Telford and Wrekin in Shropshire, England. It is a unitary authority, having the powers of a non-metropolitan county and district council combined. The district of Telford and Wrekin was grant ...
have been prepared to support the plans, because they focus too much on hospitals and neglect GP services.
Commissioning
Shropshire Clinical Commissioning Group was put in
special measures
Special measures is a status applied by regulators of public services in Britain to providers who fall short of acceptable standards.
In education (England and Wales)
Ofsted, the schools inspection agency for England and some British Overseas Ter ...
in November 2015 after its financial position deteriorated. It expected an in-year deficit of £10.6m for 2015/6. David Evans, the accountable officer of Telford and Wrekin CCG was appointed accountable officer for both groups from April 2016 and developed a joint management team.
Primary care
There are 44 GP practices in Shropshire and 22 in Telford and the Wrekin.
Out-of-hours service
Out-of-hours services are the arrangements to provide access to healthcare at times when General Practitioner surgeries are closed; in the United Kingdom this is normally between 6.30pm and 8am, at weekends, at Bank Holidays and sometimes if the ...
s are provided by Shropdoc. In August 2017 Shropdoc was forced to seek extra funding, saying that the costs of providing out-of-hours contracts were greater than the funding provided.
Acute services
Shrewsbury and Telford Hospital NHS Trust
Shrewsbury and Telford Hospital NHS Trust is the main provider of hospital services for Shropshire, Telford and Wrekin and North Powys. It runs the Royal Shrewsbury Hospital, the Princess Royal Hospital in Telford, Oswestry Maternity Unit, and ...
provides acute services for the county.
Robert Jones and Agnes Hunt Orthopaedic Hospital is located in the county but serves a much wider area.
Mental health and community services
South Staffordshire and Shropshire Healthcare NHS Foundation Trust is the main NHS provider of mental health services, while
Shropshire Community Health NHS Trust
Shropshire Community Health NHS Trust provides community health services (not including adult mental health) in Shropshire (including Telford and Wrekin). It was established in July 2011 from the community health provider arms of Shropshire Coun ...
provides community services.
Healthwatch
There are two
Healthwatch
HealthWatch is a UK charity which promotes evidence-based medicine. Its formal aims are:
# The assessment and testing of treatments, whether “orthodox” or “alternative”;
# Consumer protection of all forms of health care, both by thorou ...
organisations.
See also
*
:Health in Shropshire
*
Healthcare in the United Kingdom
Healthcare in the United Kingdom is a devolved matter, with England, Northern Ireland, Scotland and Wales each having their own systems of publicly funded healthcare, funded by and accountable to separate governments and parliaments, together wi ...
References
{{reflist
External links
Shropdoc
External links
Shropshire Clinical Commissioning GroupTelford and Wrekin Clinical Commissioning Group
Shropshire
Shropshire (; alternatively Salop; abbreviated in print only as Shrops; demonym Salopian ) is a landlocked historic county in the West Midlands region of England. It is bordered by Wales to the west and the English counties of Cheshire to ...