Healthcare in Derbyshire was the responsibility of five

clinical commissioning group Clinical commissioning groups (CCGs) were National Health Service (England), National Health Service (NHS) organisations set up by the Health and Social Care Act 2012 to replace Strategic health authority, strategic health authorities and NHS pr ...

s covering North Derbyshire, Southern Derbyshire, Erewash, Hardwick, and

Tameside Tameside is a metropolitan borough of Greater Manchester, England, named after the River Tame, Greater Manchester, River Tame, which flows through it, and includes the towns of Ashton-under-Lyne, Audenshaw, Denton, Greater Manchester, Denton, D ...

and

Glossop Glossop is a market town in the borough of High Peak (borough), High Peak, Derbyshire, England, east of Manchester, north-west of Sheffield and north of Matlock, Derbyshire, Matlock. Near Derbyshire's borders with Cheshire, Greater Mancheste ...

. North Derbyshire, Southern Derbyshire, Erewash and Hardwick announced in November 2018 that they planned to merge. As 1st of April 2019, they have officially merged, with the new NHS Derby and Derbyshire CCG bringing together 116 local GP practices to care for over a million patients in the region.

History

From 1947 to 1974 NHS services in

Derbyshire Derbyshire ( ) is a ceremonial county in the East Midlands of England. It borders Greater Manchester, West Yorkshire, and South Yorkshire to the north, Nottinghamshire to the east, Leicestershire to the south-east, Staffordshire to the south a ...

(apart from those for Glossop and Buxton) were managed by the Sheffield

Regional Hospital Board In geography, regions, otherwise referred to as areas, zones, lands or territories, are portions of the Earth's surface that are broadly divided by physical characteristics (physical geography), human impact characteristics (human geography), and ...

. In 1974 the boards were abolished and replaced by regional health authorities. Derbyshire came under the Trent RHA. Regions were reorganised in 1996 and Derbyshire came under the West Midlands Regional Health Authority. From 1974 there was an

area health authority Area health authorities (AHAs) were 90 National Health Service (NHS) administrative organisations set up in England and Wales in 1974 by the National Health Service Reorganisation Act 1973. Separate legislation was passed for Scotland. In Engla ...

covering the county. From 1982 there were two district health authorities, North and South. Eight

primary care trust Primary care trusts (PCTs) were part of the National Health Service in England from 2001 to 2013. PCTs were largely administrative bodies, responsible for commissioning primary, community and secondary health services from providers. Until 31 May ...

s were established in the county in 2002: Central Derby, Greater Derby, High Peak and Dales, Erewash, Derbyshire Dales and South Derbyshire, North Eastern Derbyshire, Amber Valley and Chesterfield. They were merged into two: Derby City and Derbyshire County in 2006. They were managed by the Trent

Strategic Health Authority Strategic health authorities (SHA) were part of the structure of the National Health Service in England between 2002 and 2013. Each SHA was responsible for managing performance, enacting directives and implementing health policy as required by the ...

which was merged into NHS East Midlands in 2006. NHS Erewash, Hardwick, North Derbyshire and Southern Derbyshire CCGs merged on 1st of April 2019 to become NHS Derby and Derbyshire CCG.

Sustainability and transformation plan

In March 2016 Gary Thompson, the Chief Officer of Southern Derbyshire Clinical Commissioning Group was appointed the leader of the Derbyshire

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 (Engl ...

footprint which covers the whole county apart from Glossop. The plan envisages bed reductions: 400 in the acute sector, 85 in community hospitals and 50 mental health beds. Some community hospitals will be closed. Burton Hospital A&E was likely to be downgraded as part of the STP for

Staffordshire Staffordshire (; postal abbreviation ''Staffs''.) is a Ceremonial counties of England, ceremonial county in the West Midlands (region), West Midlands of England. It borders Cheshire to the north-west, Derbyshire and Leicestershire to the east, ...

. This would affect much of the south of the county. A contract for a shared care record across the county was set up in 2021 with Orion Health for the Integrated Care System.

Commissioning

Glossop has always been included in

Greater Manchester Greater Manchester is a ceremonial county in North West England. It borders Lancashire to the north, Derbyshire and West Yorkshire to the east, Cheshire to the south, and Merseyside to the west. Its largest settlement is the city of Manchester. ...

for purposes of healthcare commissioning. Services for that area are commissioned by NHS Tameside and Glossop

Clinical Commissioning Group Clinical commissioning groups (CCGs) were National Health Service (England), National Health Service (NHS) organisations set up by the Health and Social Care Act 2012 to replace Strategic health authority, strategic health authorities and NHS pr ...

. The four other CCGs announced that they planned to have a single shared chief officer, and would move to a ”single strategic commissioning organisation” in May 2017. In November 2017 all four decided to stop prescriptions for gluten-free food in a bid to save £650,000 per year, despite guidance which said they should offer prescriptions for gluten-free bread and flour.

Primary care

There were 36 practices in North Derbyshire CCG in 2016.

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 in the county by Derbyshire Health United. A proposal by Southern Derbyshire Clinical Commissioning Group to establish just one hub for extended hours access in their area for pre-bookable appointments after 6.30pm on weekdays and on Saturday and Sunday, was abandoned after the Derbyshire local medical committee complained that this was inappropriate in a rural area. It was later planned to establish four hubs. The Derbyshire Joint Area Prescribing Committee announced in June 2018 that it was decommissioning its scheme, called Pharmacy First, on which they had spent £3 million in 2015/2016, much of it on over-the-counter medicines, which do not need a prescription, and which came within the scope of

NHS England NHS England, formally the NHS Commissioning Board for England, is an executive non-departmental public body of the Department of Health and Social Care. It oversees the budget, planning, delivery and day-to-day operation of the commissioning si ...

blacklist Blacklisting is the action of a group or authority compiling a blacklist of people, countries or other entities to be avoided or distrusted as being deemed unacceptable to those making the list; if people are on a blacklist, then they are considere ...

Acute services

University Hospitals of Derby and Burton NHS Foundation Trust The University Hospitals of Derby and Burton NHS Foundation Trust was formed by a merger of Derby Teaching Hospitals NHS Foundation Trust and Burton Hospitals NHS Foundation Trust in July 2018. University Hospitals of Derby and Burton (UHDB) c ...

and

Chesterfield Royal Hospital NHS Foundation Trust Chesterfield Royal Hospital NHS Foundation Trust is an NHS Foundation Trust providing health services at the Chesterfield Royal Hospital and at other facilities in Chesterfield, Derbyshire, England. History The Trust was established as Cheste ...

are located in the county. Services for Glossop and Buxton are largely provided by Manchester hospitals.

Mental health and community services

Derbyshire Healthcare NHS Foundation Trust and

Pennine Care NHS Foundation Trust Pennine Care NHS Trust is an NHS foundation trust in northern England, providing mental health and learning disability services in parts of Greater Manchester and Derbyshire. It provides mental health and learning disability services in Bury, R ...

are the main providers of mental health care in the county.

Derbyshire Community Health Services NHS Foundation Trust Derbyshire Community Health Services NHS Foundation Trust (DCHS) is a community health trust providing community care and specialised services to patients across Derbyshire. History The Derbyshire Community Health Services NHS Trust was estab ...

announced plans to merge with Derbyshire Healthcare NHS Foundation Trust in November 2016. Cavendish Hospital in Buxton is partly run by

Stockport NHS Foundation Trust Stockport NHS Foundation Trust is an NHS foundation trust, which runs Stepping Hill Hospital as well as other community and specialist services in Stockport. Stockport NHS Foundation Trust provides hospital services for children and adults acro ...

. There are 16 community hospital beds and ten older people's mental health beds.

External links

Derbyshire Health UnitedDerbyshire Health care NHS Foundation Trust

References

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