Healthcare In West Midlands
Get Healthcare in West Midlands essential facts below. View Videos or join the Healthcare in West Midlands discussion. Add Healthcare in West Midlands to your Like2do.com topic list for future reference or share this resource on social media.
Healthcare in West Midlands

Healthcare in the West Midlands is now the responsibility of seven Clinical Commissioning Groups (CCG): Birmingham CrossCity; Birmingham South Central; Sandwell and West Birmingham; Solihull; Dudley; Wolverhampton; and Walsall.

History

From 1947 to 1974 NHS services in the West Midlands were managed by the Birmingham Regional Hospital Board. In 1974 the Boards were abolished and replaced by Regional Health Authorities. The West Midlands still came under the Birmingham RHA. Regions were reorganised in 1996 and the area came under the West Midlands Regional Health Authority. From 1974 there were 6 Area Health Authorities covering North, South, East, West and Central Birmingham, together with authorities covering Dudley, Sandwell, Coventry, Solihull, Walsall and Wolverhampton. There were seven District Authorities, one covering each borough. In 1992-4 Birmingham was reorganised into North and South districts. 13 Primary care trusts were established in the county in 2002: Coventry Teaching PCT, Eastern Birmingham PCT, North Birmingham PCT, Heart of Birmingham Teaching PCT, Solihull Care Trust, South Birmingham PCT, Dudley Beacon & Castle PCT and Dudley South PCT, Oldbury & Smethwick PCT, Rowley Regis & Tipton PCT and Wednesbury & West Bromwich PCT, Walsall Teaching PCT and Wolverhampton City PCT. They were merged into 9 in 2006. They were managed by the Birmingham and The Black Country Strategic health authority (apart from Coventry, which was under West Midlands South). From 2006 they were all managed by NHS West Midlands.

Sustainability and transformation plans

In March 2016 Mark Rogers, Chief Executive of Birmingham City Council was appointed the leader of the Birmingham and Solihull Sustainability and transformation plan footprint.[1] Andy Williams, the Accountable Officer of Sandwell West Birmingham CCG, was appointed the leader of the Black Country STP, and Andy Hardy, the Chief Executive of University Hospitals Coventry and Warwickshire NHS Trust the leader of the Coventry and Warwickshire STP.[2]

The plans for Birmingham and Solihull involve the development of 4 or5 urgent care centres/integrated service hubs and moving GPs into A&E units. In Coventry & Warwickshire a new Acute Stroke Unit will be established at University Hospital Coventry [3] and the partnership is expected to become an accountable care system during 2017.[4]

Commissioning

The Clinical commissioning groups took on the responsibilities of the former PCTs on 1 April 2013. Birmingham CrossCity, South Central and Solihull CCGs are planning to merge in April 2018. The merged organisation will cover a population of 1.3 million and have a budget of £1.7 billion.[5]

Primary care

Out-of-hours services are provided by Birmingham & District General Practitioner Emergency Rooms in Birmingham, Solihull and Walsall. Nestor Primecare Services Limited provides these services in Dudley, Sandwell, Heart of Birmingham, South Birmingham and Wolverhampton.

In 2015, the medical journal, Pulse reported that doctors in some English areas, notably South Birmingham are paid to limit hospital referrals. The payments include limiting referrals for cancer patients. The scheme is controversial and some members of the British Medical Association fear it could affect patient care adversely.[6]GMC guidelines forbid doctors to receive, "inducement, gift or hospitality" which influences or can be seen as influencing the way patients are treated or referred. There is concern the payments could affect doctor patient trust.[7]

A multispecialty community provider is being developed by Dudley Clinical Commissioning Group. It will include all the GP practices in the borough, Dudley Metropolitan Borough Council, and Black Country Partnership NHS Foundation Trust.[8]Our Health Partnership plans to be the single largest provider of primary care services in the UK. It has been established from a consortium of four NHS trusts and 38 local GP practices which will manage a single, whole population budget for about 300,000 people. It will provide community-based physical health for adults and children, some outpatient services, primary medical services, mental health services, public health, learning disabilities services, urgent care centres and GP out-of-hours care. Adult social care services will be introduced at a later stage of the 15 year contract.[9]

The Connected Care Partnership vanguard, based in Sandwell, is an alliance formed by Modality Partnership, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham Community Healthcare NHS Trust, Birmingham and Solihull Mental Health NHS Foundation Trust]], Sandwell and West Birmingham Clinical Commissioning Group and the Intelligent Commissioning Federation, a network formed by 15 GP practices in Ladywell, Birmingham.[10]

Hospital provision

Hospitals trusts in the region are:

Mental health

NHS mental health services are provided by Birmingham and Solihull Mental Health NHS Foundation Trust, Black Country Partnership NHS Foundation Trust, Coventry and Warwickshire Partnership NHS Trust and Dudley and Walsall Mental Health Partnership NHS Trust. They have formed an accountable clinical networks called MERIT - The Mental Alliance for Excellence, Resilience, Innovation and Training, and set up a common bed management system for the 796 inpatient beds they run. They have also established an electronic shared health record. They hope to realise savings of £6 million by 2020-21.[11]

The Forward Thinking Birmingham consortium has been selected to deliver a new combined mental health service for people aged 0-25 across the city of Birmingham from October 2015. The consortium is led by Birmingham Children's Hospital NHS Foundation Trust and includes Worcestershire Health and Care NHS Trust, the Priory Group, Beacon UK, and The Children's Society.[12] The 5-year contract has an annual value of £23.7m. It will result in the mental health trust losing £14.2m a year. An independent impact assessment recommended delayed implementation and "bridging funding" of at least £1.5m to enable the safe transition of some adult services.[13] The joint commissioning board for the three Birmingham and Solihull clinical commissioning groups agreed in June 2017 to spend an additional £8.1 million over two years to ease pressure on adult mental health beds after an independent report produced by Mental Health Strategies had "unearthed unsafe clinical practice due to a shortfall in bedded capacity". The contract only provided 28 inpatient mental health beds for young adults but the service consistently had about 51 inpatients.[14]

Community services

Stephen Dorrell will chair an independent board which will advise and oversee the partnership between health and social services in the Birmingham and Solihull Sustainability and transformation plan as it develops over the next five years.[15]

All Together Better Dudley, a Multispecialty community provider, has set up teams including social care, district health and practice based pharmacists which include voluntary sector link workers. This has reduced GP visits among the targeted patients. [16]

See also

References

  1. ^ "Leaders named for eight major STP patches". Health Service Journal. 15 March 2016. Retrieved 2016. 
  2. ^ "The leaders chosen for 41 of England's STPs". Health Service Journal. 30 March 2016. Retrieved 2016. 
  3. ^ "Sustainability and Transformation Plans: Find out about your STP". NHS Support Federation. March 2017. Retrieved 2017. 
  4. ^ "West Midlands STP joins list of areas to become ACSs this year". Health Care Leader. 26 May 2017. Retrieved 2017. 
  5. ^ "Plans confirmed for biggest ever CCG merger". Health Service Journal. 26 July 2017. Retrieved 2017. 
  6. ^ BBC (London) (02/10/2015) GPs being paid to cut patient referrals
  7. ^ The Week Is your GP being paid to stop you going to hospital?
  8. ^ "Hospital trust in GP-led integration vanguard scheme faces financial investigation". GP Online. 9 September 2015. Retrieved 2015. 
  9. ^ "Practices bid for controlling stake in integrated provider lined-up for £5bn contract". GP Online. 17 August 2017. Retrieved 2017. 
  10. ^ "Leading vanguard will not procure contract as it 'would take longer'". Health Service Journal. 22 August 2017. Retrieved 2017. 
  11. ^ "Vanguard launching first bed management system across trusts". Health Service Journal. 14 August 2017. Retrieved 2017. 
  12. ^ "'Unique' consortium wins Birmingham mental health contract". Health Service Journal. 18 February 2015. Retrieved 2015. 
  13. ^ "Mental health procurement could have 'catastrophic' consequences". Health Service Journal. 16 October 2015. Retrieved 2015. 
  14. ^ "Mental health beds shortfall puts patients at 'intolerable' risk". Health Service Journal. 19 June 2017. Retrieved 2017. 
  15. ^ "Former Tory health secretary to reshape Birmingham's social services". Birmingham Post. 11 April 2016. Retrieved 2016. 
  16. ^ Clews, Mary-Louise. "\New Models Army". Commissioning Review (Summer 2016): 20-23. 

External links


  This article uses material from the Wikipedia page available here. It is released under the Creative Commons Attribution-Share-Alike License 3.0.


Healthcare_in_West_Midlands
 



 

Top US Cities