Healthcare in Nottinghamshire
Healthcare in Nottinghamshire was, until July 2022, the responsibility of six clinical commissioning groups, covering Nottingham City, Nottingham North & East, Mansfield and Ashfield, Newark and Sherwood, Rushcliffe, and Nottingham West. They planned to merge in April 2020. 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 health 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. Nottingham City, Nottingham North East, Nottingham West and Rushcliffe CCGs appointed a common Chief Accountable Officer in September 2017 in what is seen as a move to a single commissioning model for Greater Nottingham. In November 2018 Amanda Sullivan, accountable officer for Mansfield and Ashfield CCG and Newark and Sherwood CCG, was appointed accountable officer for all six CCGs. 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. A single leader is appointed by the four greater Nottingham clinical commissioning groups who will be “responsible for setting the direction of healthcare commissioning for the area”. Wendy Saviour was appointed managing director of the accountable care system - the first such appointment. She will be employed by NHS England and will be responsible for NHS England oversight and assurance. The area includes eight local authorities, six clinical commissioning groups and a large number of NHS and other providers and is developing an accountable care system. A £2.7 million contract was awarded to Capita to develop an accountable care system in July 2017. Capita have subcontracted much of the work to Centene UK. Local GPs gave Capita a vote of no confidence claiming it does not have the expertise to make necessary transformations in-house. It is hoped to learn from Centene's work with Ribera Salud in Alzira, Valencia. So far it has established: Better Together integrated primary and acute care systems vanguard in Mid Nottinghamshire, covers 330,000 people with 41 GP practices set up in 2014. Principia multispecialty community provider in Rushcliffe which covers a population of around 126,000 in coterminous borough and CCG 12 GP practices. Nottingham City CCG