Healthcare in Durham
Healthcare in Durham, since 2013, is the responsibility of NHS Durham Dales, Easington and Sedgefield, Sunderland and South Tyneside clinical commissioning groups. In July 2019 they proposed to merge into two, one covering Durham, and the other covering Tees Valley and including Darlington.[1]
History
From 1947 to 1974 NHS services in Durham were managed by Newcastle Regional Hospital Board. In 1974 the boards were abolished and replaced by regional health authorities. Durham came under the Northern RHA. Regions were reorganised in 1996 and Durham came under the Northern and Yorkshire Regional Health Authority. Durham from 1974 had one district health authority, but in 1992 was divided into two, North and South. Five primary care trusts: Derwentside, Durham and Chester-le-Street, Durham Dales, Easington and Sedgefield, were established covering the whole the county in 2002, but in 2006 the first five were amalgamated into County Durham PCT. They were managed by the North East Strategic Health Authority from 2002 until 2013. For NHS purposes Darlington has generally been treated as part of Durham, not with the rest of Yorkshire.
The CCG took on the responsibilities of the former PCTs on 1 April 2013.
Sustainability and transformation plans
Durham, Darlington and Tees, Hambleton, Richmondshire and Whitby formed a sustainability and transformation plan area in March 2016 with Alan Foster the Chief Executive of North Tees and Hartlepool NHS Foundation Trust as its leader.[2] The plan proposes to tackle the projected 2020/21 deficit of £260 million with efficiency savings mostly coming from the reconfiguration of hospital services (£110.7 million).[3]
Primary care
There are GP practices in the county. Out-of-hours services are provided by County Durham and Darlington NHS Foundation Trust.
Walk-in centres in North Ormesby and Eston were closed in 2017 and replaced by the South Tees Access Response service, run by ELM Alliance Ltd, an alliance of local GPs, which offered late night and weekend appointments at four GP surgeries.[4]
Community care
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Mental health providers
Mental health services in the county are provided by Tees, Esk and Wear Valleys Foundation NHS Trust.
Hospital services
Acute hospital services are provided by North Tees and Hartlepool NHS Foundation Trust, County Durham and Darlington NHS Foundation Trust and City Hospitals Sunderland NHS Foundation Trust, which is building a new diagnostic and treatment centre in Durham.[5] The North East Ambulance Service covers the county.
Sunderland and South Tyneside clinical commissioning groups decided in February 2018 to centralise hospital-based stroke, maternity, gynaecology and paediatric services at Sunderland Royal Hospital, so the services at South Tyneside District Hospital will be closed or downgraded. A 14 hour a day, nurse-led paediatric minor injuries and illnesses service at South Tyneside will be established in their place.[6]
References
- ^ "Five CCGs plan merger to cut running costs". Health Service Journal. 18 July 2019. Retrieved 26 August 2019.
- ^ "The leaders chosen for 41 of England's STPs". Health Service Journal. 30 March 2016. Retrieved 18 April 2016.
- ^ "Sustainability and Transformation Plans: Find out about your STP". NHS Support Federation. March 2017. Retrieved 30 March 2017.
- ^ "Out-of-hours GP service which replaced walk-in centres is dragged out of 'special measures'". Teesside Live. 24 May 2018. Retrieved 7 September 2018.
- ^ "Work begins on new specialist treatment centre in Durham". B Daily. 12 April 2017. Retrieved 21 April 2017.
- ^ "Hospital services centralised in North East shake-up". Health Service Journal. 22 February 2018. Retrieved 2 April 2018.