Healthcare in Bristol
- 1 History
- 2 Commissioning
- 3 NHS Trusts
- 4 NHS hospitals
- 5 NHS Blood and Transplant
- 6 Private hospitals
- 7 Primary Care
- 8 Community Care
- 9 Healthwatch
- 10 Mental Health
- 11 Closed hospitals
- 12 References
- 13 External links
From 1947 to 1974, NHS services in Bristol were managed by the South-Western Regional Hospital Board. In 1974 the Boards were abolished and replaced by Regional Health Authorities, with Bristol coming under the South Western RHA. Regions were reorganised in 1996 and Bristol came under the South and West (Wessex and South Western) Regional Health Authority. Bristol from 1974 was under Avon Area health authority divided into three District health authorities: Bristol and Weston, Southmead and Frenchay. This continued until 1993 when the three authorities were combined into Avon DHA, and Area Health Authorities were abolished. One Primary Care Trust was established covering the whole county in 2002, and was managed by the South West Strategic health authority from 2002 until 2013.
Bristol Clinical commissioning group took on the responsibilities of the former PCT on 1 April 2013. In August 2017 it announced plans to merge with the CCGs in North Somerset and South Gloustershire. They started sharing a chief executive in February 2017. The three CCGs are merged in April 2018.
In September 2015 a survey by the Health Service Journal showed that 34 of 188 CCGs who responded to the survey had restricted access to some services. Restrictions were usually introduced by a number of CCGs acting together across an area. Gloucestershire and Bristol CCGs were proposing restricted access to acupuncture, adenoidectomy and post-operative physiotherapy.
Sustainability and transformation plans
Bristol, North Somerset and South Gloucestershire formed a sustainability and transformation plan area in March 2016, with Robert Woolley, Chief Executive of University Hospitals Bristol NHS Foundation Trust, as its leader.
The area faces a projected 2020/21 deficit of £305.5 million. The plan is to reduce the number of acute beds in the area by 30%.  The commissioner deficit for 2017-18 is £90 million, one of the largest, proportionally, in England. Bristol City Council refused to support plans to cut £305 million from the Bristol area's NHS funding at its meeting in January 2017.
Julia Ross was appointed joint STP lead, alongside Robert Woolley, in 2018. She said in April 2018 that they were setting up six "locality provider groups" across the region to join up services for a defined population. This will start with GP and community services, probably in Weston.
- North Bristol NHS Trust
- University Hospitals Bristol NHS Foundation Trust
- Avon and Wiltshire Mental Health Partnership NHS Trust
- Southmead Hospital A+E
- Bristol Royal Infirmary A+E
- Frenchay Hospital
- South Bristol Community Hospital
- Cossham Memorial Hospital
- Bristol Royal Hospital for Children A+E
- St. Michael's Hospital
- Bristol Eye Hospital A+E (daytime every day, eye only)
- University of Bristol Dental Hospital
- Blackberry Hill Hospital
- Callington Road Hospital
From April to December 2014 Frenchay Hospital was progressively closed, with the majority of services moving to a new building at Southmead Hospital. Accident and Emergency was transferred on 19 May 2014. A few services relating to brain and head injuries remained at the site after December 2014.
NHS Blood and Transplant
There are 55 GP practices in the county. Out-of-hours services are provided by Brisdoc. Brisdoc took over Bishopston Medical Practice in February 2018 after the partners resigned. It also runs Broadmead Medical Centre, Northville Family Practice, the homeless healthcare service and the GP support unit at Bristol Royal Infirmary.
Unity Sexual Health, a partnership between University Hospitals Bristol NHS Foundation Trust and several organisations, provides sexual health and pregnancy advice services at local clinics and at the Central Health Clinic.
In August 2015 North Bristol NHS Trust announced that they were not bidding for the contract to continue providing their current Children’s Community Health Partnership services which they won in 2009 because of the “non-core nature of the service”, a “lack of management capacity” and “financial pressure”.
Avon and Wiltshire Mental Health Partnership NHS Trust won a contract to provide children's community services in Bristol and South Gloucestershire in October 2015 in conjunction with Sirona Care & Health and Bristol Community Health.
Julia Ross, the newly appointed chief executive of Bristol, North Somerset and South Gloucestershire CCG said in April 2018 that Community services in her patch should be consolidated into a single service.
There was long-standing unhappiness with mental health services in Bristol delivered by Avon and Wiltshire Mental Health Partnership NHS Trust (AWP), which was accused of being "centralist, top-down, target driven, bureaucratic and controlling" instead of putting patients first. The CCG have recommissioned services under the Bristol Mental Health brand. Bristol Mental Health is a consortium led by Avon and Wiltshire, working in partnership with nine third sector providers: Second Step; Missing Link; Off the Record (charity) Bristol; the Nilaari Agency; Stand Against Racisim and Inequality; Knowle West Health Park; Wellspring Healthy Living Centre; Southmead Development Trust; and Brunelcare.
There are seven service bundles. The CCG has a contract with each provider for each service bundle:
- community mental health services;
- community rehabilitation services;
- dementia wellbeing service;
- mental health employment service;
- assertive engagement service for people living chaotic lives;
- Bristol Sanctuary for people in severe emotional distress or early crisis; and
- community access service for harder to reach communities.
Bristol Mental Health commenced operation in October 2014.
Children’s community services are jointly commissioned by clinical commissioning groups and local authorities. Bristol and South Gloucestershire jointly commission services for both areas, including community child health and Child and Adolescent Mental Health Services. The service is provided by the Community Children's Health Partnership, which is a partnership between Sirona Care & Health, Bristol Community Health, Avon and Wiltshire Mental Health Partnership NHS Trust and Barnardo's.
The North Bristol NHS Trust, in partnership with the Barnardo's charity, had provided the service from March 2009 to 2016. In 2015 the North Bristol NHS Trust announced that it would not continue the contract beyond March 2016, in order to focus on "acute and hospital based care".
Major service locations for Mental Health in Bristol
- Callington Road Hospital
- Blackberry Hill Hospital
- Southmead Hospital
- Petherton Resource Centre
- Brookland Hall
- Greenway Centre
On 7 January 2013 the Bristol Homeopathic Hospital, founded in 1852 but with a history as a dispensary dating back to 1832, moved operations from its own building, Cotham House, to the South Bristol Community Hospital. In-patient services had been provided at Cotham House until 1986, when they were moved to the Bristol Eye Hospital, with out-patients continuing at Cotham House.
Until the changes brought in by the Care in the Community policy in the 1980s, the Bristol area had a number of hospitals for the mentally ill and handicapped (the terminology used at that time), including Barrow Hospital, Brentry Hospital, Glenside Hospital, Hortham Hospital and Stoke Park Hospital.
Manor Park Hospital was the major geriatric hospital in South West England. In 1993 it merged with the residual mental health activities from the closing of Glenside Hospital, forming Blackberry Hill Hospital. Geriatric services were closed here in 2005, mainly leaving AWP operated mental health services at Blackberry Hill Hospital.
Brislington House (now known as Long Fox Manor) was built as a private lunatic asylum for the insane. When it opened in 1806 it was one of the first purpose built asylums in England. It is situated on the Bath Road in Brislington, although parts of the grounds cross the city boundary into the parish of Keynsham in Bath and North East Somerset. The Palladian fronted building was originally seven separate blocks into which patients were allocated depending on their class. The buildings, estate and therapeutic regime designed by Edward Long Fox was based on the principles of moral treatment which was fashionable at the time. Brislington House later influenced the design and construction of other asylums and influenced Acts of parliament. The house and ancillary structures are listed buildings which have now been converted into private residences. The original grounds are Grade II* listed on the Register of Historic Parks and Gardens of special historic interest in England and now include St. Brendan's Sixth Form College, sports pitches and some farmland. They are now included on the Heritage at Risk register.
- "CCG merger to form £1.15bn health economy". Healthcare Leader. 22 August 2017. Retrieved 8 October 2017.
- "Mergers involving 11 CCGs get green light". Health Service Journal. 2 November 2017. Retrieved 25 December 2017.
- "Nearly a third of CCGs consider rationing services". Health Service Journal. 3 September 2015. Retrieved 18 October 2015.
- "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.
- "Troubled STP battling with £90m deficit". Health Service Journal. 20 April 2017. Retrieved 23 May 2017.
- Heather, Ben (11 April 2018). "Major services shake up for troubled health economy". Health Service Journal. Health Services Journal. Retrieved 12 April 2018. (Subscription required (help)).
- "Bristol Eye Hospital". University Hospitals Bristol NHS Foundation Trust. Retrieved 4 June 2014.
- "University of Bristol Dental Hospital". University Hospitals Bristol NHS Foundation Trust. Retrieved 4 June 2014.
- "Frenchay-to-Southmead hospital move for A&E cases". BBC. 19 May 2014. Retrieved 29 May 2014.
- Kieran Corcoran (20 May 2014). "Devastated staff break down in tears as A&E department closes its doors for the last time after treating patients for 50 years". Daily Mail. Retrieved 29 May 2014.
- "Frenchay Hospital Site Redevelopment FAQs". North Bristol NHS Trust. Archived from the original on 30 May 2014. Retrieved 29 May 2014.
- "Spire Bristol Hospital". Spire Healthcare. Retrieved 25 January 2013.
- "Takeover by private firm confirmed after every GP partner at Bishopston Medical Practice in Bristol quit". Bristol Post. 9 February 2018. Retrieved 13 February 2018.
- "Who are we & what do we do". Unity Sexual Health. Retrieved 13 January 2019.
- "Investigation: Bristol's most vulnerable children face sell-off threat to services". Bristol Cable. 11 August 2015. Retrieved 22 August 2015.
- "NHS trust preferred bidder for Bristol children's services contract". Health Service Journal. 19 October 2015. Retrieved 29 November 2015.
- "Bristol mental health services out to tender". BBC. 28 April 2013. Retrieved 28 April 2013.
- "Bristol takes a modern approach to commissioning mental health services". Health Service Journal. 28 November 2014. Retrieved 16 December 2014.
- "Bristol MH Home - About us". Bristol Mental Health. Archived from the original on 7 April 2015. Retrieved 13 January 2015.
- Will Hazell (17 August 2015). "Virgin in running for Bristol community services contract". Nursing Times. Retrieved 19 August 2015.
- "What is Community Children's Health Partnership". Community Children's Health Partnership. Retrieved 5 February 2017.
- Sue Young (27 May 2010). "The Bristol Homeopathic Hospital". Sue Young Histories. Retrieved 25 January 2013.
- Historic England. "Bristol Homeopathic Hospital (Grade II) (1403123)". National Heritage List for England. Retrieved 4 June 2014.
- "Bristol Homeopathic Hospital". University Hospitals Bristol NHS Foundation Trust. 2013. Archived from the original on 26 January 2013. Retrieved 25 January 2013.
- Historic England. "Brislington House (1001529)". National Heritage List for England. Retrieved 11 October 2013.
- "Therapeutic theories of segregation and classification". National Archives. Archived from the original on 13 October 2013. Retrieved 12 October 2013.
- "Brislington House, Bath Road, Bristol". Heritage Explorer. English Heritage. Retrieved 12 October 2013.
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