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The reason given is: Clinical commissioning groups have been replaced with integrated care systems.<span class="hide-when-compact"> Please help update this article to reflect recent events or newly available information.</span> <span class="date-container"><i>(<span class="date">July 2022</span>)</i></span></div></td></tr></tbody></table> <p> <b>Healthcare in Derbyshire</b> was the responsibility of five <a href="/wiki/Clinical_commissioning_group" title="Clinical commissioning group">clinical commissioning groups</a> covering North Derbyshire, Southern Derbyshire, <a href="/wiki/Borough_of_Erewash" title="Borough of Erewash">Erewash</a>, Hardwick, and Tameside and Glossop. North Derbyshire, Southern Derbyshire, <a href="/wiki/Borough_of_Erewash" title="Borough of Erewash">Erewash</a> and Hardwick announced in November 2018 that they planned to merge.<sup id="cite_ref-1" class="reference"><a href="#cite_note-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="History">History</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Healthcare_in_Derbyshire&action=edit&section=1" title="Edit section: History"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>From 1947 to 1974 NHS services in <a href="/wiki/Derbyshire" title="Derbyshire">Derbyshire</a> (apart from those for Glossop and Buxton) were managed by the Sheffield <a href="/wiki/Regional_hospital_board" class="mw-redirect" title="Regional hospital board">Regional Hospital Board</a>. In 1974 the boards were abolished and replaced by <a href="/wiki/Regional_health_authority_(UK)" class="mw-redirect" title="Regional health authority (UK)">regional health authorities</a>. 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 <a href="/wiki/Area_health_authority" title="Area health authority">area health authority</a> covering the county. From 1982 there were two <a href="/wiki/District_health_authority" title="District health authority">district health authorities</a>, North and South. Eight <a href="/wiki/Primary_care_trust" class="mw-redirect" title="Primary care trust">primary care trusts</a> 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 <a href="/wiki/Strategic_health_authority" title="Strategic health authority">Strategic Health Authority</a> which was merged into NHS East Midlands in 2006. </p> <div class="mw-heading mw-heading2"><h2 id="Sustainability_and_transformation_plan">Sustainability and transformation plan</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Healthcare_in_Derbyshire&action=edit&section=2" title="Edit section: Sustainability and transformation plan"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>In March 2016 Gary Thompson, the Chief Officer of Southern Derbyshire Clinical Commissioning Group was appointed the leader of the Derbyshire <a href="/wiki/Five_Year_Forward_View#Sustainability_and_transformation_plans" title="Five Year Forward View">Sustainability and transformation plan</a> footprint<sup id="cite_ref-2" class="reference"><a href="#cite_note-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup> 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. <a href="/wiki/Burton_Hospitals_NHS_Foundation_Trust" title="Burton Hospitals NHS Foundation Trust">Burton Hospital</a> A&E was likely to be downgraded as part of the STP for <a href="/wiki/Healthcare_in_Staffordshire" title="Healthcare in Staffordshire">Staffordshire</a>. This would affect much of the south of the county.<sup id="cite_ref-3" class="reference"><a href="#cite_note-3"><span class="cite-bracket">[</span>3<span class="cite-bracket">]</span></a></sup> </p><p>A contract for a shared care record across the county was set up in 2021 with <a href="/wiki/Orion_Health" title="Orion Health">Orion Health</a> for the Integrated Care System.<sup id="cite_ref-4" class="reference"><a href="#cite_note-4"><span class="cite-bracket">[</span>4<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Commissioning">Commissioning</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Healthcare_in_Derbyshire&action=edit&section=3" title="Edit section: Commissioning"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Glossop has always been included in <a href="/wiki/Healthcare_in_Greater_Manchester" title="Healthcare in Greater Manchester">Greater Manchester</a> for purposes of healthcare commissioning. Services for that area are commissioned by NHS Tameside and Glossop <a href="/wiki/Clinical_commissioning_group" title="Clinical commissioning group">Clinical Commissioning Group</a>. 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.<sup id="cite_ref-5" class="reference"><a href="#cite_note-5"><span class="cite-bracket">[</span>5<span class="cite-bracket">]</span></a></sup> 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.<sup id="cite_ref-6" class="reference"><a href="#cite_note-6"><span class="cite-bracket">[</span>6<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Primary_care">Primary care</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Healthcare_in_Derbyshire&action=edit&section=4" title="Edit section: Primary care"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>There were 36 practices in North Derbyshire CCG in 2016.<sup id="cite_ref-7" class="reference"><a href="#cite_note-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup> </p><p><a href="/wiki/Out-of-hours_service" title="Out-of-hours service">Out-of-hours services</a> 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 <a href="/wiki/Local_medical_committee" title="Local medical committee">local medical committee</a> complained that this was inappropriate in a rural area. It was later planned to establish four hubs.<sup id="cite_ref-8" class="reference"><a href="#cite_note-8"><span class="cite-bracket">[</span>8<span class="cite-bracket">]</span></a></sup> </p><p>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 <a href="/wiki/NHS_England" title="NHS England">NHS England</a>'s <a href="/wiki/NHS_treatments_blacklist" title="NHS treatments blacklist">blacklist</a>.<sup id="cite_ref-9" class="reference"><a href="#cite_note-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Acute_services">Acute services</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Healthcare_in_Derbyshire&action=edit&section=5" title="Edit section: Acute services"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p><a href="/wiki/University_Hospitals_of_Derby_and_Burton_NHS_Foundation_Trust" title="University Hospitals of Derby and Burton NHS Foundation Trust">University Hospitals of Derby and Burton NHS Foundation Trust</a> and <a href="/wiki/Chesterfield_Royal_Hospital_NHS_Foundation_Trust" title="Chesterfield Royal Hospital NHS Foundation Trust">Chesterfield Royal Hospital NHS Foundation Trust</a> are located in the county. Services for Glossop and Buxton are largely provided by Manchester hospitals. </p> <div class="mw-heading mw-heading2"><h2 id="Mental_health_and_community_services">Mental health and community services</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Healthcare_in_Derbyshire&action=edit&section=6" title="Edit section: Mental health and community services"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p><a href="/wiki/Derbyshire_Healthcare_NHS_Foundation_Trust" title="Derbyshire Healthcare NHS Foundation Trust">Derbyshire Healthcare NHS Foundation Trust</a> and <a href="/wiki/Pennine_Care_NHS_Foundation_Trust" title="Pennine Care NHS Foundation Trust">Pennine Care NHS Foundation Trust</a> are the main providers of mental health care in the county. <a href="/wiki/Derbyshire_Community_Health_Services_NHS_Foundation_Trust" title="Derbyshire Community Health Services NHS Foundation Trust">Derbyshire Community Health Services NHS Foundation Trust</a> announced plans to merge with Derbyshire Healthcare NHS Foundation Trust in November 2016.<sup id="cite_ref-10" class="reference"><a href="#cite_note-10"><span class="cite-bracket">[</span>10<span class="cite-bracket">]</span></a></sup> </p><p>Cavendish Hospital in Buxton is partly run by <a href="/wiki/Stockport_NHS_Foundation_Trust" title="Stockport NHS Foundation Trust">Stockport NHS Foundation Trust</a>. There are 16 community hospital beds and ten older people's mental health beds.<sup id="cite_ref-11" class="reference"><a href="#cite_note-11"><span class="cite-bracket">[</span>11<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="External_links">External links</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Healthcare_in_Derbyshire&action=edit&section=7" title="Edit section: External links"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p><a rel="nofollow" class="external text" href="http://www.derbyshirehealthunited.com">Derbyshire Health United</a> </p> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Healthcare_in_Derbyshire&action=edit&section=8" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist"> <div class="mw-references-wrap mw-references-columns"><ol class="references"> <li id="cite_note-1"><span class="mw-cite-backlink"><b><a href="#cite_ref-1">^</a></b></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><cite class="citation news cs1"><a rel="nofollow" class="external text" href="https://www.hsj.co.uk/policy-and-regulation/fresh-batch-of-ccg-mergers-approved/7023930.article">"Fresh batch of CCG mergers approved"</a>. 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Buxton Advertiser. 7 July 2016<span class="reference-accessdate">. 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