Healthcare in Liverpool reflects the unique historical legacy of the port. The city had five of the most deprived areas in the country in 2012 according to a
Church Urban Fund
Church Urban Fund (abbreviation CUF) is a charitable organisation set up by the Church of England in 1987 designed to assist in deprived and impoverished areas of the country. Operating in partnership with faith organisations working at the local ...
report. According to Mayor
Joe Anderson, "The people in
Calderstones,
Woolton
Woolton (; ) is an affluent suburb of Liverpool, England. It is located southeast of the city and is bordered by Allerton, Gateacre, Halewood, and Hunt's Cross. At the 2011 Census, the population was 12,921.
Overview
Originally a standalone vi ...
, and
Childwall
Childwall () is a suburb and ward of Liverpool, England, located to the southeast of the city. It is bordered by Belle Vale, Bowring Park, Broadgreen, Gateacre, Mossley Hill, and Wavertree. In 2019, the population was 13,640.
Overview
The earli ...
outlive the people in other areas of Liverpool, like parts of north Liverpool, by 10 to 12 years or so."
History
Liverpool's Health of the Town Committee appointed
Thomas Fresh
Thomas Fresh (3 September 1803 – 3 April 1861) was a pioneer in British environmental health. In 1844, he became Liverpool's first public health officer.
Life and career
Thomas Fresh was born on 3 September 1803 at the family farm 'Newbarns', ...
as 'Inspector of Nuisances' on 4 September 1844 The city appointed its first
medical officer of health
A medical officer of health, also known as a medical health officer, chief health officer, chief public health officer or district medical officer, is the title commonly used for the senior government official of a health department, usually at a m ...
,
William Henry Duncan
William Henry Duncan (27 January 1805 – 23 May 1863), also known as Doctor Duncan, was an English doctor who worked in Liverpool as its first Medical Officer of Health.
Early life and career
Duncan was born on Seel Street, Liverpool on 27 J ...
, in 1847.
In 1851, a boy born in inner Liverpool had a life expectancy of only 26 years
Management structures
Liverpool has had unstable administrative arrangements with the North West region, and in particular with Manchester since the establishment of the NHS. In 1946 drawing the boundary between the Liverpool and Manchester
regional hospital board
In geography, regions, otherwise referred to as zones, lands or territories, are areas that are broadly divided by physical characteristics (physical geography), human impact characteristics (human geography), and the interaction of humanity and t ...
s proved to be particularly difficult because of "the jealousy felt by Liverpool for Manchester and the reluctance of Preston to consider any scheme centred on Liverpool or Manchester."
NHS North West
NHS North West was a strategic health authority (SHA) of the National Health Service in England. It operated in the North West region, which is coterminous with the local government office region.
When created in 2006 it had regional oversight ...
was established as a
strategic health authority
Strategic health authorities (SHA) were part of the structure of the National Health Service in England between 2002 and 2013. Each SHA was responsible for managing performance, enacting directives and implementing health policy as required by the ...
in 2006. It had oversight of 24
primary care trust
Primary care trusts (PCTs) were part of the National Health Service in England from 2001 to 2013. PCTs were largely administrative bodies, responsible for commissioning primary, community and secondary health services from providers. Until 31 May ...
s, 23
acute trusts, 8
mental health trust
A mental health trust provides health and social care services for people with mental health disorders in England.
There are 54 mental health trusts. They are commissioned and funded by clinical commissioning groups.
Patients usually access th ...
s, 7 specialist trusts, as well as the
North West Ambulance Service
The North West Ambulance Service NHS Trust (NWAS) is the ambulance service for North West England. It is one of ten ambulance trusts providing England with Emergency medical services, and is part of the National Health Service, receiving direct ...
. In October 2011 NHS North West, alongside NHS Yorkshire and Humberside and
NHS North East
Strategic health authorities (SHA) were part of the structure of the National Health Service in England between 2002 and 2013. Each SHA was responsible for managing performance, enacting directives and implementing health policy as required by the ...
became a part of the NHS North of England SHA cluster – a temporary administrative merger to manage the North of England health economy until the planned dissolution of SHAs in March 2013. The authority closed on 31 March 2013 as part of the
Health and Social Care Act 2012
The Health and Social Care Act 2012c 7 is an act of the Parliament of the United Kingdom. It provided for the most extensive reorganisation of the structure of the National Health Service in England to date.''BMJ'', 2011; 342:d408Dr Lansley's Mon ...
.
Sustainability and transformation plan
The
Liverpool City Region
The Liverpool City Region is a combined authority region of England, centred on Liverpool, incorporating the local authority district boroughs of Halton, Knowsley, Sefton, St Helens, and Wirral. The region is in the historic counties of ...
submitted proposals for greater local control of the NHS and social care in 2015 following developments in Manchester.
Cheshire and Merseyside formed a
sustainability and transformation plan
In England, a sustainability and transformation plan (STP) is a non-statutory requirement which promotes integrated provision of healthcare, including purchasing and commissioning, within each geographical area of the National Health Service. The ...
area in March 2016 with Louise Shepherd, the chief executive of
Alder Hey Children's NHS Foundation Trust
Alder Hey Children's Hospital is a children's hospital and NHS foundation trust in West Derby, Liverpool, England. It is one of the largest children's hospitals in the United Kingdom, and one of several specialist hospitals within the Liverpo ...
as its leader
Plans to merge the four clinical commissioning groups in north Merseyside were rejected by
NHS England
NHS England, officially the NHS Commissioning Board, is an executive non-departmental public body of the Department of Health and Social Care. It oversees the budget, planning, delivery and day-to-day operation of the commissioning side of the ...
in September 2020 because they insisted on a single commissioning body for the entire Cheshire and Merseyside system. In October 2021
John Ashton John Ashton may refer to:
Entertainment
* John Ashton (composer) (1830–1896), Welsh musician
* Will Ashton (John William Ashton, 1881–1963), British-Australian artist and art director
* John Rowland Ashton (1917–2008), English author
* John ...
was shortlisted for the position of chair of the Cheshire and Merseyside
Integrated Care System
In England, an integrated care system (ICS) is a statutory partnership of organisations who plan, buy, and provide health and care services in their geographical area. The organisations involved include the NHS, local authorities, voluntary and cha ...
. Although he was the highest scoring candidate the board decided not to appoint anyone.
David Flory
David Flory is a British National Health Service (NHS) manager, formerly the Chief Executive of the NHS Trust Development Authority. He was previously the director general of NHS finance, performance and operations.
Flory was said by the Health Se ...
was to continue as interim chair.
Commissioning
The three
clinical commissioning group
Clinical commissioning groups (CCGs) were NHS organisations set up by the Health and Social Care Act 2012 to organise the delivery of NHS services in each of their local areas in England. On 1 July 2022 they were abolished and replaced by Integra ...
s covering Liverpool, South Sefton, and Southport and Formby, announced plans to merge in March 2017 and were abolished in 2022 when all CCGs in England were replaced with integrated care systems.
Acute services
Liverpool is unusual in having a large number of small specialist NHS trusts. In October 2014 plans were unveiled in the Healthy Liverpool programme, approved by Liverpool
Clinical Commissioning Group
Clinical commissioning groups (CCGs) were NHS organisations set up by the Health and Social Care Act 2012 to organise the delivery of NHS services in each of their local areas in England. On 1 July 2022 they were abolished and replaced by Integra ...
and supported by the city council which would concentrate services, especially for cancer patients and major trauma at the
Royal Liverpool University Hospital
The Royal Liverpool University Hospital (RLUH) is a major teaching and research hospital located in the city of Liverpool, England. It is the largest and busiest hospital in Merseyside and Cheshire, and has the largest emergency department of i ...
. The proposals, which will be subject to public consultation, include:
* improvements in primary care;
* greater access to GPs;
* more support for people to manage their own care;
* better illness prevention;
* some services moving from hospitals into the community;
* changes to some hospital services to improve outcomes and quality.
Dr Fazlani, chair of the CCG said “If we reduced emergency admissions to hospitals by just 11% we would be able to afford an extra one and a half GPs in every practice in the city. This is the virtuous circle we are aiming to create".
There will be fewer hospitals in Liverpool under the Healthy Liverpool plans to shake-up the city's NHS by providing more care in the community. Cardiology services are offered at four or five sites in Liverpool in 2015 but it is proposed that they will be delivered by a single team at one or two sites.
Between 2010 and 2015 hospitals in Merseyside lost a large number of beds, mostly in general hospitals, though there was some increase in specialist hospitals.
In 2022 there were discussions on plans to bring six NHS trusts in the city into a £2bn group of hospital providers which could be called the 'United Hospitals of Liverpool' led by
David Nigel Dalton
Sir David Nigel Dalton is the interim chief executive of Liverpool University Hospitals NHS Foundation Trust and previously Salford Royal NHS Foundation Trust and Pennine Acute Hospitals NHS Trust in northern England. In April 2016, he was appointe ...
the interim chief executive of
Liverpool University Hospitals NHS Foundation Trust
Liverpool University Hospitals NHS Foundation Trust is the Trust responsible for managing Aintree University Hospital, Broadgreen Hospital, Liverpool University Dental Hospital and the Royal Liverpool University Hospital. The new organisation, wh ...
.
As of 2022, hospital trusts based in Merseyside included the following:
*
Liverpool University Hospitals NHS Foundation Trust
Liverpool University Hospitals NHS Foundation Trust is the Trust responsible for managing Aintree University Hospital, Broadgreen Hospital, Liverpool University Dental Hospital and the Royal Liverpool University Hospital. The new organisation, wh ...
*
St Helens and Knowsley Teaching Hospitals NHS Trust
St Helens and Knowsley Teaching Hospitals NHS Trust was formed in 1991, and is based in Whiston, Merseyside.
It runs two hospitals:
* Whiston Hospital - the primary site and trust headquarters providing emergency and acute inpatient services, ...
*
Wirral University Teaching Hospital NHS Foundation Trust
Wirral University Teaching Hospital NHS Foundation Trust (WUTH) is an NHS Foundation Trust. It provides healthcare for people of the Wirral Peninsula and the surrounding areas of North West England and North Wales.
The trust is responsible for ...
*
Alder Hey Children's NHS Foundation Trust
Alder Hey Children's Hospital is a children's hospital and NHS foundation trust in West Derby, Liverpool, England. It is one of the largest children's hospitals in the United Kingdom, and one of several specialist hospitals within the Liverpo ...
*
Clatterbridge Cancer Centre NHS Foundation Trust
The Clatterbridge Cancer Centre (colloquially known as The Royal Cancer Hospital) is an NHS Foundation Trust, which specialises in the treatment of oncology, cancer. The centre is one of several specialist hospitals located within Merseyside; al ...
*
Liverpool Heart and Chest Hospital NHS Foundation Trust
Liverpool Heart and Chest Hospital NHS Foundation Trust is an NHS foundation trust located in the suburb of Broadgreen within the city of Liverpool, England. It manages the Liverpool Heart and Chest Hospital which serves the population of Merse ...
*
Liverpool Women's NHS Foundation Trust
Liverpool Women's NHS Foundation Trust runs Liverpool Women's Hospital, a major obstetrics, gynaecology and neonatology research hospital in Liverpool, England. It is one of several specialist hospitals located within the Liverpool City Region; ...
*
The Walton Centre NHS Foundation Trust
Community services
Liverpool Community Health NHS Trust
Liverpool Community Health NHS Trust was one of the community health trusts created in 2012 under the Transforming Community Services programme.
It provided controversial services for people at the end of their life, Liverpool Care Pathway later n ...
was the main NHS provider, but its contract, valued at £81.7 million was taken over by
Mersey Care NHS Foundation Trust
Mersey Care NHS Foundation Trust runs a specialist mental health trust and provides learning disabilities, addiction management, acquired brain injury services and the provision of community nursing and therapies services in The City of Liver ...
in November 2017.
A government-funded initiative, More Independent, is being piloted across four UK regions, of which Liverpool is one. It offers gadgets – life enhancing technologies – designed to help people who use NHS or social services live more independently, monitor their health, make everyday life simpler, and help them stay in touch with their family or careers.
Liverpool is the site of Europe’s first dedicated
5G health and social care pilot, Liverpool 5G Health and Social Care, which is based in
Kensington, Liverpool
Kensington is an inner city area of Liverpool, England, immediately to the east of the city centre, bordered by Everton to the north, Fairfield to the east and Edge Hill to the south.
The majority of Kensington is in the Kensington and Fairfi ...
and is testing eleven new technologies. These include Safehouse Sensors, which are installed in homes of vulnerable people to detect falls, changes in temperature and unusual behaviour patterns and PAMAN, a video link to a local pharmacy which helps people to take medicines at home safely. The technical infrastructure is provided by Blu Wireless Technology. It uses existing fibre and equipment erected on street furniture like lampposts. It was given an additional £4.3 million in August 2020 to develop a private independent 5G network for health and social care services in selected areas of Liverpool. This is to include a medical grade device to manage and monitor health conditions remotely, an app tp teach anxiety reduction techniques, a remote GP triaging service, wound care and management and sensor technology.
Primary care
Out-of-hours service
Out-of-hours services are the arrangements to provide access to healthcare at times when General Practitioner surgeries are closed; in the United Kingdom this is normally between 6.30pm and 8am, at weekends, at Bank Holidays and sometimes if the ...
s are provided by Urgent Care 24 Limited.
Dharmana's family and general practice, in
Walton Walton may refer to:
People
* Walton (given name)
* Walton (surname)
* Susana, Lady Walton (1926–2010), Argentine writer
Places
Canada
*Walton, Nova Scotia, a community
** Walton River (Nova Scotia)
*Walton, Ontario, a hamlet
United Kingdom ...
was put in
special measures
Special measures is a status applied by regulators of public services in Britain to providers who fall short of acceptable standards.
In education (England and Wales)
Ofsted, the schools inspection agency for England and some British Overseas Ter ...
by the
Care Quality Commission
The Care Quality Commission (CQC) is an executive non-departmental public body of the Department of Health and Social Care of the United Kingdom. It was established in 2009 to regulate and inspect health and social care services in England.
I ...
in January 2015 after being rated "inadequate". In October 2015 it was closed.
SSP Health
SSP is an abbreviation that may stand for:
Arts and entertainment
*Silversun Pickups, an American alternative rock band
*Super Sonic Power, a line of toys by Kenner Products in the 1970s
Companies
*E. W. Scripps Company, stock symbol
*SSP Group ...
had a contract for the provision of 11 primary care services in Liverpool and 9 in Sefton from 2013 to 2016.
See also
*
:Health in Liverpool
*
Healthcare in the United Kingdom
Healthcare in the United Kingdom is a devolved matter, with England, Northern Ireland, Scotland and Wales each having their own systems of publicly funded healthcare, funded by and accountable to separate governments and parliaments, together wit ...
References
{{reflist
Health in Merseyside
Mers
Middle East respiratory syndrome (MERS) is a viral respiratory infection caused by ''Middle East respiratory syndrome–related coronavirus'' (MERS-CoV). Symptoms may range from none, to mild, to severe. Typical symptoms include fever, cough, ...