Healthcare in Liverpool
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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 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 ...
, 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 earl ...
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, William Henry Duncan, 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 ...
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 in 2006. It had oversight of 24 primary care trusts, 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 t ...
s, 7 specialist trusts, as well as the North West Ambulance Service. In October 2011 NHS North West, alongside NHS Yorkshire and Humberside and NHS North East 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.


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 in September 2020 because they insisted on a single commissioning body for the entire Cheshire and Merseyside system. In October 2021 John Ashton 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 S ...
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 Integ ...
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 Integ ...
and supported by the city council which would concentrate services, especially for cancer patients and major trauma at the Royal Liverpool University Hospital. 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, ...
. 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, ...
* St Helens and Knowsley Teaching Hospitals NHS Trust *
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 *
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 * 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 Liv ...
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 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 Kingdo ...
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


References

{{reflist Health in Merseyside Mers