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Summer Focus 2012 - Bradford Teaching Hospitals NHS ...

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Health and social care services across the<br />

district are changing due to new government policy: the Health and Social<br />

Care Act <strong>2012</strong>.<br />

Primary Care Trusts (PCTs) like<br />

<strong>NHS</strong> Airedale, <strong>Bradford</strong> and<br />

Leeds, who commission services<br />

from <strong>Bradford</strong> <strong>Teaching</strong> <strong>Hospitals</strong>,<br />

will be abolished in April 2013<br />

and some of their responsibilities<br />

will be taken over by clinical<br />

commissioning groups (CCGs).<br />

These are groups of GPs who will<br />

pay for and design health services<br />

across the district, including our<br />

hospitals.<br />

Other services will become<br />

the responsibility of the new <strong>NHS</strong><br />

Commissioning Board, and most<br />

public health services will move to<br />

<strong>Bradford</strong> Council.<br />

There are three CCGs in the<br />

district - <strong>Bradford</strong> City, <strong>Bradford</strong><br />

Districts and Airedale, Wharfedale<br />

and Craven – which were set up<br />

to prepare for the changes.<br />

The CCGs are currently in<br />

shadow form and will take<br />

on their full duties, subject to<br />

authorisation from the <strong>NHS</strong><br />

Commissioning Board, from this<br />

April.<br />

The governing bodies of<br />

these organisations must include<br />

doctors, a secondary care<br />

specialist (from a hospital or<br />

mental health trust, for example),<br />

a nurse, two members of the<br />

public, a chief finance officer and<br />

an accountable officer.<br />

The changes will mean that<br />

local doctors – who have good<br />

knowledge and understanding<br />

about their patients – will<br />

be buying and designing the<br />

services used by local people.<br />

This provides a much better<br />

opportunity to improve services<br />

for local people.<br />

A priority for all three local<br />

CCGs is to have patients and the<br />

public central to decision making,<br />

to hear what people think and to<br />

use this information as they make<br />

decisions about services and to tell<br />

people how they have used their<br />

views.<br />

What will the changes mean?<br />

Services CCGs will buy<br />

include:<br />

■ community health services, eg<br />

district nursing, health visiting<br />

and community hospital care<br />

■ maternity services<br />

■ planned hospital care<br />

(operations, scans, etc)<br />

■ rehabilitation services<br />

■ urgent and emergency care,<br />

including A&E, ambulances and<br />

out-of-hours services<br />

Ingleton<br />

■ continuing healthcare (a<br />

package of care provided<br />

outside hospital, arranged and<br />

funded by the <strong>NHS</strong>, for people<br />

with ongoing healthcare<br />

needs).<br />

Services the <strong>NHS</strong><br />

Commissioning Board will<br />

buy include:<br />

■ primary medical services,<br />

including community<br />

pharmacy and <strong>NHS</strong> sight tests<br />

■ all dental services<br />

■ specialised services<br />

■ high security psychiatric<br />

services.<br />

Introducing the clinical<br />

commissioning groups<br />

Settle<br />

Airedale, Whafedale<br />

and Craven CCG<br />

Patient popluation: 156,000<br />

<strong>Bradford</strong> Districts CCG<br />

Patient popluation: 328,000<br />

<strong>Bradford</strong> City CCG<br />

Patient popluation: 118,000<br />

Public health will move to<br />

<strong>Bradford</strong> Council, which<br />

will have responsibility<br />

for health improvement<br />

services including:<br />

■ most sexual health services<br />

■ the Healthy Child programme<br />

for school age children –<br />

including school nurses<br />

■ local programmes to<br />

promote physical activity,<br />

healthy eating and weight<br />

management<br />

■ drug and alcohol misuse<br />

services<br />

■ stop smoking services.<br />

Skipton<br />

Ilkley<br />

Keighley<br />

Clinical Commissioning<br />

Groups Populations<br />

FOCUS January 2013 page 4

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