Changes to NHS Structure – England and Scotland

Changes to NHS Structure – England and Scotland
(Published 26 March 2004)

Changes to NHS Structure – England and Scotland

Strategic Health Authority (SHA) - New Configuration Announced

The first announcement from the consultations on NHS reorganisation has been made regarding the configuration of England's Strategic Health Authorities. The number of SHAs will be reduced from 28 to 10 from July 1st, subject to parliamentary approval. Information regarding the planned reorganisation of PCTs is not yet available, but will be announced soon.

The new SHAs are:

North East SHA – formed from the following SHA regions

• Northumberland, Tyne & Wear
• 
  County Durham & Tees Valley
• 
  
  North West SHA – formed from the following SHA regions
  
• Cumbria & Lancashire
• 
  Cheshire & Merseyside
• 
  Greater Manchester
• 
  
  Yorkshire & The Humber SHA – formed from the following SHA regions
  
• North & East Yorkshire and Northern Lincolnshire
• 
  West Yorkshire
• 
  South Yorkshire
• 
  
  East Midlands SHA – formed from the following SHA regions
  
• Trent
• 
  Leicestershire, Northamptonshire & Rutland
• 
  
  West Midlands SHA – formed from the following SHA regions
  
• Birmingham & the Black Country
• 
  Shropshire & Staffordshire
• 
  West Midlands South
• 
  
  East of England SHA – formed from the following SHA regions
  
• Norfolk, Suffolk & Cambridgeshire
• 
  Essex
• 
  Bedfordshire & Hertfordshire
• 
  
  London SHA – formed from the following SHA regions
  
• North Central London
• 
  North East London
• 
  North West London
• 
  South East London
• 
  South West London
• 
  
  South East Coast SHA – formed from the following SHA regions
  
• Surrey & Sussex
• 
  Kent & Medway
• 
  
  South Central SHA – formed from the following SHA regions
  
• Thames Valley
• 
  Hampshire & Isle of Wight
• 
  
  South West SHA – formed from the following SHA regions
  
• Avon, Gloucestershire & Wiltshire
• 
  Dorset & Somerset
• 
  South West Peninsula
• 
  
  April Changes - Scotland
  
  NHS Lanarkshire
  
  NHS Lanarkshire now has 2 CHPs which both operate from Divisional Headquarters at Strathclyde Hospital:
  
• North CHP - Director Colin Sloey
• 
  South CHP - Interim Director Geoff Sage
• 
  
  These CHPs replace the LHCC structure and the Primary Care Operating Division. The 16 hospitals which were originally shown under the PCO Division have now been moved to the Acute Division.
  
  North CHP incorporates the following LHCCs:
  
• Airdrie
• 
  Coatbridge
• 
  Cumbernauld & Kilsyth
• 
  Motherwell
• 
  Wishaw/Newmains/Shotts
• 
  
  South CHP incorporates the following LHCCs:
  
• Clydesdale
• 
  East Kilbride
• 
  Hamilton/Blantyre/Larkhall
• 
  Rutherglen/Cambuslang

NHS Argyll & Clyde - Dissolution

NHS Argyll & Clyde, which had incurred a financial deficit of £80m, was dissolved in March 2006. The former NHS Board area has been divided according to local council boundaries, in recognition of the increasing co-operation between health boards and local authorities in delivering services, such as free care for the elderly.

NHS Highland has absorbed the parts of the health board area which fall within the Argyll & Bute Council area, and the remainder has been transferred to NHS Greater Glasgow.

All organisations and people involved in this change have been moved to their new NHS Boards on the database.

NHS Highland

NHS Highland launched a public consultation regarding a change of name following the reorganisation. The majority of respondents supported retaining the name NHS Highland, although the board has yet to decide on the matter.

NHS Highland now has 4 CHPs:

• Mid Highland CHP
• 
  North Highland CHP
• 
  South East Highland CHP
• 
  Argyll & Bute CHP (formally Argyll & Bute LHCC, and Lomond LHCC from NHS Argyll & Clyde)
• 
  
  NHS Greater Glasgow & Clyde
  
  HS Greater Glasgow has changed its name to NHS Greater Glasgow & Clyde, in order to more accurately reflect the boundary changes.
  
  here are 9 CHP/CHCPs* within NHS Greater Glasgow & Clyde:
  
• East Dunbartonshire CHP
• 
  East Renfrewshire CHP
• 
  West Dunbartonshire CHP
• 
  West Glasgow CHCP
• 
  East Glasgow CHCP
• 
  North Glasgow CHCP
• 
  South East Glasgow CHCP
• 
  South West Glasgow CHCP
• 
  Inverclyde CHP

* Community Health & Care Partnerships are linked with the local council

Note: Four LHCCs that were originally in NHS Argyll & Clyde have been moved into NHS Greater Glasgow & Clyde as follows; Levern Valley LHCC (incorporated into East Renfrewshire CHP), Paisley LHCC (incorporated into East Renfrewshire CHP), West Renfrewshire LHCC (incorporated into East Renfrewshire CHP), Inverclyde LHCC (now Inverclyde CHP)

There is no longer a Primary Care Division within NHS Greater Glasgow & Clyde, and all CHPs show under the NHS Board. One Acute Services Division has replaced the previous three Acute Divisions.

NHS Western Isles

A CHP has not yet been established. There were plans to create a CHSCP (Community Health and Social Care Partnership) but the council is not in agreement and the NHS Board may decide to establish a CHP. The situation is still uncertain.

NHS Orkney

A CHP is still not established, although the process is in its final stages - approval was scheduled for late January 2006.