As part of the English NHS programme of separating the provision of services from commissioning known as Transforming Community Services a number of community health trusts were established when these services were separated from primary care trusts .
14-597: Sussex Community NHS Foundation Trust is a community health trust established as a result of the Transforming Community Services programme. It is the main provider of NHS community health services across West Sussex Brighton and Hove and has an annual budget of £185m. It became an NHS foundation trust in March 2016. Siobhan Melia, has a clinical background having worked as a podiatrist, before moving into senior clinical leadership and managerial roles within
28-478: A five-year musculoskeletal contract worth £210m from Brighton and Hove, Crawley and Horsham and Mid Sussex clinical commissioning groups . It was named by the Health Service Journal as one of the top hundred NHS trusts to work for in 2015. At that time it had 3,460 full-time equivalent staff and a sickness absence rate of 4.83%. 72% of staff recommend it as a place for treatment and 60% recommended it as
42-482: A place to work. Community health trust This was one of a number of options taken. In some places community services were transferred to an existing mental health trust or hospital trust . In South West England there was considerable pressure for staff to establish social enterprises such as Peninsula Community Health to take on these services. Campaigners in Gloucestershire successfully challenged
56-605: Is a contractual system within the NHS internal market of the English National Health Service . The system was introduced under the Labour administration in 2009/10 under the name "Any Willing Provider" and was accelerated under the coalition Government which formed in 2010. In 2011 the name of the system was changed to "Any Qualified Provider", although there were no substantial changes to its operation. Its implementation
70-489: Is bringing in a wider range of providers for phlebotomy services and a treatment room service for minor injuries and wound treatment which offers GPs an alternative to local walk-in centres or acute emergency departments. Great Yarmouth and Waveney CCG is bringing in new neurological rehabilitation service providers using AQP. By 2015 it was clear that, following the increase in services made available, continued enthusiasm for this approach at national level had faded, and there
84-868: The AQP regime: Originally each primary care trust (PCT) was required to introduce at least three AQP services, but by April 2013 the grip of the programme loosened with reduction in central oversight, and the regime become more permissive. A survey by the Health Service Journal in August 2014 found that clinical commissioning groups enthusiasm for using 'any qualified provider' to increase competition and extend patient choice had declined. Of 183 groups surveys, 77 did not open any new AQP services in 2013/4, and 109 had no plans to introduce any. Those that had introduced new services mostly concentrated on audiology, non-obstetric ultrasound, podiatry, MRI, eye care, and back and neck pain services. Nottingham City Clinical Commissioning Group
98-771: The NHS. Siobhan was appointed as the new chief executive of the trust in October 2016 taking over from Paula Head, who was chief executive since January 2013. The trust claims to be the first NHS organisation in Sussex to have achieved accreditation as a ‘Living Wage Employer’, paying its staff a minimum of £7.45 per hour. It runs services at Bognor Regis War Memorial Hospital , Brighton General Hospital , Zachary Merton Hospital in Littlehampton , Arundel and District Hospital , Horsham Hospital and Midhurst Community Hospital. In December 2013 it
112-469: The decision to establish a social enterprise to provide community health services there in 2012. Contracts to run NHS community services are subject to competitive tendering processes under the Health and Social Care Act 2012 , so it is not clear whether these organisations will survive. The NHS community health services sector, not including mental health services, is said to be worth £9.7 billion - about 10% of
126-571: The entire NHS budget. This is the sector in which competition from private providers such as Virgin Healthcare and Serco is most intense. There is a great deal of pressure to move NHS services out of hospitals and into the community, but up to now most of these services have been funded by block contracts. There are measures of activity but no outcome measures and no NHS tariff , so there is no financial incentive for providers to ensure services are effective. As of 2016 it remains to be seen what impact
140-535: The instigation of Any Qualified Provider contracts will have on this sector. Community services have been repeatedly reorganised since the abolition of district health authorities in 1996. Established as NHS trusts, they were under the same imperative to become NHS foundation trusts as existing trusts, but it seems unlikely that many of them will be able to pass the tests in their present form. Community healthcare trusts may provide services including: Any Qualified Provider Any Qualified Provider (AQP)
154-477: The trust's property and facilities management and services to improve the estate and to help the trust's procurement team to find opportunities for better value from non-salary expenditure. The trust is part of the Sussex Musculoskeletal Partnership with Brighton and Hove Integrated Care Service , Horder Healthcare and Sussex Partnership NHS Foundation Trust . In May 2014 the consortium won
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#1732898552465168-460: Was achieved through the NHS operating framework and a strong central team based in the Department of Health that supported and oversaw local implementation. It did not require any statutory instrument to achieve its aims and was often incorrectly considered to be part of the reforms associated with the Health and Social Care Act 2012 . In September 2012, 39 services were specified as suitable for
182-462: Was announced that the trust had arranged a deal with Capita to identify ‘new and exciting ways of achieving its vision of excellent care at the heart of the community’. The £22m partnership is hoped to save around £15m. Capita agreed a five-year strategic partnership with the trust to help it achieve foundation trust status in 2014 which will see Capita provide clinical expertise, service design, and health intelligence and reporting. It aims to transform
196-432: Was only patchy use of it at a local level. There were no requirements for commissioners to use AQP for services after April 2013 and 77 of the 183 CCGs did not open any services to AQP in 2013/14. This regime is somewhat similar to that which has prevailed in NHS dentistry , pharmacy and optometry since 1948: patients can use any provider they wish. Guidance was provided by the Department of Health Team, travelling around
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