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Healthcare in Staffordshire : ウィキペディア英語版
Healthcare in Staffordshire
Healthcare in Staffordshire is now the responsibility of six Clinical Commissioning Groups, covering: Stafford & Surrounds; North Staffordshire; South East Staffordshire and Seisdon Peninsula; East Staffordshire; Cannock Chase; Stoke on Trent.
A deficit of more than £200 million is forecast for the county by 2018.
==History==
From 1947 to 1974 NHS services in Staffordshire were managed by the Birmingham Regional Hospital Board. In 1974 the Boards were abolished and replaced by Regional Health Authorities. Staffordshire still came under the Birmingham RHA. Regions were reorganised in 1996 and Staffordshire came under the West Midlands Regional Health Authority. From 1974 there was an Area health authority covering the county. There were three District Authorities, covering South-East Staffordshire, Mid-Staffordshire and North Staffordshire. In 1993 Mid-Staffordshire was merged into South Staffordshire. Four Primary care trusts established in the county in 2002: Newcastle-under-Lyme PCT, Staffordshire Moorlands PCT, Stoke-on-Trent PCT and South Staffordshire PCT. Newcastle-under-Lyme and Staffordshire Moorlands were merged into North Staffordshire PCT in 2006. They were managed by the Shropshire and Staffordshire Strategic health authority which was merged into NHS West Midlands in 2006.
Management consultancy KPMG produced a report on the local health economy in March 2015 for the NHS Trust Development Authority, NHS England and Monitor which criticised the lack of collaboration between different organisations in the county. They said the health system was in “perpetual crisis mode” with a lack of clinical leaders and a managerially focused leadership with “many examples of silo working”. They reported that Clinical commissioning groups in the county did not collaborate and their plans, including financial contracts, were not aligned with each other or providers.

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