12. Derbyshire

ICS to be developed

The NHS ten-year long-term plan published in January 2019 stated includes the development of integrated care systems (ICS) across England, in which healthcare organisations, including acute, community and primary care, and social care and public health will work closely together. These ICS are to evolve from the STP areas and be in place by April 2021.

The chief executives of NHS England and NHS Improvement had already written to all STP leaders in October 2018, instructing them to come up with new five year STP plans by autumn 2019. The new five-year plans will replace those which were previously drawn up based on the previous five year funding settlement to 2020-21.

These new STP plans will now feed into the development of the ICS.

The ICS will develop either through a number of alliance contracts or through a single provider being in charge of integration of services - an integrated service provider (ICP).

For more information on ICS see our briefing page here.

NOTE: The information on this page relates to the original STP drawn up in 2016; much of the information is still relevant, however, and is likely to be part of any ICS.

What concerns have been raised about your STP?

Health planners are trying to reduce NHS deficits and think about ways to re-organise care. However getting the large deficit under control could prevent facilities being developed that can cope with the health and care social needs of local people.

Proposed changes

Bed numbers will be cut by 535. The acute sector will lose 400 beds, 85 will be lost in community hospitals and 50 mental health beds. In terms of wards, this 12 acute wards cut; 4-5 community wards lost; and there will be 1-2 fewer specialist mental health wards and one fewer dementia care ward.

There are concerns that Burton Hospital could lose its A&E; it now appears likely that Derby Teaching Hospitals will merge with Burton Hospitals Trust, which could mean Burton's A&E remains open.

Community hospital sites  at Newholme Hospital in Bakewell , Bolsover Hospital and Babington Hospital in Belper are set for closure; others will either follow suit or be integrated into community hubs.