The local health system
The Norfolk and Waveney health ‘system’
The NHS is one organisation, but with many local parts to it, all under the control of NHS England and Improvement. Most people are very familiar with the NHS. They have a GP, they know there is a local hospital, community or mental health service, ambulance service, 111 service, and others. They work together, in a complex ‘system’, very closely with adult and children’s care services, for the benefit of patients and their families.
The structure of the NHS is always evolving in response to legislation. Its current structure reflects the requirements of the National Health Service Act 2006, the amended Health and Social Care Act 2012 and the NHS Long Term Plan 2019.
The Norfolk and Waveney Health and Care Partnership
In 2016, NHS organisations and local councils joined forces in every part of England to develop proposals for improved health and care. They formed Sustainability and Transformation Partnerships (STPs) – to run services in a more coordinated way, to agree shared priorities, and to plan collectively how to improve residents’ day-to-day health, wellbeing and care.
Our local partnership is called the Norfolk and Waveney Health and Care Partnership. The partnership has three overarching goals:
1. To make sure that people can live as healthy a life as possible.
This means preventing avoidable illness and tackling the root causes of poor health. We know the health and wellbeing of people living in some parts of Norfolk and Waveney is significantly poorer – how healthy you are should not depend on where you live. This is something we must change.
2. To make sure that you only have to tell your story once.
Too often people have to explain to different health and care professionals what has happened in their lives, why they need help, the health conditions they have and which medication they are on. Services have to work better together.
3. To make Norfolk and Waveney the best place to work in health and care.
Having the best staff, and supporting them to work well together, will improve the working lives of our staff, and mean people get high quality, personalised and compassionate care.
The Norfolk and Waveney Health and Care Partnership has led to transformational projects such as more community-based mental health service and more mental health ‘crisis’ services, mental health strategy, a trainee nursing associates programme, bringing together local GP surgeries into Primary Care Networks, more evening and weekend GP appointments and a host of other innovations which lead to greater efficiency and resilience.
The Norfolk and Waveney Health and Care Partnership is expecting to be made an “Integrated Care System” in 2020/21.
Find out more about the Norfolk and Waveney Health and Care Partnership.
NHS England and Improvement
NHS England and Improvement is the national NHS body, our regional team is called NHS England and NHS Improvement - East of England.
The regional teams
- work closely with clinical commissioning groups (CCGs) and acute trusts to support the commissioning of high-quality services
- jointly commission GP practices with the CCG.
- directly commission other primary care and specialised services (ie dentists, prison health, inpatient child adolescent mental health service) at a local level across England
- provide professional leadership for finance, nursing, medical, specialised commissioning, patients and information, human resources and organisational development, and assurance and delivery
NHS Norfolk and Waveney Clinical Commissioning Group (CCG)
Norfolk has one CCG which is called the NHS Norfolk and Waveney Clinical Commissioning Group. It is led and staffed by doctors, nurses and other professionals.
For more about the CCG see About Us
Primary Care Networks
Primary care networks (PCNs) are groups of GP practices working closely together with other community, mental health and social care staff to join-up health and care services through multi-professional teams to patients in the community.
Patients remain registered with their own GP practice, but by working as part of a network, GP practices will share expertise and resources.
Main health service providers for Norfolk and Waveney
Acute hospitals provide planned care for patients with any kind of illness or unplanned (emergency) care for people with a sudden or worsening illness or injury.
The three main hospitals are:
Norfolk and Norwich University Hospital (Norwich)
James Paget University Hospital (Great Yarmouth)
Queen Elizabeth University Hospital (Kings Lynn)
Some people may be referred to specialist health services provided outside of Norfolk due to their needs for example:
Community Health providers
Community Health providers may offer health visiting, physiotherapy, district nursing, and school nursing and immunisation, speech and language therapy, and smoking cessation.
Universal Healthy Child Programme (Commissioned by Public Health)
Emergency and out of hours
Public Health England
Provides national leadership and expert services to support public health, and also works with local government and the NHS to respond to emergencies.
County Councils are responsible for protecting and improving public health in their areas, by helping people lead healthy lifestyles and stay safe from threats to their health. The public health team work on:
- Raising awareness of healthy lifestyles and buying relevant services, such as stop smoking and weight management services
- Providing information to understand the needs of the county’s population and compare it to other parts of the country – to help us decide on the health issues that need improving
- Protecting the public from threats from infectious diseases and environmental hazards, such as flu and MRSA
- Providing advice, information and expertise on public healthcare services to NHS commissioners (managers who buy these services)
County Council Health and Wellbeing Boards
Health and Wellbeing Boards bring together local organisations including councils, CCGs, voluntary groups and charities to help improve the health of people .
Joint Strategic Needs Assessments describes our current and future health and wellbeing needs.