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Health and wellbeing for 0-4 years

Health Services in the Staffordshire Local Offer are either commissioned by the NHS (Clinical Commissioning Groups and NHS England) or Public Health (Staffordshire County Council).

Commissioned services are delivered by various providers including the NHS, private and independent sector organisations.

Some services are available for everyone (universal services) and other services require a referral (targeted or specialist services).  There is often an eligibility criteria for targeted or specialist services.

All NHS commissioned services are free at point of use.

Search our blue health directories below for information on NHS, private and independent sector organisations. 

What are universal services?

These are available in the local area without the need for a specialist assessment. You do not need to see someone else first or be referred to use universal services.

For example:

  • Pharmacist
  • Dentist
  • Health visitor
  • Public health advisory service
  • General practitioner (GP)

What are specialised and targeted services?

Services commissioned by the Clinical Commissioning Group (CCG) are not available unless your child has a suspected or identified health need. A referral will be required to access these services for you or your child.

For example:

What is a clinical commissioning group?

Staffordshire has five Clinical Commissioning Groups (CCGs) who are responsible for commissioning most of the healthcare for the people of Staffordshire.

Its members are the local family doctors that work in the GP practices throughout the County.

They commission these services, based on the health needs of the people of Staffordshire, by working with other local agencies within the NHS, partners and local people (e.g. patients, carers and the public).

What is a designated clinical officer?

Staffordshire Clinical Commissioning Groups have appointed Designated Clinical Officers (DCOs) to support the implementation of the Children and Families Act and the Special Educational Needs and Disability (SEND) legislation.

The DCO has a key role in ensuring that there is an awareness and understanding of the SEND legislation by all of local health providers of services.

There is a requirement for local health services that are already involved in meeting the health and medical needs of a child or young person with SEND to contribute to an assessment of all their needs. This is usually given by means of a report to support the application and preparation of an Education Health and Care Plan. The advice should include details of the support and/or care that a child requires to meet the outcomes agreed by the child or young person, their parents or carers, and the health provider.

The DCO has a role in ensuring that this is facilitated on behalf of the CCGs.  The DCOs covering the area of Staffordshire are Vicky Titley (North) and Cathy Morris (Central and South).

The DCO has a role in ensuring that this is facilitated on behalf of the CCGs.

  • The DCO covering the area of South Staffordshire is Cathy Morris.  Cathy can be contacted by email at
    or by telephone on 01785 854068 (Tuesdays and Wednesdays)
  • The DCO covering the area of North Staffordshire/Stoke on Trent is Catherine Smith.  Catherine can be contacted by email or by telephone on 01785 907776

Which services do the local clinical commissioning groups commission?

They commission a range of services including community and hospital based services. They also commission many providers for the local population.

What is the role of NHS England & how is the NHS in England changing?

NHS England leads the National Health Service (NHS) in England.

They set the priorities and direction of the NHS and encourage and inform the national debate to improve health and care.

NHS England is responsible for commissioning the contracts for:

  • General Practitioners (GPs)
  • Pharmacists
  • Dentists
  • Some specialist services (e.g. Child and Adolescent Mental Health Services Tier 4)

Watch the King's Fund animation video below to discover

  • the key organisations that make up the NHS and
  • how they can collaborate with partners in the health and care system to deliver joined-up care.

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