The Clinical Senate’s completed projects will become available in this section of the website as published advice and recommendations.

Embedding healthcare sustainability in major service change - May 2023

The aim of this report is to provide guidance to help both systems and review panels to ensure sustainability is embedded into service change proposals from the outset and to demonstrate ‘what good looks like’ for us as a Clinical Senate.  We hope this report provides a useful base to support systems to incorporate sustainability into major service change by providing key questions for systems to ask themselves when considering service reconfiguration and examples of good practice.


SE Region: Patient Support Programmes Regional Principles for ‘value added schemes’ – November 2022

The South East Clinical Senate developed the document Patient Support Programmes: principles for ‘value added schemes’ based on a previous RMOC South West paper.

The document provides:

  • A brief overview of Patient Support Programmes and definitions.
  • Specifies certain key principles and governance arrangements to be applied.
  • Signposting to other key documents that should be considered as part of governance arrangements.
  • Benefits and disadvantages of the programmes. Note: the benefits stated are suggested by the pharmaceutical companies.
  • A summary of the published strength of evidence for the programmes, including a brief section on cost effectiveness.
  • An appendix of the National Homecare Medicines Committee (NHMC) Position Statement: Manufacturer funded PSPs associated with homecare services.


Addendum to the Review of the Pre-Consultation Business Case for West Sussex Stroke Services Transformation - August 2022

The National Stroke Strategy and latterly the South East Coast (SEC) Stroke Services Specification provides the foundation for defining stroke services and outlines what is required to create the most effective stroke services in England. It states that a whole pathway approach to the provision of stroke services is crucial in order to maximise the clinical outcome for patients, their quality of
life and experience of stroke services. More recently, the National Stroke Service Model is driving the formation of Integrated Stroke Delivery Networks (ISDN) with the description of ISDN composition, core functions and service specification.

Integrated Care Systems (ICS) are tasked with reducing unwarranted variation in stroke prevention, treatment and care to meet the 2025
milestone of achieving the best performance in Europe. Across the UK, transformation of stroke services have been taking place and many acute provision reconfigurations have already been implemented to deliver fully compliant Comprehensive Stroke Centres (CSC) and Acute Stroke Centres (ASC) in line with the national stroke model published in May 2021 to reduce deaths and disability. In London, CSC have reduced deaths from stroke by 96 a year, as well as the lives saved by improvements to stroke care nationally, including the
introduction of early supported discharges to ensure patients are discharged in a timely manner with a plan for high quality rehabilitation.

Across the coastal area of West Sussex, there is an aspiration across partners including the former CCG, Sussex Integrated Stroke Delivery Network (ISDN) and provider trusts, to deliver stroke services that offer high quality stroke care by being fully compliant with national standards and achieving the highest levels of performance, therefore delivering improved outcomes for patients.  This spans the entire pathway from prevention of strokes to optimising the care for those who have survived a stroke.

A first review of the pre-Consultation Business Case (PCBC) for transformation of West Sussex Stroke services was carried out by the South East Clinical Senate (the Senate) during March 2022.  This was undertaken by a stroke services review panel drawn from patients and public, clinical experts and representative multidisciplinary stroke service provider professionals.

The NHS West Sussex commissioning body welcomed the report from the Senate and agreed to address the recommendations in a revised PCBC. Prior to progressing the revised PCBC for transformation of West Sussex stroke services to the next stage of the approvals process NHS West Sussex requested a 2nd review from the Senate.


Review of the pre-Consultation Business Case for Stroke Services for West Sussex CCG - April 2022

Stroke is a preventable and treatable disease; however, it is one of the leading causes of death in the UK and the largest single cause of severe disability. One in eight strokes are fatal within the first 30 days, with one in four strokes fatal within a year. Stroke is a major health problem in the UK, with over 100,000 people having a stroke in the UK every year, with many more experiencing the warning condition of a transient ischaemic attack (TIA).

There is strong evidence that investigations and interventions for stroke, such as brain scanning and thrombolysis, are best delivered as part of a 24/7 networked service that includes comprehensive and acute stroke centres (CSC, ASC) of sufficient size to ensure expertise, time critical treatments, efficiency and a sustainable workforce.