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The system commissioned the Clinical Senate to conduct a review and assess the proposed future service model, evaluation and internal recommendations from the pilot and proposed closure of the 18 bed Manthorpe ward. The panel were asked to consider the current service...

The Coventry & Warwickshire Integrated Care Board commissioned the Clinical Senate to provide assurance that all viable options concerning the provision of community rehabilitation beds in South Warwickshire, had been thoroughly explored. These options will serve...

This comprehensive report has been prepared by Johanna Kaminer on behalf of the South East Clinical Senate and Public Health, NHS England South East. Cardiovascular disease (CVD) remains a significant cause of premature mortality, despite being largely preventable,...

The NHS is now 76 years from its post war inception and building a workforce capable of delivering the volume and breadth of health and social care to meet population needs continues to be a priority focus for national bodies. This national workforce challenge and its...

The Clinical Senate Council undertook an Independent Review of the local Clinical Governance and Assurance Processes relating to the Pre-Consultation Business Case for the Future Configuration of Intermediate Care and Stroke Rehabilitation Community Beds, the location...

Sharing and accessing patient health data is changing affording the NHS two unique opportunities. Firstly, to fully integrate individual patient care across the many boundaries that hitherto have served as barriers to data sharing within the healthcare system....

Recommendations from the South-West Clinical Senate Council on how we might ensure that children and young people waiting for paediatric specialties and/or within all-age (medical and surgical) and community pathways are appropriately prioritized and receive safe,...

A written thought piece. Reimagining the NHS...the next 75 years. Read more by following the link below

‘Reducing and preventing harm from opioid prescribing’ emerged as a deliberative topic for the Senate Council, from conversations with the South West Academic Health Science Network and the West of England Academic Health Science Network. Both networks had already...

The South West Clinical Senate notes that the workforce has been a key component within recent service reconfiguration proposals, often precipitated by Systems experiencing workforce challenges. Crucial to the delivery of safe and sustainable patient care, is having...

Recommendations from the South West Clinical Senate Council on quantifying harm to patients and staff relating to ambulance delays and system-level interventions to mitigate the impact.    

Revisiting and Reenergising our focus on Climate Change January 2020 saw the launch of the ‘Greener NHS’ programme and the setting up of an NHS Net Zero Expert Panel chaired by Dr Nick Watts, the first NHS Chief Sustainability Officer, tasked to create a national road...

The West Midlands Clinical Senate was commissioned by Staffordshire and Stoke-on-Trent Integrated Care Board (SSOT ICB) on behalf of the Integrated Care System (ICS) including University Hospitals of Derby and Burton NHS Foundation Trust (UHDB) and University...

The Clinical Senate Review looked into a number of concerns that had been raised, including patient safety, culture and governance within the Upper GI Pathway at UHB.  

Although the proposals for a specialist Children’s Hospital in Cambridge (CCH) did not constitute a significant variation in service provision from an NHS England assurance perspective, the East of England Clinical Senate Council welcomed the opportunity to provide...

To review staff experience of communication around ICSs to date and how they would want to be communicated with in the future.

This project includes a literature review and site visits to understand the management of TRD, including the developing evidence base of innovative approaches including nasal ketamine and rTMS

The East Midlands and West Midlands Clinical Senates worked in collaboration with Health Education England to complete this project which looked to assess variabilities in access to imaging requests for advanced practitioners working in acute trusts across the...

The scope of the project is to establish what a good therapeutic inpatient environment looks like and provide recommendations that can be shared with Midlands Provider Trusts to support them in providing: ‘…a therapeutic environment [which] provides the best...

​The team have undertaken a project utilising internet search history as a repository of information on a new medical condition.

To understand the barriers to adoption of AI technology in healthcare and how this can be supported to better utilise the available technology.  ...

This project has worked with a large GP practice to evaluate the feasibility of embedding a matrix approach to clinical governance.

The project aimed to understand the health inequalities within the backlog of particular services and make broad recommendations on how to close the gap. There are two distinct workstreams – Data and Literature Review....

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...

The Clinical Senate were commissioned to triangulate patient safety information to be mapped by the Trust to their existing Children and Young People action plan to ensure that all themes had been picked up and that the action plan is robust.

Co-production is becoming increasingly relevant and manifest within healthcare; planning, design, implementation, review, evaluation and of course research. The National Institute for Health Research (NIHR) and other major national funders of health and social care...

This document presents a summary of what to find in the revised South East Clinical Senate report ‘The Clinical Co-Dependencies of Acute Hospital Services’ and should be read in conjunction with that report and the allied report ‘Teaching, Training and Research:...

The first edition of this document was produced in response to a major focus on the future role of acute hospitals. That focus has not diminished over the intervening time period and the acceleration of new and different ways of working driven by the COVID-19 pandemic...

This report is an adjunct to, and complements, our update of The Clinical Co-Dependencies of Acute Hospital Services report. Service delivery can never be considered in isolation. Education, training, and research are integral to delivery of quality services and by...

The East Midlands Clinical Senate was commissioned by the Northamptonshire ICB (Integrated Care Board) with a request to support the review of their end-to-end diabetes pathway across the county (prevention through to end-of-life care). A desktop review was...

The Clinical Senate has been asked to review the TNUH programme for the third time. The review focuses on any evidence gaps identified in the previous two reviews (December 2020 and April 2021), or where further work was to be undertaken by the system such as,...

East Midlands Clinical Senate has recently undertaken a thematic review of key Clinical models to support the development of the Tomorrow’s Nottingham University Hospitals programme of work. This review will form part of the final TNUH report following public...

The Clinical Senate was commissioned to review the outline clinical model for the Tomorrow’s NUH programme – one of the Trusts within the national New Hospitals Programme. The aim of the review was to consider the clinical evidence base and rationale underpinning the...

This report and checklist were developed by the East of England Clinical Senate in response to an approach by the Regional Virtual Ward team to support their work.  Dr Martin Hawkings, Head of System Improvement – Virtual Wards, East of England Clinical Quality...

The East Midlands Clinical Senate was commissioned jointly by NHS Nottingham and Nottinghamshire ICB and Sherwood Forest Hospitals NHS Foundation Trust to undertake a clinical review of the Newark Urgent Treatment Centre. The review was retrospective in nature as...

The East Midlands Clinical Senate were commissioned by the Lincolnshire Integrated Care Board (ICB) and United Lincolnshire NHS Trust (ULHT) to provide an independent clinical review in respect of their preferred option for the future service delivery of paediatric...

The Clinical Senate were commissioned to review the planned reconfiguration of the community services provided at the Feilding Palmer Community Hospital and to give a view on the permanent closure of a 10 bed inpatient facility on this site following a temporary...

On behalf of the London and South East Clinical Senates we are pleased to share the final joint Senates’ report of the proposed changes to the children’s specialist cancer services Principal Treatment Centre Programme (PTC) serving Brighton and Hove, East Sussex, Kent...

How can we build a sustainable NHS that’ll enable innovation and support the restoration of evidence based interventions, suspended during COVID 19 pandemic?” What models of care could help to address this?

How can we support people in the SW to live well with pain whilst reducing and preventing harm from opioids medication?

Service reconfiguration is a window of opportunity to drive forward the delivery of fair and equitable care. Both service providers and commissioners have a responsibility to support the triple aim of improving quality of care, reducing health inequalities across...

The Clinical Senate were proactively approached to review the historical legacy arrangements in place for the stroke services pathway (end to end) with the aim to highlight areas of focus and opportunities that will ensure the delivery of clinically sustainable, high...

The Clinical Senate was engaged by Black Country Integrated Care Board to undertake a clinical review of the proposed reconfiguration of the Urology Services between The Royal Wolverhampton NHS Trust and Walsall Healthcare NHS Trust. The proposal looked to reorganise...

The Clinical Senate were commissioned to review the planned reconfiguration of the community services provided at the Feilding Palmer Community Hospital and to give a view on the permanent closure of a 10 bed inpatient facility on this site following a temporary...

Workforce retention in healthcare and lessons learned from actions taken by organisations during the COVID 19 pandemic

Recommendations quantifying harm to patients and staff relating to ambulance delays and system-level interventions to mitigate the impact.  

Recommendations from the South West Clinical Senate Council on empowering and equipping clinicians, the wider workforce, healthcare leaders, and patients on making the necessary change in response to the threat of climate change, to protect the health of current and...

The Clinical Senate was proactively engaged by NHS Herefordshire and Worcestershire Integrated Care Board (ICB) to gain independent, external clinical support from the Senate on their plans to maintain the current provision of community-based care at home for older...

The East Midlands Clinical Senate were proactively engaged by the Lincolnshire System (specifically, the Integrated Care Board (ICB) and Lincolnshire Partnership NHS Foundation Trust) to gain independent, external clinical support from the Clinical Senate on their...

The East of England Clinical Senate was approached by Princess Alexandra Hospital Trust (PAH)  to undertake a review for proposals for an out of hospital model as part of new build hospital proposals on the Princess Alexandra Hospital site in Harlow. Please note that...