Cheshire & Merseyside ICB commissioned the NW Clinical Senate to undertake a clinical review of their options appraisal regarding the preferred way forward for the delivery of services currently delivered by the Trust. This review included the process,...
Northern England Senate – Review of Liverpool Women’s Counterfactual Case – April 2022 – unpublished
Yorkshire and Humber Senate – Review Of Gynaecological Oncology Multi-Disciplinary Team Processes at Northern Lincolnshire and Goole NHS Foundation Trust (March 2023)
NHS England’s Regional Medical Director for the North East and Yorkshire region to assess whether the Senate could assist NLaG’s Chief Medical Officer with a critical friend review of the gynaecological oncology multi-disciplinary team (MDT) processes to ensure that...
Northern England Senate – Review of Proposals for the Configuration of Older People’s Inpatient Services at South West Yorkshire Partnership NHS Trust (Nov 22)
In March 2022 the Northern England Clinical Senate was approached by South West Yorkshire Partnership NHS Foundation Trust and it’s commissioners, to review proposals to change the existing configuration of the older adult inpatient wards to deliver specialist care...
Northern England Senate – Review of Women and Children’s Specialised Services Transformation Programme in the North West (Aug 22)
In December 2021, the Northern England Clinical Senate was approached by the North West Specialised Commissioning Women and Children’s Transformation Programme to provide assurance on potential new models of care associated with specialised paediatric services. When...
NW Clinical Senate: Furness General Hospital Intensive Care Unit (April 2025)
Lancashire & South Cumbria ICB commissioned the NW Clinical Senate to undertake this review with the aim of providing an independent critical friend view of the options for future delivery of safe and sustainable level 3 critical care services at Furness General...
Yorkshire and Humber – Acute Aortic Dissection Rota – Yorkshire September 2024
In 2019 the Clinical Senate undertook a review of the plans for a Yorkshire and Humber-wide acute aortic dissection rota, the implementation of which was interrupted due to the global pandemic. In 2024 the Senate was presented with plans for a rota involving Hull and...
Yorkshire and Humber – Humber Acute Services Review June 2022
Following a Yorkshire and Humber Clinical Senate review in 2020, the Senate was approached in January 2022 by the Humber Acute Services (HAS) programme team, supported by all of its commissioners, to provide further independent clinical assessment on an updated set of...
Yorkshire and Humber – Humber Acute Services Review March 2023
Following a Yorkshire and Humber Clinical Senate review in 2020 and in 2022, the Senate was approached in December 2022 by the Humber Acute Services (HAS) programme team, supported by its commissioners, to provide further independent clinical assessment on an updated...
NHS North West London adult (18+) community-based specialist palliative care services improvement programme and proposed new model of care – May 2024
The London Clinical Senate was asked to review the NHS North West London adult (18+) community-based specialist palliative care services improvement programme and proposed new model of care, the London Clinical Senate commend the programme team for the quality and...
London Clinical Senate Review of North West London Adult acute Mental Health Services in the City of Westminster and the Royal Borough of Kensington & Chelsea (October 2023)
The London Clinical Senate reviewed the draft Pre-Consultation Business Case in advance of submission to the Stage 2 NHSE assurance processes. The review covered: The clinical case for change. The different clinical care model options and their implications for...
Midlands Clinical Senates Proactive Work – Primary Care Workforce – Integration of ARRS roles into Primary Care Networks
This project aimed to investigate the perceptions, enablers and barriers to integrating the NHS England Additional Roles Reimbursement Scheme (ARRS) roles into primary care within the Midlands.
Midlands Clinical Senates Proactive Project – Supporting a Greener NHS
This project reviewed the barriers to achieving a net zero NHS, focusing on sustainability in surgery. The team analysed regional green plans and found varying adherence to NHS sustainability goals. A brief video summarising the findings of this project can be viewed...
Midlands Clinical Senates Proactive Project – Reimagining Risk
This project aimed to review the concept of risk in systems (actual and perceived), who owns risks and at what levels, the impact it has on service delivery and how this could be reimagined from a system perspective instead of organisational perspective to improve...
London Clinical Senate – North Central London Start Well Programme Start Well: Ensuring the best care for pregnant women and people, babies, children, young people, and their families (November 2023)
The London Clinical Senate reviewed the draft Pre-Consultation Business Case in advance of submission to the Stage 2 NHSE assurance processes. The Senate focussed on the following questions: Is the case for change supported by evidence and best practice guidance?...
London Clinical Senate – North West London Adult acute Mental Health Services in the City of Westminster and the Royal Borough of Kensington & Chelsea (October 2023)
The London Clinical Senate reviewed the draft Pre-Consultation Business Case in advance of submission to the Stage 2 NHSE assurance processes. The review covered: The clinical case for change. The different clinical care model options and their implications for...
London Clinical Senate – Advice on proposals for adult elective orthopaedic services reconfiguration in North West London: case for change, clinical models, and the development of potential solutions (March 2023)
The London Clinical Senate reviewed the draft Pre-Consultation Business Case in advance of submission to the Stage 2 NHSE assurance processes. North West London ICS asked the London Clinical Senate to provide independent advice on proposals to transform elective...
London Clinical Senate – Population Health Management opportunities: the importance of effective mental health care to address long term conditions and improve physical health outcomes (Nov. 2022)
Clinical Senate Forum – Summary Report for this forum explored the connection between mental health and long-term conditions. Presentations and discussion were informed by population, patient, and service perspectives. These were underpinned by research and brought to...
West Midlands Clinical Senate Review of the Herefordshire and Worcestershire Stroke Services Model (September 2024)
The West Midlands Clinical Senate was commissioned by Herefordshire and Worcestershire Integrated Care Board (ICB) to undertake a clinical review of their proposed new model of delivery for the Hyper Acute Stoke Unit (HASU) and the Acute Stroke Unit (ASU) within the...
South West Clinical Senate Recommendations: Sustainable Early Intervention to Reduce Children’s Mental Health Demand in the South West (Nov 2024)
Recommendations from the South-West Clinical Senate Council on how we might deliver sustainable early intervention and prevention activities for children in the South West region to help stem the tide of rising demand for mental health services for children and young...
NW Clinical Senate: Southport, Formby, and West Lancashire Shaping Care Together Programme – Urgent and Emergency Care Services (January 2025)
Cheshire & Merseyside Integrated Care Board and Lancashire & South Cumbria Integrated Care Board, through the Shaping Care Together programme, commissioned the NW Clinical Senate to undertake an independent clinical review of plans for the future delivery of...
NW Clinical Senate: Refresh of the Proposed Models of Care for Phase 2 of South Tyneside & Sunderland’s “Path to Excellence” Programme (October 2021)
South Tyneside Clinical Commissioning Group (CCG) and Sunderland CCG jointly commissioned the NW Clinical Senate to refresh the previous independent clinical review, in line with the NHS England Stage 2 assurance process, of the proposed models of care for South...
NW Clinical Senate: Lancashire & South Cumbria New Hospitals Programme (Part 2) (October 2024)
Lancashire and South Cumbria Integrated Care Board commissioned the NW Clinical Senate to undertake an independent ‘critical friend’ review of a proposed option by Lancashire & South Cumbria New Hospitals Programme (L&SC NHP) for the future delivery of Urgent...
NW Clinical Senate: Lancashire & South Cumbria New Hospitals Programme (Part 1) (October 2021)
The aim of the review was to undertake an independent clinical review of the proposed plans for New Hospitals Programme (NHP) capital funding for Lancashire & South Cumbria (L&SC), specifically the Framework Model of Care being developed to support the...
NW Clinical Senate: Manchester University NHS Foundation Trust Specialised Vascular Surgery and Specialised Cardiac Services (November 2023)
The NW Specialised Commissioning team commissioned the NW Clinical Senate to undertake an early stage, independent clinical review of the draft case for change documents and the proposed clinical models of care for the future delivery of specialised tertiary cardiac...
NW Clinical Senate: Services for Adults with Learning Disabilities in Sheffield (December 2023)
South Yorkshire and Bassetlaw Integrated Care Board commissioned the NW Clinical Senate to undertake an independent clinical review of the proposed models of care for the future delivery of services to adults with learning disabilities in Sheffield. At the time of...
NW Clinical Senate: Women’s Hospital Services in Liverpool – Case for Change (July 2024)
The aim of the review was to provide advice and recommendations on the Case for Change for future delivery of Women’s Hospital Services in Liverpool. The piece of work focuses on Liverpool Women's Hospital and is a follow-up to previous reviews undertaken by both the...
East Midlands Clinical Senate Desktop Review of the Proposal to Permanently Close the Manthorpe Ward (Lincolnshire Partnership NHS Foundation Trust (LPFT)) (August 2024)
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...
West Midlands Clinical Senate Desktop Review of South Warwickshire Community Beds (October 2024)
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...
South East Clinical Senate. Enabling Improvement and Reducing Inequalities in Hypertension and Cholesterol Detection and Management in South East England (November 2024)
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,...
South East Clinical Senate. Physician Associates and Anaesthesia Associates in the NHS (October 2024)
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...
East of England Clinical Senate. Mid and South Essex Integrated Care Board. December 2023
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...
South East Clinical Senate Patient Access to Healthcare Records Report (September 2024)
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....
South West Clinical Senate Recommendations on how we ensure children and young people are appropriately prioritised and receive safe, high-quality, and timely care (Nov 2023)
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,...
South West Clinical Senate Recommendations 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? (June 2023)
A written thought piece. Reimagining the NHS...the next 75 years. Read more by following the link below
South West Clinical Senate Recommendations Supporting people to live well with pain whilst reducing and preventing harm from opioids medication (Feb 2023)
‘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...
South West Clinical Senate Recommendations Workforce Retention in healthcare and lessons learned from the Covid 19 pandemic (Nov 2022)
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...
South West Clinical Senate Recommendations Handover Delays (July 2022)
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.
South West Clinical Senate Recommendations Climate Change (Nov 2021)
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...
West Midlands Clinical Senates Review of the Staffordshire and Stoke-on-Trent Intrapartum Maternity Services (April 2024)
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...
East Midlands Clinical Senate Review of the Governance within the Upper Gastrointestinal Pathway at the University Hospitals Birmingham NHS Foundation Trust (April 2024)
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.
East of England Clinical Senate Advice – Cambridge Children’s Hospital (Dec 2023)
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...
Midlands Clinical Senates Proactive Project – ICS Communications
To review staff experience of communication around ICSs to date and how they would want to be communicated with in the future.
Midlands Clinical Senates Proactive Project – Treatment Resistant Depression
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
Midlands Clinical Senates Proactive Project – Workforce – Assessing variabilities in access to imaging requests for advanced practitioners working in acute trusts across the Midlands
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...
Midlands Clinical Senates Proactive Project – Therapeutic Mental Health Inpatient Environment
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...
Midlands Clinical Senates Proactive Project – Supporting Long COVID – Google Trends
The team have undertaken a project utilising internet search history as a repository of information on a new medical condition.
Midlands Clinical Senates Proactive Project -Artificial Intelligence Integration and Barriers to Widespread Adoption
To understand the barriers to adoption of AI technology in healthcare and how this can be supported to better utilise the available technology. ...
Midlands Clinical Senates Proactive Project – Clinical Governance
This project has worked with a large GP practice to evaluate the feasibility of embedding a matrix approach to clinical governance.
Midlands Clinical Senates Proactive Project – COVID Recovery and Healthcare Inequalities
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....