Reports and recommendations repository
Following the Senate report published in April 2016 which considered the earlier stages of this work, a future direction of travel for vascular services across Yorkshire and the Humber was developed by the commissioners. The Senate was asked to carry out a further...
Clinical review of the case for change and the options developed by South Yorkshire, Bassetlaw and North Derbyshire to improve the provision of stroke services.
The Case for Change for children's surgery and anaesthesia had previously been reviewed and supported by the Senate. This report relates to a subsequent request to give advice on the service specification in terms of its completeness as a comprehensive high quality...
Following recommendations made by the Senate in part 1 of this review, the Working Together commissioners developed a blueprint for stroke services across Yorkshire and the Humber. The Senate was asked to review the blueprint and the principles which underline it.
Nationally, the Royal College of Paediatricians and Child Health have highlighted the issues and challenges facing the provision of childrens acute care services in district general hospitals relating to the availability of a medical workforce sufficient to staff the...
To what extent is growing concern regarding the sustainability of the workforce in the South West valid, and what principles should STPs work to in order to successfully plan and deliver their workforce strategies?
The East Midlands Clinical Senate was commissioned by NHS England in response to the severe winter pressures experienced in 2017/18 to assess the evidence currently available to organisations within our region to assist in their planning for Winter Pressures, and to...
The rapid increase in demand for services, constrained funding and a number of other challenges have greatly impacted the supply and retention of the health and social care workforce both nationally and within London. This event looked at the implications and...
An independent clinical review of the proposed plans for urgent and emergency care services delivered in Wirral, in line with the NHS England Stage 2 assurance process.
At this event, system leaders, clinicians and patients heard about the current challenges in the system from service users, carers, health and social care staff, London Ambulance Service and the police. Attendees discussed and debated ideas and potential solutions for...
Review for Stage 2 assurance of Dorset CCGs Clinical Service 'Whole System' proposals for reconfiguration of services across 3 acute sites to improve the sustainability of the services and improve patient access. Included the designation of a major emergency hospital...
The Senate deliberations highlighted the potential for clinical and specialist collaboration to help and inform STP delivery going forward. The recommendations provide detail of the offer to STPs from the Senate and other ALBs from the SW region.
The NHS 5 year forward view highlights the health and wellbeing gap: "if the nation fails to get serious about prevention then recent progress in healthy life expectancies will stall, health inequalities will widen, and our ability to fund beneficial new treatments...
How do we become exemplars in looking after the Wellbeing and Mental Health of our Children and Young Peoples Mental Health Workforce in the South West?
The Senate advised on a safe and sustainable primary care service in collaboration with Health Education Wessex and Wessex AHSN. The scope of the project was to provide advice in addition to other primary care initiatives (e.g. vanguard, GPFYFV). The report and...
As part of the move from the Together for a Healthier Future programme in the West, North and East Cumbria Success Regime, the Clinical Senate was asked to identify and provide a range of clinical expertise to support the development of a set of clinically and...
The Senate advised on a vision-led model for maternity services in January 2014. Papers were prepared by the Strategic Clinical Network and the Senate commented on them and produced recommendations for improvement and reconfiguration of maternity services.
The Senate advised on a vision-led model for paediatric services in January 2014. Papers were prepared by the Strategic Clinical Network and the Senate commented on them and produced recommendations for improvement and reconfiguration of paediatric services.
The West Midlands Clinical Senate was asked to provide independent clinical advice on the reconfiguration of Walsall Stroke Services to assess and confirm the clinical quality, safety and sustainability of the reconfiguration of Walsall Stroke Services.
Following changes to joint working arrangements between North Cumbria University Hospitals and Dumfries and Galloway Hospital in Scotland, the Northern England Clinical Senate have been asked by NHSE/I Specialised Commissioners to review a number of options for the...
Following changes to joint working arrangements between North Cumbria University Hospitals and Dumfries and Galloway Hospital in Scotland, the Northern England Clinical Senate have been asked by NHSE/I Specialised Commissioners to review a number of options for the...
The West Midlands Clinical Senate was asked by Walsall CCG to provide independent clinical advice on the proposed consolidation of Walsall Urgent Care Services on the Walsall Manor Hospital site.
The review, commissioned by University Hospitals of Leicester NHS Trust (UHL), to support completion of their Pre-Consultation Business Case to secure capital funding and commence public consultation on plans to reconfigure the acute hospitals onto two sites. The...
The Senate was asked to give advice on the proposal to decommission maternity and paediatric services provided at Ealing Hospital and to commission equivalent alternative capacity at other hospitals across North West London, supported, by redesigned clinical pathways....
Previous work to rationalise the number of arterial vascular centres across Yorkshire and the Humber had been completed but remaining services were still not compliant with the national service specification. Commissioners and stakeholders worked to define a future...
East Riding of Yorkshire CCG published its Urgent Care Strategy in 2016. It went on to review its current provision of Minor Injuries Units and community beds across their geography producing a case for change. The Senate was asked to advise on the strength of the...
Utilisation review (UR) has emerged as a methodology which explores the extent to which resources are appropriately used, systematically applying a set of objective clinical criteria to admissions, bed days and episodes, and assessing the appropriate level of care....
A comprehensive clinical overview of the inter-dependencies of a wide range of acute hospital-based clinical services, and some of the key themes to consider in planning reconfiguration of services. A detailed grid summarises which services need to be co-located,...
Horizon scanning of all clinical/medical/technological developments in pipeline which will impact on the way health services are delivered or configured in 10-20 years time. A powerpoint presentation is available on request.
Review of early stage proposals for hospital rebuild to include reconfiguration of acute & community services onto a 'health & care campus'. Initial proposals using a number of services as examples - further work and reviews to follow
Follow up to first Senate report to Cumbria CCG on Together for A Healthier Future programme (June 14). The Clinical Senate was asked to carry out a further review and give clinical assurance on the pathway for acute stroke services and to give advice on the...
Review and refine draft clinical standards to ensure alignment with national evidence base, advice on the prioritisation of a core set of clinical standards for use in hurdle criteria application as part of future options appraisal methodology and further advice on...
The Senate deliberations highlighted the potential for clinical and specialist collaboration to help and inform STP delivery going forward. The recommendations provide detail of the offer to STPs from the Senate and other ALBs from the SW region.
MDTs in cancer surgery requested guidance regarding their work and boundaries when making recommendations to operate, particularly in the area of complex or highly invasive surgery where benefits may be limited. There was no intention to limit surgical decision making...
The London Clinical Senate Forum and the work of the London Health Commission identified self-care in young adults as a major priority for the health system in London. The Senate ran engagement events in different community settings and provided training and support...
Paper drawing distinction between different types of advice provided by Senate Council - discussed at national Senate meeting and feedback incorporated.
Review of proposals for new model of mental health provision
An independent clinical review of the proposed plans for emergency department, acute medicine, emergency surgery and elective and specialist services delivered in Sunderland & South Tyneside, in line with the NHS England Stage 2 assurance process.
How can healthcare services and universities work together with students to improve their mental health and wellbeing, preventing university student suicide in the South West?
Are the mental health services in Thames Valley of sufficient scale, effectiveness and reach, to give us the best chance to meet and exceed the suicide prevention target for BOB and Frimley STP? Identifying the most effective interventions to reduce suicide and self...
Provision of clinical expertise and advice for a series of deep dive pathway reviews. This included a report from a deep dive workshop which explored how Morecambe Bay health and care services could move at pace towards the development of an accountable care system...
Desktop Review Completed in Nov 2019. Awaiting date for review panel in 2020.
Review of Somerset STPs Fit for My Future Programme: Adults of Working Age Inpatient Mental Health proposals. Review panel took place in September 2019 following a Desktop Review in June 2019. The Clinical Review Panel (CRP) supported the proposals to move 14...
Clinical review to consider the proposals from Specialised Commissioning for location of PET CT Scan in Basildon & Thurrock and Southend Hospitals in south Essex
The Senate was asked to undertake a stage 2 clinical review of the proposed reconfiguration of the Freestanding Midwifery-led Birth Unit at County Hospital: Documentation and evidence submitted by the sponsoring organisation (Stafford and Surrounds Clinical...
The West Midlands Clinical Senate was approached by NHS Herefordshire Clinical Commissioning Group to provide independent clinical advice on the One Herefordshire System Community Transformation Programme Living Well at Home, prior to their Strategic Sense Check as...
In order to deliver excellent care which complies with NHS Englands service specifications, these are the principles which the South West Clinical Senate proposes that specialised commissioning should consider.
Resource for commissioners. References an extensive evidence base with guidance on delivering care for the frail and elderly including a description of comprehensive geriatric assessment with evidence for benefits realisation. Includes examples of best practice case...
Strategic Review Services. June 18 Stage 1 desktop review planned, Spring 2019 Stage 2 Clinical Review
The West Midlands Clinical Senate was asked by the Future Fit Programme Board on behalf of Shropshire, Telford &Wrekin CCG to provide independent clinical advice on its preferred options for reconfiguring acute hospital services in Shropshire and Telford & Wrekin...
The Senate was asked by Shropshire CCG to provide independent clinical advice on the proposed Shropshire Midwifery Led Unit (MLU) reconfiguration proposal.
The Senate was asked by the NHS England Medical Director for the West Midlands on behalf of SaTH to provide independent clinical advice on the proposed overnight closure of the Emergency Department at Princess Royal Hospital, Telford. Following the initial review,...
Stage II Clinical Assurance of the proposed Stroke Service Reconfiguration for Birmingham, Black Country and Solihull. The Clinical Senate was asked to consider whether the clinical case was made for reconfiguring stroke services to deliver specialist stroke centres...
This is a proactive topic to translate the obesity guidance to practice locally, looking across the whole pathway of care from prevention to bariatric surgery.
Clinical Review of the service specification for urgent care proposals. The CCG had developed a proposed model for the provision of an integrated Urgent Care service which would involve the reconfiguration of current services, GP Out of Hours, Minor injuries and Walk...
A clinical senate review of the PCBC for Sustainable Healthcare in East Kent
A clinical sente review of changes to Eastbourne and Hastings town centre Walk-In provision.
The current dermatology service, including the management of 2WW, was commissioned in 2011 and is community based with acute provision for complex surgery or anaesthesia. The service was reviewed in 2015 and the Senate was asked for its clinical opinion of the...
The current dermatology service, including the management of 2WW, was commissioned in 2011 and is community based with acute provision for complex surgery or anaesthesia. The service was reviewed in 2015 and the Senate was asked for its clinical opinion of the...
Shipley Hospital is a small community hospital in Bradford. Despite ongoing maintenance, the building continues to pose issues for staff and patients due to its age and condition The Trust and CCG are therefore considering the functional suitability of the building...
Building on the work undertaken by the Senate in 2015, commissioners developed the West Yorkshire and Harrogate Hyper Acute Stroke and Acute Stroke Strategic Case for Change. The Senate was asked to review the Case for Change and advise whether it supported the...
Early stage review, requested by specialised commissioning, of proposals for new service located on two sites (Addenbrookes and Norfolk and Norwich Hospitals)
Review of the options being considered for ENT within Northern Lincolnshire and Goole. The proposals considered centralising the service onto one hospital site, rather than being delivered at both DGH sites. The proposal was based on national best practice around...
A detailed critique of the STP's draft case for change was undertaken prior to its finalisation and publication. The feedback related to the need for ambition, alignment with local, regional and national strategies, gaps in data or focus, delivering required standards...
An expert panel reviewed the draft case for change, and make recommendations on key factors to take account of in deciding the future configuration of vascular services in Kent and Medway.
A detailed review of the draft case for change and the first stage decision making criteria for stroke services in Kent and Medway.
Advice on proposals for mental health services in North Central London in progress (stage 2 review)
The GM Clinical Senate reviewed proposed plans for a community dermatology service and referral management system. It found that in principle the model was sound and offered a number of recommendations in relation to clinical issues including cancer two week rules and...
To provide a practical toolkit for improving provision of stop smoking interventions in NHS acute trust settings. Provide practical recommendations on overcoming barriers and implementing best practice.
Building on the Senate review in 2016 of the Case for Change, the Senate was asked to review the proposed model of 2 centres, 3 operating sites and consider whether it was a sustainable option and how could it work most effectively, across the 3 sites, to deliver high...
The Senate was asked to provide their advice on whether a regional Mechanical Thrombectomy (MT) service, delivered by each of the three MT centres (Hull, Leeds & Sheffield) on a one in three rotational basis, was a suitable and acceptable interim solution to enable a...
The Clinical Senate performed a desktop review of strategy and plans and produced clinical advice for NHS England that was used in a Confirm and Challenge meeting with the Better Care Together programme leads. The advice was used to inform NHS England and Monitor in...
An iterative review of the proposals for an acquisition in the south of the Thames Valley by a provider from outside of the patch. The work of the Senate was not to question the acquisition but to map and consider the potential impact of any changes to clinical...
A review and recommendations on both the approach that Sussex commissioners have taken, and a detailed critique of the proposed options for future stroke services in two of the trusts in Sussex (Western Sussex Hospitals and Brighton and Sussex University Hospitals)
Wakefield CCG asked the Senate to consider the the preferred model for the Midwifery Led Unit at the Pontefract Hospital building on the early advice previously provided in May 2019
A review of the ophthalmology out of hours model across the Working Together Vanguard Partnership in South Yorkshire and Bassetlaw. The Senate was asked to provide informal advice on whether there were any safety concerns with the model which had experienced some...
Wakefield CCG asked the Senate to inform the development of the options for the midwifery led unit at Pontefract Hospital as part of an overall strategy for Maternity Services across the Trust prior to any required public consultation. The Senate was asked to identify...
To consider the wider impact of proposals and unintended consequences of the re-provision of on the day urgent care
The Clinical Senate was asked to comment (as part of the NHS England assurance process) on a change to the service model for the delivery of paediatric care at the new Northumbria Specialist Emergency Care Hospital (NSECH) ( opened in July 2015.)
Wakefield CCG asked the Senate to consider the the preferred model for the Midwifery Led Unit at the Pontefract Hospital building on the early advice previously provided in May 2019
Calderdale CCG asked the Senate to provide an independent clinical view of their proposed model for mental health recovery and rehabilitation. The proposals include the closure of some community inpatient facilities and investment of that funding in a specialist...
The Vale of York CCG has been working with their provider Tees Esk and Wear Valley Foundation trust (TEWV) to transform mental health services. All the mental health estate and facilities across the Vale of York have been reviewed and an approach taken to develop...
Northumberland CCG is reviewing the provision of midwife-led maternity services in the more rural parts of the county. The senate has been asked to review the proposals ahead of stage 2 NHS England assurance and public consultation.
A review of the draft strategy for urgent care and rapid response across the city of Leeds. The Senate was asked to provide informal advice on the developing strategy advising on the issues within the strategy that need to be addressed as the detail develops. The...
A review of the draft strategy for urgent care and rapid response across the city of Leeds. The Senate was asked to provide informal advice on the developing strategy advising on the issues within the strategy that need to be addressed as the detail develops. The...
Liverpool CCG asked the Senate to review whether the clinical case for change, optional appraisal development and proposals for consultation offer the best clinical options for sustainable, high quality and optimal patient experience for future of the services that...
The clinical senate was asked to review four specific service delivery models. For each , the question posed was: Will the proposed new models of care result in better quality care and improve patient outcomes and experience; are they realistic, appropriate and...
A review of the Kent and Medway STP's draft case for change (C4C), prior to their development of an internal use C4C and a public facing version, which would inform subsequent papers describing models of care, and service options. We noted that there is no national or...
Hull CCG developed a proposal for an integrated care centre in Hull, designed to enable rapid assessment and improved management of long term conditions in a community setting. The centre would be Hulls only purpose built rehabilitation/re-ablement facility. This was...
Hull CCG developed a proposal for an integrated care centre in Hull, designed to enable rapid assessment and improved management of long term conditions in a community setting. The centre would be Hulls only purpose built rehabilitation/re-ablement facility. This was...
Clinical review of the proposed integrated community services model including provision and location of GP and OOH services for Great Yarmouth and Waveney as part of an NHSE assurance process.
There are three specialist HPB resection centres within the West Midlands serving a population of 5.2 million. The Improving Outcomes Guidance in Upper Gastrointestinal Cancers (IOG) state that each centre should aim for a population of 2-4 million meaning that some...
Consideration of options to ensure future sustainability of Goole Hospital. Commissioners developed options to maximise capacity and resources including developing more integrated services on site through a Health Campus model. The original proposal was withdrawn and...
Harrogate and Rural District Clinical Commissioning Group (HaRD CCG) developed proposals to reconfigure their mental health service for working age adults and older people in the Harrogate and Rural District area. The Senate was asked to advise if the proposed model...
Harrogate and Rural District Clinical Commissioning Group (HaRD CCG) developed proposals to reconfigure their mental health service for working age adults and older people in the Harrogate and Rural District area. The Senate was asked to advise if the proposed model...
The Senate was asked by Specialised Commissioning to review their proposals for the reconfiguration of clinical haematology services provided by Hull and East Yorkshire NHS Hospitals Trust (HEYHT) and Northern Lincolnshire and Goole Hospitals NHS Foundation Trust...
The Bradford Provider Alliance led a redesign of the integrated diabetes service to deliver an end to end diabetes pathway and patient journey from prevention through to acute intervention. The Senate was asked to review the proposal and advise whether it would...
The Senate was asked by Specialised Commissioning to review their proposals for a Yorkshire and the Humber wide aortic dissection rota. This is a region wide rota, with a specialist surgeon on call, taking all patients with aortic dissection. The Senate was asked to...
Clinical Review of a proposed community Clinical Assessment and Treatment ophthalmology service considering whether the scope of the service was clinically safe to be delivered in a community based, consultant led service
Clinical Review of a proposed community Clinical Assessment and Treatment ophthalmology service considering whether the scope of the service was clinically safe to be delivered in a community based, consultant led service