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National Clinical Senate Reviews

Reports and recommendations repository

Yorkshire and the Humber Vascular services – Part 2

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...

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Workforce Sustainability

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?

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Workforce – Turning a Risk into an Enabler

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...

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Wirral Urgent Care

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.

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Whole system clinical services review

Review for Stage 2 assurance of Dorset CCG’s 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...

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Wellbeing of CYMH Workforce

How do we become exemplars in looking after the Wellbeing and Mental Health of our Children and Young People’s Mental Health Workforce in the South West?

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Vision-led model for maternity services in Wessex

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.

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Vision-led model for paediatric services in Wessex

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.

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Walsall Stroke Services review

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.

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02 Vascular Services for North Cumbria

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...

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01 Vascular Services for North Cumbria

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...

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Walsall Urgent Care

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.

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Urgent Care Review

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...

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Utilisation review

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....

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The clinical co-dependencies of acute hospital services

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,...

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The NHS at 90

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.

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The Princess Alexandra Trust, Harlow

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

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Supporting and developing STP plans in South West

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.

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Surgical Interventions with Limited Benefit

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...

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Supporting young adults to self-care (proactive work)

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...

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Student Mental Health

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?

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Suicide Prevention

‘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...

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Somerset mental health clinical review

Review of Somerset STP’s 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...

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South Essex PET CT Scan

Clinical review to consider the proposals from Specialised Commissioning for location of PET CT Scan in Basildon & Thurrock and Southend Hospitals in south Essex

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Staffordshire Midwife Led Birth Unit (MLUI)

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...

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Stage 1 Advice for NHS Herefordshire CCG

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...

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Specialised Commissioning Principles

In order to deliver excellent care which complies with NHS England’s service specifications, these are the principles which the South West Clinical Senate proposes that specialised commissioning should consider.

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Somerset

Strategic Review Services. June 18 Stage 1 desktop review planned, Spring 2019 Stage 2 Clinical Review

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Scarborough and Ryedale Urgent Care review

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...

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01 Review service specifications for Dermatology Pathway

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...

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02 Review service specifications for Dermatology Pathway

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...

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Review of West Yorkshire Hyper Acute Stroke services

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...

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Review of the Kent and Medway Case for Change

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...

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Review of proposed community dermatology service

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...

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Review of proposals for future stroke services in Sussex

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)

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Review of Mental Health Services for the Vale of York CCG

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...

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Review of Midwife-Led Units in Northumberland

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.

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01 Review of Leeds Urgent Care and Rapid Response Strategy

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...

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02 Review of Leeds Urgent Care and Rapid Response Strategy

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...

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Review of Kent and Medway STP Case for Change

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...

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01 Review of Hull Integrated Care Centre

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 Hull’s only purpose built rehabilitation/re-ablement facility. This was...

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02 Review of Hull Integrated Care Centre

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 Hull’s only purpose built rehabilitation/re-ablement facility. This was...

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Review of Goole Hospital

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...

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Review of diabetic model across Bradford

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...

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