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The East Midlands Clinical Senate was commissioned by University Hospitals of Leicester NHS Trust to support the completion of their Pre-Consultation Business Case that will be used to enable UHL to secure capital funding and go out to consult the public on plans...

Building on the earlier work undertaken by the Clinical Senate in 2014, 2015 and 2017, the Senate was commissioned by Lincolnshire STP to review whether there is a clear clinical evidence base underpinning the proposals to reconfigure services to deliver improved...

This report by the East Midlands Clinical Senate provides background information, a case for change and recommendations to encourage more people to be more active more of the time. The focus of the report is physical activity and the benefits to be obtained through...

This report written in conjunction with the Royal College of Surgeons and with the support of the East Midlands Academic Health Science Network, Commissioning Services for an Ageing Population and Those Living with Frailty, summarises national publications with...

The East Midlands Clinical Senate facilitated a stakeholder event to identify a shared solution for dermatology services

This report from Public Health England East Midlands and the East Midlands Clinical Senate aims to support the delivery of the prevention challenge in the region. It highlights the projected rises in demand for health and care services, provides a practical framework...

Public Health England (PHE) East Midlands in partnership with the East Midlands Clinical Senate and the University of Sheffield developed a leading evidence review on ‘multiple site, single service models of care’ (MSSS). MSSS models of care are often the result of a...

Stroke Service Reconfiguration for Birmingham Solihull and the Black Country The West Midlands Clinical Senate was asked to provide clinical assurance of the Birmingham, Solihull and Black Country Stroke Services Reconfiguration programme as part of NHS England's...

The West Midlands Clinical Senate was asked to provide informal advice and expert ‘critical’ challenge, to the service models being developed in the Future Fit: Shaping Healthcare Together programme as part of NHS England’s Stage 1 assurance process.

The West Midlands Clinical Senate was asked to undertake a needs–based investigation into the provision of hepato-pancreato-biliary (HPB) services across the West Midlands.

The West Midlands Clinical Senate was asked by NHS England Arden, Herefordshire and Worcestershire Area Team to provide clinical assurance of the Future of Acute Hospital Services in Worcestershire Programme as part of NHS England's Stage 2 assurance process.

This Stage 2 Clinical Assurance Review was undertaken at the request of Warwickshire North Clinical Commissioning Group (CCG), who were acting on behalf of all three Warwickshire CCGs.

The West Midlands Clinical Senate was asked by NHS England Arden, Herefordshire and Worcestershire  Area  Team to  provide  clinical  assurance  of  the  Future  of  Acute Hospital  Services  in  Worcestershire  Programme  as  part  of  NHS  England  Stage  2...

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 the Future Fit Action Plan V11.

The West Midlands Clinical Senate was approached by North Staffordshire and Stoke on Trent CCGs to provide independent clinical advice on the Community Hospitals and Discharge to Assess Progress prior to their Strategic Sense Check as part of the NHS England assurance...

The West Midlands Clinical Senate was asked 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 part...

The West Midlands Clinical Senate was asked by Walsall CCG to provide independent clinical advice on the reconfiguration of Walsall Stroke Services. In addition to the report linked below, a further report is available on our website or via the following link:...

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 West Midlands Clinical Senate was asked by North Staffordshire and Stoke-on-Trent CCGs to provide independent clinical advice on the proposed future of local health services in Northern Staffordshire reconfiguration, with specific reference to community beds.

The West Midlands Clinical Senate was asked by Shropshire CCG to provide independent clinical advice on the proposed Shropshire midwifery-led unit reconfiguration.

Addendum to Shrewsbury and Telford Hospitals Emergency Department Overnight Closure Princess Royal Hospital, Telford The Stafford and Surrounds CCG formally requested the advice of the West Midlands Clinical Senate, to assess the benefits and risk associated with the...

Black Country and West Birmingham CCG is seeking to award an Integrated Care Provider contract to Dudley Integrated Health and Care NHS Trust.  This contract includes the provision of a number of community health services, currently provided by Dudley Group NHS...

The Clinical Senate received a recommendation from the West Midlands NHS England Medical Director to undertake a formal Senate review for the Dudley MCP clinical model, in November 2018. Dudley CCG was selected to join NHS England’s Vanguard Programme in early 2015...

Following the advice and recommendations formulated in 2019, the review panel reconvened for a short desk-top review in February 2020.

The Senate was commissioned to conduct a service review by the Nottinghamshire Healthcare NHS Trust Executive Team and senior officers in the CCG on the proposed reconfigured service model of the Orion Unit. This is the only service of its type in...

The East Midlands Clinical Senate were asked by the Leicester, Leicestershire and Rutland (LLR) STP to review their forward transformation plans for urgent and emergency mental health care and planned community mental health services for adults. The system is...

The COVID-19 pandemic has shone a stark light on inequalities in health and healthcare. The twin challenges of recovering NHS services inclusively, and realising the NHS Long Term Plan ambitions, requires focus and drive at every level in the NHS. Health inequalities...

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.

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...

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.

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...

Wirral Clinical Commissioning Group (CCG) commissioned Greater Manchester, Lancashire & South Cumbria (GMLSC) Clinical Senate to undertake an independent clinical review of the proposed plans for urgent and emergency care services delivery in Wirral.

Nationally, the Royal College of Paediatricians and Child Health have highlighted the issues and challenges facing the provision of children's acute care services in district general hospitals relating to the availability of a medical workforce sufficient to staff the...

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...

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...

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...

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...

The Northern England Clinical Senate were requested by Cumbria CCG to provide independent clinical assurance and advice to their Together for A Healthier Future programme. Phase 1 of this work was to give assurance on the pathways for high risk cardiac cases including...

The Northern England Clinical Senate were requested by Cumbria CCG to provide independent clinical assurance and advice to their Together for A Healthier Future programme. For Phase 2 of the work the Northern England Clinical Senate were asked to help the development...

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. Undertaken by...

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...

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...

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...

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...

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...

The GMLSC 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...

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...

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

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...