Deliberation about he most effective methods for delivering smoking/tobacco prevention in the South West and how could the health community be used to support this? Defining a smoke free NHS. In May 2017 the Clinical Senate Council session considered smoking and...
The South West Clinical Senate convened a Clinical Review Panel which sat on the 18th and 19th of July 2017 to deliberate and consider Gloucestershire STP’s proposals for its Clinical Advice and Assessment Service (CAAS), Urgent Care Centres (UCCs), its Acute...
In September 2016, the Thames Valley Clinical Senate (the Senate) was asked to undertake a clinical review of the Phase 1 Oxfordshire Transformation proposals, as part of the formal NHSE stage 2 assurance processes. This was completed in November 2016. Further...
Health Education England Wessex and Wessex Clinical Senate jointly commissioned the Wessex Primary Care Project, with project management provided by Wessex Academic Health Science Network (Wessex AHSN). The aims of the project were to: Develop a baseline record of...
A briefing for clinicians on achieving the best patient outcomes within available resources. This report defines the concept of value in healthcare, both for populations and for individual patients, and how this requires a re-focus on achieving outcomes that matter...
Clinical Senate Forum - Summary Report Meeting the needs of a growing and ageing population is one of the key challenges and the number of Londoners aged over 80 is predicted to increase by 40% over the next 15 years. As the greatest users of health and care services...
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...
Deliberation and recommendations around the subject: How best can weight loss and smoking cessation be encouraged through criteria for fitness for surgery and what is the evidence base for improved outcomes as a result? Based on the papers reviewed in advance of the...
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...
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...
Emergency General Surgery (EGS) represents the largest number of surgical admissions in UK hospitals and accounts for a high number of complications, resulting in long periods of care and a high number of fatalities. This report provides advice on how EGS services...
On the 29th November 2016, the Thames Valley Clinical Senate Council reviewed and endorsed the report received from the Clinical Review Team which had been established to carry out a formal clinical review of the proposals put forward by Oxfordshire Clinical...
Clinical Senate Forum - Summary Report Comprehensive out of hospital is a broad topic encompassing a wide range of services and issues, so there was a focus on initiatives aimed at admission avoidance and facilitating discharge. The event included a review of the...
Thames Valley Clinical Senate has been asked to review the system transformation proposals developed by Oxfordshire Clinical Commissioning Group (CCG) for its local population as part of NHS Englnd’s assurance process. At a time of major financial restraint in the NHS...
A guide to improving clinical pathways and models of care that are less dependent on acute hospitals. It provides a detailed guide to managing acute symptoms and conditions out of hospital where safe and appropriate to do so. This report also provides detailed...
As Sustainability and Transformation Plans (STPs) are being developed across the 6 STP footprints in the South West, the Clinical Senate is increasingly being asked to provide independent clinical review of plans for community transformation. The Senate can give...
The Clinical Senate convened a clinical review panel to consider South Devon and Torbay CCGs proposals for community services transformation. The proposals included an increase in place based care with the development of clinical hubs and health and wellbeing centres...
The Clinical Senate Council reviewed NEW Devon Clinical Commissioning Groups proposals to reduce community hospital beds whilst investing in community staff and services to provide care via three key components identified as necessary to support enhanced care at home.
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.
Clinical Senate Forum - Summary Report Ensuring patients receive consistent, high standards of care, seven days a week, is a priority for the NHS. Early work towards this goal and baseline surveys of hospital services have highlighted the scale and complexities of the...
The South West Clinical Senate conducted an independent clinical review of community rehabilitation, reablement and recovery services model implementation for South Gloucestershire CCG.
The Clinical Senate conducted an independent clinical review of complex spinal surgery referral pathways at North Bristol NHS Trust and Plymouth Hospitals NHS Trust at the request of the Specialised Commissioning team for Orthopaedics, Neurosurgery and Spinal Surgery....
Advice on proposals for elective orthopaedic care in South East London Report of the Clinical Review Panel held on 06 May 2016 The Senate was asked to provide advice on proposals to consolidate elective orthopaedic inpatient care in South East London - a stage 2...
Advice on plans for transition of paediatric services in north west London Report of the Clinical Review Panel held on 11 February 2016 The Senate was asked to provide advice on plans for the transition of paediatric service from Ealing Hospital. This piece of work...
Local review of model of Care for South Gloucestershire CCG 3R model of care. Not part of NHS England assurance process but the clinical review model was followed with an out of area team conducting the review. Second stage review process was completed in January 2016.
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 South East Clinical Senate (SECS) received a formal request for a clinical review from The Surrey clinical commissioners to answer the following question: For a population whose local acute hospital does not have either a hyper-acute or acute stroke unit, how can...
The Clinical Senate was asked to review the methodology used by the Sussex Stroke Clinical Reference Group (SSCRG) to date to make any recommendations for improvement. The expert clinical review group identified a wide range of issues that it advises both the SSCRG...
As seen through the experience of service users and their family/carers is the current provision of mental health services and their configuration appropriate? How and where should services best be accessed for early help, ongoing support and in crises and what...
Giving due attention to issues of local clinical engagement and ownership whilst retaining focus on economies of scale, the SW Senate provided recommendations about how all health and social care communities can move from their current provision of urgent and...
The South East Clinical Senate (SECS) received a formal request for a clinical review from the Kent and Medway CCGs, through the Kent and Medway Stroke Programme Board, to inform their strategic planning for future stroke services.
The South East Clinical Senate (SECS) received a formal request for a clinical review from NHS England South, through the Kent and Medway Vascular Programme Board in order to inform their strategic planning for future vascular services in Kent and Medway.
South West Clinical Senate Council Meeting, 14th May 2015, Taunton Rugby Football Club The question: Can the Clinical Senate assure South West CCGs that the clinical co-dependencies described by the South East Coast Senate are appropriate to support comprehensive,...
Advice on plans for the transition of maternity, neonatal, paediatric and gynaecology services from Ealing Hospital. Report of the Clinical Review Panel held on 11 March 2014 The Senate was asked to give advice on the proposal to decommission maternity and paediatric...
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...
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,...
Recommendations about the criteria (clinical, pragmatic and humanistic) which should be used to determine suitability for discharge from acute units to community settings (including normal place of residence).
Report of the Clinical Review Panel held on 29 October 2014 The Senate was asked to provide independent clinical advice on proposals for inpatient mental health services in South West London which underpinned a substantial development programme to modernise facilities...
In January 2014, the nine CCGs in Hampshire, Dorset, Portsmouth, Southampton and the Isle of Wight asked the Strategic Clinical Network for Maternity, Children and Young People to develop a 5-10 year strategic plan for maternity, neonatal and paediatric services. This...
Using available evidence and guidance the Senate made recommendations about how emergency surgical services should be configured in the South West, so as to provide comprehensive, high quality emergency care based on national standards that is sustainable for the...
The Wessex Clinical Senate was asked by West Hampshire and North Hampshire CCGs and NHS England (Wessex) to provide assurance on the clinical service change proposals by Hampshire Hospitals for the development a new critical treatment hospital for North and Mid...
A reconfiguration proposal was developed in 2014/15 for Frimley Park Hospital, in Camberley, Surrey, to acquire Heatherwood and Wexham Park Hospital (HWP), Slough by means of a financial merger. The proposal was seen as an opportunity to help secure the sustainability...
In August 2014 the London Clinical Senate launched the “Helping Smokers Quit” programme to support whole-system behaviour change, with the goal that every London clinical knows the smoking status of each patient they care and supports them to quit. It focused on...
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...
Advice in relation to recommendations for service change for (mainly) specialised cancer and cardiovascular services and the model of care for radical prostatectomies Report of the Clinical Review Panel held on 11 March 2014 The Senate was asked to provide advice in...
Advance Care Planning (ACP) is a vital component of end of life care planning. This publication summarises the benefits of ACP, explores the current barriers to its greater uptake, and provides a wide range of recommendations to enable its greater use. Our publication...
Horizon Scanning - referred to the Senate following anecdotal evidence of pressure on mental health services in Wessex. A scoping piece of work was commissioned by the Senate from the Strategic Clinical Network.
Given the demography of the South West and taking into consideration: 24/7 access to a specialist opinion, the issue of late diagnosis and people over the age of 50, the senate has specified recommendations for the optimal model/s to deliver HIV care to children and...
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.
Request for advice from Strategic Clinical Networks who had concerns that the implementation of the Health and Social Care Act 2012 had resulted in a significant increase in acute referrals out of Wessex (particularly for Specialised Services). The Senate commissioned...