The Clinical Senate may provide advice at different stages of the major service change process. They may provide early feedback as proposals are developed, by commenting on a Case for Change Case in addition to the formal role of considering proposals contained within a pre consultation business case, which then inform the NHS England Stage 2 assurance checkpoint.
The review outputs, reports and recommendations of from the London Clinical Senate are provided below. These are the property of the sponsoring organisations and are published in the public domain, following their express permission.
Please click on the report titles to view the reports.
London - An independent clinical review of the proposal for Moorfields Eye Hospital to move from City Road to a new building on the site of the old St Pancras Hospital - January 2019
The Improving Healthcare Together 2020 to 2030 programme (IHT) was set up by the predecessor bodies to NHS Surrey Heartlands and NHS South West London CCGs in January 2018 to find the best solutions for the long-standing issues facing Epsom and St Helier hospitals.
NHS Surrey Heartlands and NHS South West London CCGs asked the Clinical Senates of London and the South East (Kent Surrey and Sussex), to provide independent advice on their proposals to improve the future of acute services in the combined geographies of Sutton, Merton and Surrey Downs CCGs. These services are provided by Epsom and St Helier University Hospitals NHS Trust.
As part of the acute service reconfiguration plans it was proposed that renal inpatient services provided by Epsom and St Helier would move from St Helier to Sutton, alongside other acute hospital inpatient services. This proposal formed part of the decision-making business case presented to and agreed by South West London CCG and Surrey Heartlands CCG at a Committee in Common meeting in July 2020.
Subsequently, clinical and managerial leads at Epsom and St Helier and St George’s have made a statement of support for a joint specialist renal inpatient unit, to be located at St George’s hospital. NHS Surrey Heartlands, NHS South West London CCGs, NHS England specialised commissioning and North East Hants and Farnham CCG asked the Clinical Senates of London and the South East (Kent Surrey and Sussex), to provide a further independent review on their proposals and options therein to merge the acute renal inpatient services currently provided separately at St Helier Hospital and St George’s Hospital Tooting to the St George’s hospital site, rather than the scheduled transfer of renal inpatient services provided by St Helier Hospital to the new hospital site at Sutton.
Advice on proposals for mental health services in Lambeth
The Senate was asked to provide advice on proposals relating to moving the provision of acute inpatient and psychiatric intensive care services from the Lambeth Hospital site in Stockwell to the Maudsley site at Denmark Hill. This was a stage 2 review.
Advice on proposals for adult elective orthopaedic services in north central London
The Senate has been asked to provide advice on proposals to consolidate the provision of adult elective orthopaedic services in north central London. This is a stage 2 review.
Advice on proposals for the relocation of Moorfields Eye Hospital
The Senate was asked to provide advice on proposals to relocate Moorfields Eye Hospital. This was a stage 2 review.
Advice on proposals for mental health services in Camden and Islington
The Senate was asked to provide advice on proposals to improve in-patient mental health services in Camden and Islington which included the relocation of in-patient beds and a new model of working with community services. This was a stage 2 review.
Advice on proposals for elective orthopaedic inpatient care in south east London
The Senate was asked to provide advice on proposals to consolidate elective orthopaedic inpatient care in South East London – a stage 2 assurance review. The Senate provided advice on 3 issues, 1) whether the case for change and proposed model of care have a clear evidence base 2) whether the proposed model of care would be clinically safe, whilst maintaining a robust system of trauma care and care for patients with complex needs and 3) the potential of the proposed model to improve the quality of elective orthopaedic care.
Advice on plans for transition of paediatric services in north west London
The Senate was asked to provide advice on plans for the transition of paediatric service from Ealing Hospital. This piece of work was part of a wider set of proposals to transform the way healthcare is delivered for people in North West London.
Transition of maternity, gynaecology, neonatal and paediatric services for a trust in North West London
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. This request related to implementation of plans agreed following public consultation in 2012 on a set of proposals to transform the way healthcare is delivered for people in North West London.
Advice for proposals on in-patient mental health services in south west London
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 provided by South West London and St George’s Mental Health NHS Trust. The Senate’s Clinical Review team provided advice on the proposed model of care. This advice informed stage 2 of NHS England’s service change assurance process.
Advice in relation to recommendations for service change for (mainly) specialised cancer and cardiovascular services and the model of care for radical prostatectomies.
The Senate was asked to provide advice in relation to proposals to consolidate, specialised cancer, cardiac services and the model of care for radical prostatectomies in North Central and North East London. Models of care to improve cancer and cardiovascular services in London were published in August 2010 which led to the development of recommendations for specialised cancer and cardiovascular services in the geographical patch. NHS England, using these recommendations prepared a Case for Change which the Senate reviewed. Separate reports were written for cancer and cardiovascular services and the model of care for prostatectomies.