The Clinical Senate may provide advice at different stages of the major service change process. In addition to their formal role of considering proposals contained within a pre consultation business case to inform the NHS England Stage 2 assurance checkpoint, they may also provide early feedback as proposals are developed by commenting on a case for change.

 The outputs, reports and recommendations from the Clinical Senate are shared with the sponsoring organisations and are published in the public domain, following their express permission.

Please click on the report titles to view the reports.

 

 

2020

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.

 

2019

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.

2018

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.

2016

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.

2015

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.

2014

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.

Additional report