Following patient and clinician engagement, commissioners have listened to feedback and can now announce the decisions of the Nottingham University Hospitals (NUH) service review.
Thirty services were reviewed at NUH. For the majority of these, the recommendation was to remain at NUH, some with an updated specification.
However, commissioners also identified seven services that they proposed could be delivered in a community setting, closer to patients’ homes, providing better value to the local NHS and improved outcomes for patients (services listed in the notes below).
Following initial patient engagement, specifications were drawn up, plans were published on Clinical Commissioning Group (CCG) websites and patients, clinicians and local communities were invited to have their say over a six week period (19 December - 5 February 2017).
After going through the patient and clinician feedback process, service changes have been reviewed and final proposals were agreed in Collaborative Commissioning Congress and considered at each of the three CCG’s Governing Bodies. The recommendations were approved on Friday 10 February 2017.
Services which will remain with NUH
Services which will be delivered in the community through either open procurement or integration with existing community services (from July 2017)
Patients will still receive injections in line with NICE guidelines - which might take place in NUH or in the community dependent on clinical requirements
Following patient feedback, this service specification will include a separate annex for Parkinson’s disease patients. Engagement is also ongoing with this cohort of patients.
Dr James Hopkinson, Clinical Lead, Nottingham North and East CCG says:
“Patient, public and clinician feedback was always going to be integral to our commissioning decisions and we’re pleased we received such a huge response from patient and professionals via patient groups, our website and patient experience team.
“As a CCG, listening to our communities and our patients is critical. We have been happy to do that, and have made adjustments to our plans based on feedback, along with the feedback from a wide range of clinicians.
“We are now confident that the decisions we have taken represent the best way forward for the delivery of these services, whether that be in the community, in a hospital, or in a combination of the two.
“This process illustrates how important the patient voice is, and how we must all work together to plan for the future of healthcare provision in Nottinghamshire.
“More information will be available in the next couple of weeks including updated specification summaries. Thank you to all the patients who participated. We’re happy to have listened to what you have told us and have taken into consideration the issues you have raised.
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Chronic Fatigue Syndrome service
Pain management and Back Pain service
Neurology assessment service
Brain injury service
Motor Neurone Disease (MND) home visiting service
Geriatric Day Care/Medicine Day Care
Conservative management of renal patients
Orthoptics (engagement is ongoing for this service)