South West Clinical Senate Assembly Summary
The South West Clinical Senate Assembly took place on Thursday, 10th April 2014, aiming to bring together the Senate and Citizens Assembly to raise awareness, engage with stakeholders, and identify future topics for discussion. The agenda included sessions on challenges in healthcare, public health impacts, decision-making workshops, and clinical chairs' summary. The event emphasized the role of Clinical Senates in making strategic healthcare decisions. The South West Footprint Work highlighted the diverse healthcare landscape in the region.
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South West Clinical Senate Thursday 10thApril 2014 @SouthWestSenate #assembly Wifi : thistle-no password
Welcome Housekeeping Purpose of today: Bring together Senate Assembly for the first time & consolidate its role Bring together Citizens Assembly Raise awareness Engage with our commissioners and providers Identify future topics for the Senate Council Provide experience of the Senate Council function @swsenate#assembly
Agenda Welcome The South West Clinical Senate to date Dr Shelagh McCormick, Deputy Clinical Chair, South West Senate 10.00 1 Mr Nigel Acheson, Medical Director, NHS South 2 10.15 Clinical Senates and the interface with SCNs and AHSNs Ian Biggs, Area Team Director, NHS England 3 10.30 Challenges facing the South West 4 Panel 10.45 Questions ? Then 30 minute coffee break Dr Shona Arora, Public Health Consultant, Public Health England 5 Public Health impact and Outcomes in the South West 11.30 Question Generating Workshops Where can the Senate make an impact? (breakout rooms) 6 Groups 11.45 Lunch 12.30 Plenary Session (Barristers Ian Fenny & Julie MacKenzie) 7 13.30 Wise decision making and argumentative logic Mini Senate Session Breakout rooms range of questions; Frailty Urgent Care Paediatric Surgery Primary Care End of Life 8 Clinical Chairs 14.00 9 Summary & Close Shelagh McCormick 15.45
South West Clinical Senate Clinical senates will help make the best decisions about healthcare for the populations they represent by providing advice and leadership at a strategic level (NHS England: The Way Forward - Clinical Senates)
Clinical Senates Map North East, north Cumbria, and the Hambleton & Richmondshire districts of North Yorks Yorkshire & The Humber Greater Manchester, Lancashire and south Cumbria East Midlands Cheshire & Mersey East of England West Midlands Thames Valley London South West South East Coast Wessex 5
South West Footprint Work 11 CCGs 3 Local Area Teams Bristol to Preston 189 miles 3hrs 33mins 13 Healthwatch Organisations Over 30 providers 3 large tertiary providers, two in Bristol and one in Plymouth Penzance to Bristol 190 miles 3hrs 37mins 2 Mental Health providers with Medium secure services
Senate Management Team Senate Manager: Ellie Devine 3 days/week Senate Chair: Dr Vaughan Lewis, Paediatrician, RD+E 1 day/week Shared admin support with SCN Associate Director of SCN and Senate: Sunita Berry Medical Director, BNSSSG Area Team, NHS England: Dr Caroline Gamlin
The South West Clinical Senate Senate Council (Meets 4-6 times a year, 43 members) Advice Citizen s Assembly (Meets 4 times a year, 26 members ) Senate Assembly (Meets Annually, 160+ members) CRGS HEE SCNS AHSN PHE Providers Patients Evidence Gathering Question Health & Social care Professionals Commissioner Questions (CCGs, Specialised Services, Area Teams, HWBs, LAs, PHE, Senate Council) Healthwatch x13 Senate Management Team
Role of Senate Assembly Members 26 Senate Council members are drawn from Senate Assembly Both the Senate & Citizens Assembly are the wider conscience of the Council Be a repository of expertise and advice across the South West Provide comment on topics going to the Senate Council and suggest evidence Present evidence to the Senate Council at deliberative meetings if requested Act as ambassadors of the Senate & share Senate advice Field questions into the Senate Council Take part in expert review teams for clinical assurance of service change Meet 1-2 times a year as a group
Role of Citizens Assembly Members 4 Senate Council members are drawn from Citizens Assembly Senate & Citizens Assembly are the wider conscience of the Council Use local Healthwatch organisations to link into patients and public across South West Comment on topics going to the Senate Council and suggest evidence Present evidence to the Senate Council at deliberative meetings Act as ambassadors of the Senate & share Senate advice Field questions into the Senate Council Meet 4 times a year as a group
Our Offer Working across the South West to develop expert advice for your regional commissioning questions Free resource providing decisive advice to commissioners in one day No other part of the healthcare system has access to equal breadth and expertise from healthcare professionals across the South West Strengthens the contribution of the patient voice in commissioning decisions Provides a growing repository of advice that is openly accessible
Accountability Way Forward Clinical Senates (July 2012 & Nov 2013) The Senate is a non-statutory entity with no executive authority or legal obligations. You can hold the Clinical Chair to account for failure to follow process but not for the advice the Senate gives.
What have we achieved so far? Setting up a new non-statutory organisation Senate Management Team established April 2013 Development of Senate Assembly 170+ members Appointment of Senate Council 43 members Development of Citizens Assembly 26 members Launch of new website www.swsenate.org.uk
What have we achieved so far? Providing Clinical Advice First Senate Council Meeting Specialised Commissioning Principles Second Senate Council Meeting Advice on Model for HIV services Operating Principles and Procedures Linking in with the National picture for Senates sharing & pooling knowledge First full Assembly 10th April 2014, Exeter developing workplan Third Senate Council Meeting Acute Emergency Services
Taking on the role of NCAT NCAT ceased to function as of 1st April 12 Senates across England to take on role of National Clinical Advisory Team from September 2014 12 Senates working together to develop terms of reference and standard operating principles Senate to develop Expert Review Teams to consider Clinical Evidence base for large scale service change as part of assurance process Will look to Assembly members to join or nominate colleagues for Expert Review teams Senate Council to agree TOR for each review team and sign off final report Work across Senate areas if required
Vision The Senate serves as the collective conscience of health and social care to develop high quality and sustainable healthcare across the South West. The Senate provides outcomes from its deliberations that are highly regarded and valued and are able to be implemented Is recognised as valuable to the community and provides leadership in healthcare system transformation and reconfiguration
Next steps Clearly articulate role in new NHS and within the South West Take on role of clinical advice in service change Sept 14 Continue establishing key relationships Develop work-plan of questions with commissioners Consolidate Citizens Assembly Develop and build Senate Council as expert deliberative body
Summary & Close Themes from Mini Senates Questions to explore further Presentations and Notes to be shared Thank you www.swsenate.org.uk @swsenate#assembly
Breakout Group Room Changes Green Derby Room (ground floor opposite reception) Orange Chatsworth Blue Devonshire (main room) Yellow Compton B & C (1st Floor) Red Burlington (Ground Floor)
Key Themes from question generating Need for & impact of centralisation agenda in South West? Models for shifting workforce and meeting workforce needs? Is equality of access in rural areas possible? How to deliver mental alongside physical health? Developing care and effective structures/interfaces in services outside hospitals
Mini Senate Topics Frailty developing community services to reduce hospital admissions Urgent Care designing a new model Primary Care exploring family care networks Paediatric Surgery examining impact of centralisation End of Life Care ensuring equity of access in final weeks of life
Mini Senate Themes Frailty on what principles should you develop the service? Urgent Care what needs to be 24/7? Primary Care what are the possible models for General Practice? Paediatric Surgery what evidence should you use & the pitfalls/beartraps of evidence End of Life Care Developing earlier advanced care plans and equality of access from cancer to chronic respiratory disease
Question Generating Yellow What administrative healthcare structure would the Senate advocate upwards? (Current system is helpful/blocks pathways) Which services in SW need to centralise? Orange Can the Senate influence removing the divide between mental and physical health? Senate to look at models working well nationally & internationally?
Orange Group What would a well designed individual care plan look like and how do we deliver this How do we empower patients to self manage Red Group How can interventional radiology/vascular services be provided across rural areas equally How should the best possible hospital care be provided for Brain injured patients
Red group How does a hospital that receives <30% of its income from specialised commissioning provide sustainable secondary care How do we change the funding of specialised commissioning to remove the perverse disincentives for GPs referral and improve specialist knowledge and expertise in primary and community care
Blue Group How can integrated care improve outcomes for people with complex care needs medical and social When does end of life start
Green Group Can the Senate examine models of care hat encourage cross organisational working How can the Senate assure that the Better Care Fund provides improved patient care and that it is not a system to fill gaps (eg pot holes) How can the Senate assure equality of access in a fragmented pluriprovider environment. Do we want an free market model where patients are empowered with funds to buy care where they want to
How can the Senate contribute to keeping people who are dying or close to death out of acute hospitals with decent care and support at or close to home How can the Senate respond to the concerns of all relevant groups about the centralisation agenda. How can workforce/critical mass of expertise shifts be safely managed
