The following reviews have taken place in the last few years, earlier reviews can be found in the relevant section of the website. Where the sponsoring organisation has approved publication of the final report, this is also below and available to download. Where permission to publish the final report is awaited, a high-level explanatory paragraph is shown below.
The East Midlands Clinical Senate considered the case for the National Rehabilitation Centre in 2019 and 2020. The Senate supported the opportunity initially set out in the business case for the provision based on patients with high rehabilitation potential. All parties are requesting further assessment of the suitability of the site for a wider cohort of patients including those aligned to national specifications within the prescribed services manual.
The trust commissioned the Clinical Senate to conduct a review and assess the proposed future service model, evaluation and internal recommendations from the pilot and proposed closure of the 18 bed Manthorpe ward. The panel were asked to consider the current service provision and challenges, predicted needs of the population going forwards and national direction of travel to determine if the proposed future model represented the best and most appropriate provision of high-quality care for this vulnerable patient cohort of the local population.
The Clinical Senate Review looked into a number of concerns that had been raised, including patient safety, culture and governance within the Upper GI Pathway at UHB.
The East Midlands Clinical Senate was commissioned by the Northamptonshire ICB (Integrated Care Board) with a request to support the review of their end-to-end diabetes pathway across the county (prevention through to end-of-life care). A desktop review was undertaken, and a presentation of the findings made to the system following completion of the review.
The East Midlands Clinical Senate was commissioned jointly by NHS Nottingham and Nottinghamshire ICB and Sherwood Forest Hospitals NHS Foundation Trust to undertake a clinical review of the Newark Urgent Treatment Centre. The review was retrospective in nature as changes were made to the operating model during the Covid-19 pandemic and the system is now looking to decide on the future operating model on a permanent basis.
The Clinical Senate were commissioned to triangulate patient safety information to be mapped by the Trust to their existing Children and Young People action plan to ensure that all themes had been picked up and that the action plan is robust.
The East Midlands Clinical Senate were commissioned by the Lincolnshire Integrated Care Board (ICB) and United Lincolnshire NHS Hospitals Trust (ULHT) to provide an independent clinical review in respect of their preferred option for the future service delivery of paediatric care at Pilgrim hospital with special reference to safety, clinical outcomes, quality, access and any potential risks.
The Clinical Senate were commissioned to review the planned reconfiguration of the community services provided at the Feilding Palmer Community Hospital and to give a view on the permanent closure of a 10 bed inpatient facility on this site following a temporary closure of the beds at the onset of the COVID-19 pandemic.
The East Midlands Clinical Senate were proactively engaged by the Lincolnshire System (specifically, the Integrated Care Board (ICB) and Lincolnshire Partnership NHS Foundation Trust) to gain independent, external clinical support from the Clinical Senate on their preferred option to permanently close the Ashley House inpatient mental health facility as part of wider community mental health plans for the area.
The Clinical Senate has been asked to review the TNUH programme for the third time. The review focuses on any evidence gaps identified in the previous two reviews (December 2020 and April 2021), or where further work was to be undertaken by the system such as, additional work on the cancer model and vision and the panel will review the overall clinical model (with particular reference to the split between elective and emergency care).