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12th October 2022
Issue 13
Welcome to the programme newsletter
Welcome to the latest edition of the Humber Acute Services programme stakeholder newsletter. In it you'll find the latest news and updates about the programme, alongside information about how you can get involved, share your ideas or ask questions.

This issue will provide a programme update and overview of our work with the Yorkshire and Humber Clinical Senate.
Programme Update
Next Steps for the Humber Acute Services Programme
We wanted to update you with where we are with the programme and explain what is required to enable us to take forward the great work our clinical teams have done, working alongside citizens, voluntary sector partners and patient representatives, on designing potential models for the future shape of hospital services.

Working with the newly formed NHS Humber and North Yorkshire Integrated Care Board, who now hold the legal responsibility for consultation on service change, we have reviewed the work to date and our plans for public consultation. We want to be in the best possible position to take our ideas forward for public consultation and therefore have agreed to work towards launching public consultation after the local elections have taken place in May next year.

A number of important factors were considered in making this decision including:
  • The recent changes to the political and policy environment such as a new Prime Minister, new Secretary of State and the settling in of the new Integrated Care Boards.
  • Continued uncertainty around what money will be available to us to make changes and improvements to our buildings and infrastructure.
  • The ability of the local community and staff to take part in a meaningful consultation process in what is expected to be a challenging winter.
  • Making sure we give enough time to third parties to complete their technical and legal requirements.
We know that it may be disappointing for staff, partners and patient representatives who have helped us to get to this point that we are not moving to a decision more quickly. A considerable amount of work has happened over the past two years, involving multiple partners across health and care in the Humber as well as staff in both trusts. We are very grateful, in particular, to the clinicians who have actively engaged in the programme and helped us to make such significant progress during an extremely challenging time for both of our trusts and the wider NHS.

We know many of you are looking for clear answers on what the future will look like and to understand what the changes will mean for you. We can’t give definitive answers yet, because decisions on the future shape of services can only be made after consultation with the public has taken place. Over the next few months, we will continue to talk to staff, citizens and representative groups and ensure we are exploring all possible ideas and fully understand the impacts any potential changes might have.

You can continue to follow progress of the programme on our website and by reading our newsletters. You can feed in any ideas or suggestions through the question portal.
Latest Reports
You can read the latest publications and reports from the programme here:
If you have any questions about these reports or any other aspects of the programme, get in touch.
The Clinical Senate
Who are the Clinical Senate and how have they been involved in the programme?
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What is a Clinical Senate?

Clinical Senates are non-statutory advisory bodies, covering their respective geographical areas. They are made up of multi-professional clinical leaders who work together as an independent body.

What is the role of a Clinical Senate?

The Clinical Senate are a source of independent, strategic advice and guidance to commissioners and other stakeholders to help them to make the best decisions about healthcare for the populations they represent.

How has the Clinical Senate been involved in the programme?

Early in the process the Yorkshire and Humber Clinical Senate was invited to advise on the clinical models across acute hospital services. The Senate was asked to provide their advice to be used by the Clinical Commissioning Groups (CCGs) and hospital trusts participating in this review.

The Clinical Senate has undertaken two reviews at key stages of the Humber Acute Services programme.
  • Stage 1 review (January 2020) – initial review of the high-level options responding to the Case for Change
  • Stage 2 review (April 2022) – review to appraise the potential models of care and variations
In January 2020, the Clinical Senate undertook a review of the Case for Change and early ideas. They provided a clinical assessment of the work to date, commenting on feasibility and sustainability of potential ways forward that had been identified at this early stage and the extent to which they might address the challenges presented in the case for change. The senate provided advice on how to take forward the development of options and where to focus efforts during the next phase of work. Read the report here.

In April 2022, the Clinical Senate undertook a further review of the work to date, including the wide range of potential models of care that have been developed. The senate was asked to provide independent clinical advice that the models are sound and evidence-based, are in the best interest of patients, and will improve the quality, safety and sustainability of care. The Senate provided feedback and clinical assurance on the models and variations, which were then subject to an extensive evaluation process. Read the report here.

Their advice has been incorporated into the evaluation of the options, together with travel and activity analysis for staff and patients and a wide range of other factors that have been considered as part of the evaluation process.

Proposed options for public consultation will be reviewed again by the Clinical Senate prior to consultation.
Get Involved
Can you help?
We have been listening to feedback and ideas from people across the Humber over the past 18 months and these have really helped to influence our emerging ideas.

As we develop these ideas for how services could look in the future, we will be continuing to reach out to particular groups within our community, to help us better understand how they may be impacted by any potential changes to acute hospital services. Throughout our work we are seeking to listen to all communities and individuals and reduce health inequalities in the Humber area.

The groups we would particularly like to engage with include:
  • People living with serious and enduring mental illness
  • People living with poor mental health, including parents and carers.
  • Adults and children with learning disabilities or difficulties, including parents and carers.
  • People from black, Asian or minority ethnic backgrounds
  • People who identify as LGBTQ+
  • People affected by homelessness.
How can you help?
  • Do you work with or support any of these groups, or know someone who does?
  • Do you know of any pre-existing groups we could attend?
  • Would you like to be involved and represent the voices of the people you work with?
If you answer 'yes' to any of the above, then please click here to register your interest in hosting or supporting a focus group or other engagement activity over the coming months.
Your Questions Answered
Progress and timescales
Question:
Would you please publish an updated expected timeline/progress report for your programme, public consultation etc?

Answer:
Working with the newly formed NHS Humber and North Yorkshire Integrated Care Board, who now hold the legal responsibility for consultation on service change, we have reviewed the work to date and our plans for public consultation. We want to be in the best possible position to take our ideas forward for public consultation and therefore have agreed that this will take place after the local elections next year (~June 2023).
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Ask A Question
You can ask a question or provide feedback about any aspect of the programme at any time by using the online question portal.

Click here to submit your questions.
Read again
We launched our revamped Humber Acute Services programme newsletter in July 2021. Each newsletter includes a range of information about the programme and you can access previous editions by clicking the links below:
For any enquiries, please email: hnyicb.consultation@nhs.net
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