Provision of revision knee surgery and calculation of the effect of a network service reconfiguration:

Provision of revision knee surgery and calculation of the effect of a network service reconfiguration: An analysis from the National Joint Registry for England, Wales, Northern Ireland and the Isle of Man.
Knee. 2020 Oct;27(5):1593-1600. doi: 10.1016/j.knee.2020.07.094. 

• The aim of this study was to 1) describe the current provision of revision KR in England, Wales and Northern Ireland at the individual surgeon and unit level and 2) investigate the effect on workload of case distribution in a network model.

How to cost the implementation of major system change: case study using reconfigurations of specialist cancer surgery in part of London, UK

How to cost the implementation of major system change: case study using reconfigurations of specialist cancer surgery in part of London, UK [Presentation]
HSRUK 2020

• Abstract of a presentation given at HSR UK 2020 illustrating a framework and principles for costing major system change implementation. The case study uses the RESPECT-21 mixed-methods evaluation of specialist surgery services reconfiguration for prostate, bladder, renal and oesophago-gastric cancers, and focuses on a London region [UCL] where services for eight cancer pathways were centralised to fewer high-volume units.
• Presentation available here. [YouTube]

Abstract

Implementing major system change in specialist cancer surgery: The role of provider networks.

Implementing major system change in specialist cancer surgery: The role of provider networks.
Journal of Health Services Research & Policy. 7 June 2020  doi.org/10.1177/1355819620926553

• This study used the case of centralization of specialist cancer surgery in London, UK to develop new understanding of the role that networks can play in implementing major system change. 
• Part of the RESPECT-21 programme. [2 page summary]

Abstract

Thrombectomy Service – Final report from the Stakeholder Forum

Thrombectomy Service – Final report from the Stakeholder Forum
Thames Valley Clinical Senate December 2019

• Only hospitals with a neuroscience centre can meet the requirements for a thrombectomy service and so the hospitals delivering the service will need to cover a wide geographical catchment.
• The Clinical Senate reviewed the requirements for safe and effective delivery of a thrombectomy service across a wider geography and looked ahead to the potential delivery of a 24/7 service and the implications for the service in the interim. This report aims to understand the issues from the different perspectives of the local trusts, the hyper-acute stroke unit and the patients and their families.

Implementing the Recommendations of the Neonatal Critical Care Transformation Review

Implementing the Recommendations of the Neonatal Critical Care Transformation Review
NHS England 13 December 2019

• An outline of the action plan to implement the recommendations of the Neonatal Critical Care Transformation Review.
• The three key commitments are focused on: 
• 1. Developing neonatal capacity: redesigning and expanding neonatal critical care services to further enhance safety, effectiveness and the experience of families, to improve neonatal capacity and triage within expert maternity and neonatal centres. 
• 2. Further developing the expert neonatal workforce required: extra neonatal nurses and expanded roles for some allied health professionals to support clinical care. 
• 3. Enhancing the experience of families through care coordinators and investment in improved parental accommodation.

Paediatric critical care and surgery in children review: Summary report

Paediatric critical care and surgery in children review: Summary report
NHS England 5 November 2019

• The aim of the review has been to identify an optimal model of care for providing sustainable, high quality, responsive Paediatric critical care (PCC) and surgery in children (SIC) services. 
• This document is the final report summarising the review. NHS England will now undertake the formal commissioning of these services and has developed guidance to support the development and running of PCC and SIC operational delivery networks, which is available through the Future NHS Collaboration Platform. [Permission required]

Multi site single service: improving outcomes, reconfiguring services - systematic review

Multi site single service: improving outcomes, reconfiguring services - systematic review
PHE 4 November 2019

• ‘Multiple site single service’ (MSSS) models of care describe a method of delivering care across more than one clinical site or location, often across a regional geography, through a single clinical service or team. This systematic review examines the published evidence around MSSS models.
• It also sets out a universal framework to categorise different MSSS models which may be employed in the reorganisation of secondary care services, and a suggested set of outcome measures to guide planning, implementation and evaluation of future clinical service reconfigurations to better understand the population impact of service change.

Consultation and business case for proposals on the future of vascular services across West Yorkshire

Consultation and business case for proposals on the future of vascular services across West Yorkshire
NHS England August 2019

• Part of the consultation on specialised vascular services in West Yorkshire being run by NHS England working with the acute trusts through West Yorkshire Association of Acute Trusts. Consultation closes on 30 November 2019.

The European study on centralisation of childhood cancer treatment.

The European study on centralisation of childhood cancer treatment.
Eur J Cancer. 2019;115:120-127. doi:10.1016/j.ejca.2019.04.024

• An examination of treatment outcomes for childhood cancer across Belgium, Bulgaria, Finland, Ireland, the Netherlands and Slovenia in high- or low-volume hospitals found that treatment centralisation is associated with survival benefits.

Abstract

Impact of cancer service centralisation on the treatment of men with prostate cancer:

Impact of cancer service centralisation on the radical treatment of men with high‐risk and locally advanced prostate cancer: A national cross‐sectional analysis in England
Int J Cancer. 2019 Jul 1; 145(1): 40–48. 17 January 2019. doi: 10.1002/ijc.32068

Analysis of data from the National Prostate Cancer Audit database indicates that centralisation of specialist cancer services does not affect whether men receive radical treatment, but it does affect treatment modality.

Abstract

Leeds Neonatal and Maternity Services reconfiguration

Leeds Neonatal and Maternity Services
Yorkshire & Humber Clinical Senate April 2019

• Case study of consideration for centralisation of all neonatal provision and obstetric led maternity care (including specialised services) on a single site (Leeds General Infirmary), with the development of a new midwifery-led unit on the same site.

Impact of Centralization of Services on Outcomes in a Rare Tumour: Retroperitoneal Sarcomas

Impact of Centralization of Services on Outcomes in a Rare Tumour: Retroperitoneal Sarcomas
Eur J Surg Oncol, 45 (2), 249-253 Feb 2019 DOI: 10.1016/j.ejso.2018.06.032

• The retroperitoneal tumor (RPT) service in the North West costal region of England was centralized in May 2011 by the merger of the Merseyside, Cheshire and Lancashire, Cumbria sarcoma networks. This analysis concludes that centralization has resulted in an increase in resection rates and more complex MVRs, without compromising R0/1 resection rates; peri-operative mortality or overall survival.

Abstract