Closed Consultations and Completed Engagement

Please note. These consultations are now closed

Redesigning Podiatry Services in West Cheshire

From 8th December 2014 until 1st March 2015 West Cheshire CCG and Cheshire and Wirral Partnership are holding a 12 week public consultation on proposed changes to how Podiatry Services are delivered throughout West Cheshire. These proposals are in response to a number of challenges currently confronting both the NHS as a whole and the Podiatry Service specifically. A breakdown of these challenges, in addition to proposed options for service redesign, dates of public meetings, contact details and a response form can be found in the full consultation document 'Redesigning Podiatry Services in West Cheshire'. Whichever option is taken forward, we are committed to monitoring the service changes to ensure the benefits outlined in this document are achieved and avoid any negative impacts. Please take a moment to complete the Podiatry Services Consultation online. We appreciate your views and feedback will help to shape the design and delivery of local services. A number of additional consultation resources can be found below:
Podiatry Services Q&A
List of local stakeholders
Current clinical need assessment
Option 2 clinical need assessment form
Podiatry impact assessment
Consultation poster
For more information visit CWP Podiatry.

Transforming Cancer Care: Public Consultation


The Clatterbridge Cancer Centre NHS Foundation Trust has launched a public consultation on proposals for Transforming Cancer Care in Merseyside and Cheshire. It is a once-in-a-generation opportunity to expand and improve cancer services for people from Merseyside, Cheshire and surrounding areas. Clatterbridge Cancer Centre wants to achieve this by developing a new specialist cancer hospital in the heart of Liverpool, on the same site as the Royal Liverpool University Hospital, the University of Liverpool and other key partners.
Outpatient services at Clatterbridge Cancer Centre’s Wirral and Aintree sites would be retained, along with the services Clatterbridge Cancer Centre provides in hospitals across Merseyside and Cheshire. Inpatient services and the most complex care would move to the new hospital. (Most cancer patients are seen and treated as outpatients). What is Transforming Cancer Care?
A £118m investment in expanding cancer services.
A new specialist cancer hospital in central Liverpool.
Better, safer care for the most unwell cancer patients.
A huge leap forward for cancer research and clinical trials in our region.
Tell me more Why Change?

We have superb cancer services in Merseyside and Cheshire. The Clatterbridge Cancer Centre NHS Foundation Trust – the specialist cancer hospital for this area – is nationally renowned and consistently ranks as one of the best in the country, both for quality of care and patient feedback.
But if we are to ensure that people here are truly to benefit from world-class cancer care in coming years, we cannot stand still. We need to Transform Cancer Care for the following reasons:
The number of people with cancer is set to rise as the population ages. We need to expand cancer services to meet that demand so people right across Merseyside and Cheshire can access the best specialist care.
The Clatterbridge Cancer Centre doesn’t have access to intensive care or medical and surgical specialties on its main site in Wirral. This is increasingly important in providing the best care to the sickest patients. Someone with cancer may need input from a heart or kidney specialist, for example, while having treatment. At the moment, they may have to be transferred by ambulance to another hospital for this, interrupting their cancer care.
To continue providing the best cancer care, The Clatterbridge Cancer Centre’s experts need to carry out research and clinical trials. At the moment, they can’t carry out some cutting-edge trials because they can only take place in centres with intensive care and other key specialties on site. Patients from Merseyside and Cheshire are missing out on opportunities to take part in these trials
If the rate of deaths from cancer in Merseyside and Cheshire was the same as the England average, then 596 lives a year would be saved. The new cancer centre could help achieve this by providing even better care for those diagnosed with cancer, although cancer prevention and early diagnosis are crucial.
74 inpatients had to be transferred by ambulance from The Clatterbridge Cancer Centre in 2013 because there was no on-site access to medical or surgical specialists or intensive care. That’s up from 53 in 2011 and that figure is set to keep rising as the population ages.
The new hospital would be closer to home for around 63 per cent of people with cancer in Merseyside and Cheshire. It would also have better public transport links from most of Merseyside and Cheshire than there are to the Wirral site.
Parking would be free for patients attending the new cancer hospital, just like The Clatterbridge Cancer Centre’s current sites in Wirral and Aintree.
It’s estimated that around 90 per cent of Wirral and West Cheshire patient attendances could continue to take place at The Clatterbridge Cancer Centre’s Wirral site if patients wished. The public consultation on the proposals runs from 28th July 2014 to 19th October 2014. Consultation events will be taking place across Merseyside and Cheshire between now and 19th October so people can find out more on the consultation website. For more about Transforming Cancer Care:

Visit the website
Watch the film
Complete the consultation questionnaire
Read the summary consultation document or the full consultation document
Completing the questionnaire

If you would prefer to complete a paper version of the questionnaire, you can do so by downloading the full or summary consultation documents above. Then just complete the questionnaire in the documents and post the relevant pages to the consultation team at:
Transforming Cancer Care Consultation
Freepost – Patient & Public Voice
Cheshire and Merseyside CSU, Bevan House 3rd Floor
Stephenson Way
Liverpool
L13 1HN
You can also request a paper copy of the questionnaire or consultation documents bycontacting the consultation team. Contact the consultation team

You can contact the consultation team with any queries or suggestions about Transforming Cancer Care – for example, if you think we should visit a group/event to tell them about the proposals or you would like more information about something.
Call: 0151 296 7068 Email: engagement@cmcsu.nhs.uk Write to: Transforming Cancer Care Consultation, c/o Jackie Robinson, Cheshire & Merseyside Commissioning Support Unit, 3rd Floor, Bevan House, 65 Stephenson Way, Wavertree Technology Park, Liverpool, L13 1HN Tweet at: @CCCNHS What happens next

Your feedback will influence what happens next with Transforming Cancer Care once the consultation ends on 19th October 2014. The consultation responses will be analysed by independent experts from Liverpool John Moores University who will then produce a report with recommendations for the NHS. An outline business case will be developed incorporating that feedback and recommendations for approval by The Clatterbridge Cancer Centre NHS Foundation Trust, NHS England and Monitor in Summer 2015.
Based on current timescales, The Clatterbridge Cancer Centre NHS Foundation Trust intends to make its final decision (subject to NHS England and Monitor approval) on the outline business case in June 2015.

Dying Matters Have You Recently Care For Someone At End Of Life


We are reviewing local End of Life Services to ensure we are providing the very best care for our local population. We want to improve care for people who are dying, and for their family, carers and friends. We would like to hear from you as a carer/supporter of someone who has died, whether suddenly after a short illness, or after a long illness – within the last 12 months. We also want to find out about the care you and the family received (as carers) at the time of death and in the months since then. Some of the questions may not be relevant to you, but please fill in as much of the questionnaire as you can. Your answers to these questions will be treated as strictly confidential. You can do the questionnaire online https://www.surveymonkey.com/s/NHSWCDyingMattersor let us know if you want to complete a paper copy (telephone 01244 650317 / 650438) If you would like help and advice about bereavement please contact eitherhttp://www.cruse.org.uk/ or http://www.hospiceofthegoodshepherd.com/patient-family-care/bereavement-support/

Specialised Services Policies


On the 25th June NHS England launched a three-month public consultation on changes made to a number of its specialised services policies. These policies have already been subject to stakeholder engagement and comment, however, we are now consulting on the final documents. Consultation is open until 17th September 2014. To view the documents and find out how you can contribute your views, please visit the NHS England Website. The list of open for consultation are:
Bortezomib for the Treatment of Refractory Antibody Mediated Rejection Post Kidney Transplant
Eculizamab for the Treatment of Refractory Antibody Mediated Rejection Post Kidney Transplant
Non Invasively Lengthened Spinal Rods for Scoliosis
Dolutegravir for the Treatment of HIV- 1 in Adults and Adolescents

Eye Health - Call to Action


NHS England is inviting patients, professionals and the public to have their say on the provision of eye health services. The consultation will run until 12 September 2014. The ‘call to action’ for improving eye health and reducing sight loss explores how primary care services can promote prevention and early detection and spread good practice. To have your say in the debate:
You can sign up to attend one of the local engagement events
Respond to the online questionnaire
Or complete the Patient Questionnaire
If you complete the patient questionnaire you can bring it along to one of the events or post them back to David Knowles. (David Knowles, Chair of LPN for Eye Health, 1829 Building, Countess of Chester Health Park, Liverpool Road, Chester. CH1 2HJ)

Consultation on the Commissioning Policy Review

NHS West Cheshire Clinical Commissioning Group has taken part in a formal 90-day consultation on some of our policies for services and treatments, along with several local CCGs. The consultation started in January and concluded at 12 noon on Monday 7th April. We will now evaluate all the feedback we have received from members of the public and local clinicians and consider:
Whether we want to put this updated policy into practice
If we do want to put it into practice, we need to find the funds to pay for it from our existing budget. The CCG has two options (1) Put the new policy into practice as soon as possible or (2) phase in over a period of time to reduce the financial impact.
Respondents were asked if they wished to continue to be kept informed and those who did will be sent further information once the evaluation is complete. A copy of the final policy will be published on the website and circulated to interested groups once complete. Thank you for taking the time to give your views to this very important consultation. Consultation on refreshing the NHS Mandate In November last year the Government published its first ever NHS Mandate setting out the priorities for the health service for the next two years. They include improving early diagnosis, cutting premature deaths and better help for dementia sufferers. The government believes it will help patients hold the NHS to account. The mandate was drawn up after a three-month consultation during which the public were given the opportunity to highlight what they wanted to see improved. The key objectives included in the mandate are:
improving standards of care and not just treatment, especially for the elderly
reducing premature deaths from the biggest killers, such as cancer and heart disease
better diagnosis, treatment and care for people with dementia
better care during pregnancy, including women getting a named midwife to ensure personalised care throughout pregnancy
by 2015 everyone will be able to book their GP appointments and order repeat prescriptions online
The government is now consulting on refreshing the Mandate to NHS England for 2014 to 2015. The consultation runs until the 27th September. Follow the link to find out more and to access the consultation documents: https://www.gov.uk/government/consultations/refreshing-the-nhs-mandate Special Education Needs Consultation Cheshire West and Chester Council has entered into a formal consultation on the proposed reshaping of special school provision and Special Educational Needs (SEN) resource in mainstream schools across the borough. The formal consultation process will run over an eight week period from 25 February to 21 April 2013. Throughout the consultation period, the Council will be holding drop-in events at each of the ten special schools, where local authority officers will be available to answer your questions and note any comments you would like to feedback. These drop-in events are open to all who may have an interest in the consultation proposals, not just the immediate school community. Please go along at a time and location which is most convenient to you and have your say. Further information is available on the Council’s website. You can also email Council colleagues at schoolplanningandpolicy@cheshirewestandchester.gov.uk to request further information, or share your views. Taking the Clinical Commissioning Group on the road November 2012 Over the last few months we have taken the Clinical Commissioning Group out "on the road" to meet over 200 local people, visiting Neston, Frodsham, Chester and Ellesmere Port. This gave people the chance to come and meet some of our local GPs and ask questions. We also wanted to share our plans for the next five years - plans that have been developed with feedback from patients, public and local organisations in the autumn of 2011. You can download the presentations from our roadshows below: 1. Introducing the West Cheshire Clinical Commissioning Group
2. Key Facts about West Cheshire and update on our Strategic Commissioning Plan 2012-2017
3. How we will ensure "No decision about me without me" Views sought on strengthening NHS Constitution November 2012 Proposals to strengthen the NHS Constitution are set out for public consultation today, with the NHS, patients and public all being asked to respond.
The main changes proposed cover:
a new responsibility for staff to treat patients not only with the highest standards of care, but also with compassion, dignity and respect
a new pledge making it explicit that patients can expect to sleep in single-sex wards
a new pledge to patients that NHS staff must be open and honest with them if things go wrong or mistakes happen – this ‘duty of candour’ will become a condition in the NHS Standard Contract from April 2013.
The changes also make it clearer that:
patients, their families and carers should be fully involved in all discussions and decisions about their care and treatment, including their end of life care
patients who are abusive or violent to NHS staff could be refused treatment
the NHS is equally concerned about physical and mental health.
Health Minister Norman Lamb said: “With this Government, the founding principles of the NHS – free at the point of delivery to all, regardless of their ability to pay – will not only be supported, but reinforced. “The NHS is one of this country’s greatest achievements. This government will always make sure it is free to all, no matter your age or the size of your bank balance. That’s why at the same time as we are protecting its budget, we are strengthening this Constitution, which enshrines the right of everyone to have first class care, now and in the future.”
Respond to the consultation online


A consultation on strengthening the NHS Constitution


The consultation follows work carried out by the NHS Future Forum on how the Constitution could be strengthened. The Government accepts the Forum’s recommendations in full and the new proposals reflect this. Please note this consultation has now closed for comments 28 January 2013. Cancer Centre for Merseyside and Cheshire September 2012 Find out more about the proposals to develop a comprehensive cancer centre serving Merseyside and Cheshire. You may have already heard about these proposals; we have been considering them since 2008 when an independent review of how cancer services are organised across our region showed that big benefits could be gained for patients and their families by expanding the services provided by The Clatterbridge Cancer Centre NHS Foundation Trust. This would be achieved by retaining cancer services at the Clatterbridge site in Wirral and establishing a new comprehensive Clatterbridge Cancer Centre adjacent to the new Royal Liverpool University Hospital. Clinical experts recognise and support the case for re-designing non-surgical cancer services in Merseyside and Cheshire as it presents the opportunity to provide truly integrated cancer care. Locating a comprehensive cancer centre on an acute hospital site will improve care for all cancer patients. "The retention of small, single specialty hospital trusts, now mostly Foundation Trusts, has contributed positively to the high quality of operational management and leadership for these services and impacts effectively on the patient experience. However, the increasing use of multimodality treatment regimes suggests that, in the longer term, isolated oncology services are no longer appropriate." Professor Mark Baker and Roger Cannon. The Clatterbridge Cancer Centre is an excellent hospital, much-loved locally, and renowned nationally for good patient care and innovation in the delivery of radiotherapy and chemotherapy. The Centre also has a sophisticated diagnostic imaging department, is currently the only provider of proton therapy in the UK and with the support of the Teenage Cancer Trust hosts the region’s Teenage and Young Adult Unit. The outstanding level of care and cutting edge treatments at Clatterbridge are provided by dedicated and expert staff in a supportive environment to more than 27,000 patients each year at its centres in Wirral, Aintree and its network of chemotherapy clinics in hospitals throughout Merseyside and Cheshire. The Royal Liverpool Hospital is committed to providing excellent cancer care. Patients in the new cancer centre would have access to the facilities and clinical expertise at the new Royal Liverpool University Hospital, which is already one of the largest cancer centres in England, providing excellent, compassionate and timely cancer care. The Royal offers high quality treatment and diagnosis across more than 20 different types of cancer, provided by nationally and internationally renowned specialists. The Royal Liverpool University Hospital receives around 10,000 urgent cancer referrals each year and diagnoses 2,000 new cancers a year. The expansion of The Clatterbridge Cancer Centre to a site adjacent to the new Royal Liverpool hospital will allow seamless interaction between both Trusts’ expert clinicians and will provide cancer patients with access to the best facilities in both hospitals. The extension of the cancer services offered by Clatterbridge at the new Royal Liverpool hospital site and the seamless integration of services by both trusts provides a once in a generation opportunity to design cancer services to ensure the people of Cheshire, Merseyside and beyond benefit from world class care of the highest possible quality.

What happens next? Over the next few months there will be a range of opportunities for you to learn more about these and to give your views which will help inform more detailed plans. If these proposals are approved it is hoped the new cancer centre would be ready to receive its first patients at the same time or soon after the opening of the new Royal Liverpool University Hospital in 2012. The extension of the cancer services offered by Clatterbridge on the new Royal Liverpool University Hospital site provides a once in a generation opportunity to design cancer services to ensure the people of Cheshire, Merseyside and beyond benefit from world class care of the highest possible quality. Find out more about the proposals by visiting the website: www.mccancercentre.nhs.uk


No Decision About Me Without Me Summer 2012

On Thursday 5th July 2012, 60 local people joined us to contribute ideas on how to become more involved in their local NHS

People who attended the event came up with many ideas about how to encourage the public to get involved with the Clinical Commissioning Group and particularly how to attract hard-to-reach groups.

The audience also heard about the health challenges facing West Cheshire in future and our five-year strategy to meet the needs of its population, working with Cheshire West and Chester Council, partner organisations such as the voluntary sector and local people themselves.

You can download the presentations from our event below:

Introducing the West Cheshire Clinical Commissioning Group - Dr Huw Charles Jones, Chair
Developing Our Membership Scheme into a Community Panel - Dr Claire Westmoreland, Clinical Lead for Engagement
Update on our Strategic Commissioning Plan 2012 – 2017 - Alison Lee, Chief Officer (Designate)
NHS 111 - Dr Catherine Wall, Clinical Lead for Urgent Care