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NUH service review – just five days left to comment

During 2016, the Greater Nottingham Clinical Commissioning Groups (Nottingham City, Nottingham North and East, Nottingham West and Rushcliffe) undertook clinically-led reviews on a set of services delivered by Nottingham University Hospitals (NUH) NHS Trust.

The driver for these reviews has been to improve quality and to look at where we can provide care closer to home. It was also to ensure that we are getting the very best value for money when commissioning publicly funded health services.

The majority of the services reviewed will remain with NUH, and we are working with the Trust to develop them and ensure they meet patient needs.

As part of the review, we have identified some services currently delivered by NUH that we propose could be delivered in a community setting, closer to patients’ homes and providing better value to the local NHS.  Elements of the services that need to be delivered in a hospital setting will continue to be delivered there.

The CCGs would like to clarify that these proposals would not mean the closure of any services. As Commissioners, we have a duty to act efficiently, effectively and economically and, in order to do this, we are continually reviewing and planning services to meet the needs of the local population and to secure value for money.   The NUH service review is an element of this.

We are proposing that the following services are transferred into a community setting:

Further engagement with service users is ongoing and this will be considered before a final decision is made.   Patients and the public can feedback about the proposals via the CCG websites and our patient experience team, who will be happy to post details. Further information is below.

Dr James Hopkinson, Clinical Lead at NHS Nottingham North and East CCG, says:

“We want to reassure people that this is about looking at the ways in which services can be delivered more effectively and efficiently – it isn’t a case of taking services away. 

“We are committed to improving services through an integrated approach to patient care across South Nottinghamshire and have re-designed some service specifications to support a shift of non-acute services into community settings. This will provide more convenient access for patients and service users as well as better value for public money.

“We know that patients prefer to have their care delivered at home and in the community and we want to help them to avoid hospital where possible. This approach is aligned with the aims and objectives of the Nottinghamshire Sustainability and Transformation Plan.”

In Nottingham and Nottinghamshire we are fortunate to have highly competent, skilled and clinically robust services across primary (including GP practices), community and hospital (acute) care. The review has provided an opportunity to commission services that capitalise on using the full range of the high quality service provision available to us.


How to comment

Comments are invited up to Sunday 5 February 2017 (10 February for Orthoptics and Dietetics). You can comment:

  • Via the feedback button on
  • Send your comment to the Patient Experience Team on
  • or write to: Freepost RTHU-JLJL-LGLT, Patient Experience Team, South Nottinghamshire CCGs, Civic Centre, Arnot Hill Park, Nottingham NG5 6LU
  • If you would like a paper copy of the proposals please call 0800 028 3693 (option 2)

Services which were reviewed but are staying with Nottingham University Hospitals

  • Clinician to clinician advice and guidance
  • Healthcare Associated Infection Co-ordination service
  • Clinical psychology
  • Outpatient Physiotherapy and Orthopaedic Rehab
  • Outpatient Speech and Language Therapy
  • Specialist Palliative Care Pre-Assessment
  • Community Paediatrics
  • Orthotics
  • Outpatient parenteral antimicrobial therapy (OPAT)
  • Critical Care Outreach
  • Pre-operative Assessments
  • Anti-Coagulation Remote Dosing Service
  • Outpatient Occupational Therapy
  • Dialysis Home Visits
  • Dietetics Total Parenteral Nutrition (TPN)
  • Hepatitis Service
  • Audiological Medicine
  • Dose Adjustment for Normal Eating (DAFNE) – Diabetes Education

For more information, please contact our patient experience team. Or you can access our Q&A document on the Nottingham North and East CCG website.



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