In 2017, 25 organisations came together across South Yorkshire and Bassetlaw to form an ‘Accountable Care System’; one of the first in the country.  This includes 18 NHS organisations, 6 local authorities and key organisations from the voluntary sector. 

The aim is to support ways of working that will better join up GPs and hospitals, physical and mental healthcare, social care and the NHS and give our patients the seamless care they have told us they want.

There are many opportunities for involvement in this work; from feeding views into current consultations, to being a member of the regional Citizens Panel.

Please visit the website for more information, including reports on work already undertaken available here.

Views sought to help shape hospital services in our area - Hospital Services review

Healthcare professionals across South Yorkshire, Bassetlaw and Chesterfield are coming together with patients and the public to help shape how hospital services could be delivered in the future to ensure local people continue to get safe, sustainable, high quality care. 

Please see the report here on how people have been involved across South Yorkshire and Bassetlaw to date and the impact of the involvement

 

CURRENT LIVE ENGAGEMENT

NEW CHILDREN’S SURGERY AND ANAESTHESIA PROPOSAL PUT FORWARD FOLLOWING CHANGES SINCE 2017 BUSINESS CASE APPROVAL

We are now engaging with the public in South Yorkshire and Bassetlaw, in particular parents and carers of children aged under 8, about the appendicitis proposal. If you would like to have your say please click here

All of the information about the original proposal and consultation can be found here 

In June 2017 the Joint Committee for Clinical Commissioning Groups (JCCCG) for South Yorkshire and Bassetlaw took a decision to change the way some children’s surgery and anaesthesia services are provided in South and Mid Yorkshire, Bassetlaw and North Derbyshire.

At the time, the JCCCG agreed to clinical recommendations that children needing an emergency operation for a small number of conditions, at night or at a weekend, would not be treated in hospitals in Barnsley, Chesterfield and Rotherham, and would instead have their surgery at Doncaster Royal Infirmary, Sheffield Children’s Hospital or Pinderfields General Hospital in Wakefield.

Since the decision:

• Strengthened partnerships across the region and even closer ways of working have been formed across the patch
• Closer joint working across the NHS Hospitals has strengthened Ear, Nose and Throat (ENT) services and made them more stable and sustainable. This has reduced the need for children’s surgery in the areas previously identified
• The more detailed investigation that happens before any proposed change takes place has shown reality to be more complex than the business case assumed
• There is evidence that pathways for torsions of the testes are appropriate and should be retained
• The introduction of Sustainability and Transformation Partnership/Integrated Care System geographical footprints has changed previous joint working arrangements. In South Yorkshire and Bassetlaw this has impacted on working arrangements with Mid Yorkshire Hospitals

These changes of circumstance have therefore led the Children’s Surgery and Anaesthesia Managed Clinical Network to develop revised recommendations, which meet the principles from the original work around safety and care closest to home, but which do not support the three hub geographical model proposed in 2017.

A new paper, to be decided upon by the Joint Committee of Clinical Commissioning Groups (JCCCG) in February, instead recommends that clinical models should be different depending on the type of surgery.

The paper proposes that:

• The ENT models that are in place, through the close joint NHS Hospitals work are appropriate and should stay as they are
• Torsion of the testis pathways are appropriate and should stay as they are
• Consideration should be taken as to whether Mid Yorkshire Hospitals (MYH) should remain as a part of this work. Changing MYH’s involvement would have some small volume implications
• The pathways at Bassetlaw remain the same as current arrangements
• Abdominal surgery (for suspected appendicitis) is the most complex pathway and the recommendation is that a change should be made to the treatment of appendicitis in young children. The number of appendicectomies (surgery to remove the appendix) undertaken in South Yorkshire and Bassetlaw each year on children under 8 is very small. Children under 8 are not 'small adults' and if they need an appendicectomy, it is better and safer for them to be seen by a surgeon who is trained to and regularly operates on younger children. Therefore the proposal is that for children aged under 8, and also for children with complex needs, appendicectomies should be conducted at Sheffield Children’s Hospital. This would affect about 40 children a year, and arrangements would be put in place to ensure safe transfers. For those children who will continue to have their surgery in their local hospital, we are strengthening the working between surgical, anaesthetic and paediatric medical teams, to ensure that we are concentrating upon the total needs of the child, and not just the surgical aspects.

Should the JCCCG support the changed proposal, work would take place that would see the appendectomy pathway changed in 2020.