Clinical networks and senates will play a key role in the new commissioning system by providing clinical advice and leadership to support local decision making.

Clincal senates
- Clinical senates: briefing pack
Clinical senates and the geographical areas they will cover. Senates, comprised of clinicians, patients and other partners, will give advice to commissioners and providers in their area. - The Way Forward – Clinical Senates
- Clinical Senates update (January 2013)
- How do I become involved in or a member of my local Senate?
Strategic clinical networks
- The Way Forward – Strategic clinical networks
The criteria used to decide on the first strategic clinical networks hosted by NHS England, detailing the geographical organisation of network support teams and their structure. - The Way Forward – Frequently asked questions
- Single Operating Framework for Strategic Clinical Networks
The next steps, following on from the Way Forward. - Strategic Clinical Networks update (November 2012)
- Strategic clinical networks – Frequently asked questions
- Strategic clinical networks – Frequently asked questions for staff
Operational delivery networks
- The Way Forward – Operational delivery networks
- Operational delivery networks – update December 2012
Comments on this page are now closed.


Hello
Can you explain the rationale for the decision to have neonatal services as an operational network, yet Maternity and Childrens as a Strategic Network. Surely if one is looking at whole systems pathways neonates (birth to 28 days) can not be removed from the pathway. Perinatal care influences outcomes for neonates likewise care in the neonatal period influences long term outcomes for many children.
As neonatal networks have a crucial role in co-ordinating patient pathways between providers over a wide geographical area, ensuring equity of access to treatment and outcomes, they fall into the category of operational delivery networks, in the new NHS system. More information will be shared on operational delivery networks in the near future including the need for these networks to have a longevity of operation.
However it will be important for strategic clinical networks and operational delivery networks to work together to develop whole system pathways in areas such as maternity, neonatal, and children’s care for the benefit of improved patient and population outcomes.
I am an advocate of clinical networks to bring about improvement and consistency. My concern is that networks, like other parts of healthcare, become focussed on processes rather than outcomes and become prescriptive about the mechanism of delivery. This is even replicated in NICE guidance which may well stipulate the style and mechanism of service that should be commissioned rather than commissioning services which acheive the desired outcomes.
The risk is homogeniety and lack of improvement. To improve to the level of the best by copying their approach is laudable, hiowever, to continuously improve you need to be brave and try new ideas. If commissioners comission only services which match a successful specification (as has happened many times in the past) then progress will be limited and, at worst, better alternative models of service delivery are dismantled to meet the prescription of the network.
I hope that guidance for the networks will encourage them to be truly strategic and outcome focussed and avoid getting too down into the detail of how the delivery is organised
Thanks.
I am a Consultant in Psychiatry (old age ) in the West Midlands. I started a local group which we call ‘Sutton Hub’, 2 years ago , which brings together clinicians, carers and clients (service users) in a periodical meeting where mental health related issues are discussed. we have had several meetings which are held in the local church hall and are advertised locally to attract lay people who are interested in mental health issues affecting the local community.
I look forward to working with any local networks and to the support we can get from the local support team when it is established. I will be grateful for any helpful comments /advice
thanks
Hi Dr Pravir
Thank you for your comment, we appreciate you taking the time to contact us.
Networks, such as yours, show true local leadership, and they are the kind of developments which we encourage and support.
Once established, the strategic clinical network geographical support teams will be a source of advice and guidance. In addition, this support team will be able to provide some basic resource, such as a meeting room, to enable informal networks, such as the Sutton Hub, to flourish in the new system.
Kind regards
Simon
Please could you advise whether the full and complete structure and posts within the NHSCB, including the strategic clinical network structure for all AfC bands, has now been released to sending organisations?
The video of the board on 20/9 discussing the recruitment paper seemed to suggest that it had been.
Many thanks.
Hi Sally
Thank you for your question. The NHS CB directorate structures have been sent to the HR leads at every NHS sender organisation for cascading internally. They are due to be published on the NHS CB website imminently, so will be publicly available then.
Kind regards
Simon
I can’t find the NHSCB directorate structures on the website, are they available yet??
Hi Christopher
Thank you for your comment. The NHS CB directorate structures have not yet been made publicly available, they are due to be published very soon. Please follow us on Twitter or subscribe to our RSS feed so that we can let you know when it’s available.
Kind regards
Simon
In “The Way Forward – Strategic clinical networks” published in July you stated :
We will publish more information on the development of operational delivery
networks on the NHS Commissioning Board Authority website.
It is now October and there still hasn’t been anything. Could you tell us when something will be issued.
Thanks
Hi
Thank you for your comment. We have now published the Single Operating Framework for Strategic Clinical Networks and Frequently Asked Questions documents, which can be found in our Resources for Networks and Senates area.
Kind regards
Simon
Have the clinical directors and network directors been appointed yet? If so, how can we find out who they are?
Also, when will recruitment begin for the support team?
Hi Sarah
Thank you for your comment. All current director level appointments, including clinical directors can be found on our appointments page. More information on recruitment for the support team can be found in the latest Frequently Asked Questions for staff document and all jobs are advertised on the NHS Jobs website.
Kind regards
Simon
Simon
Digital Communicaions Officer
NHS Commissioning Board