Change proposals for specialised services invited

NHS England as the commissioner of specialised services is currently developing a five year vision and strategy for the commissioning of specialised services.

We are keen to involve as many people as possible in this work and are doing this in a number of ways including a series of engagement events to develop the overarching mission and vision and a focus on how individual services can provide real value for money.

As part of this work NHS England is inviting ideas from patients, public and professionals for ideas of how changes could be made to specialised services. The type of change proposals sought may include changes to a service, system or pathway which can improve or make efficiencies for the benefit of service users.  The proposals should explain the root cause of a problem and how improvements could be made.  Proposals should be presented in a clear and succinct way.  These proposals will be used to define the service-level goals and objectives and ensure alignment to the overarching mission and vision as it is built over the next few months.

We want to hear from everyone who can propose a service change that can be implemented at scale across the whole of a specialised service, and are encouraging joint submissions from patient, public and professional groups working together.


  1. annette.routledge says:

    Is there a national stradegy for Diabetes ?

  2. Adrian Knowles says:

    I would request that the Independent Funding Requirement Research is matched with a detailed assessment of the efficiency and effectiveness of services, particularly
    in relation to various areas of Mental Health affecting Children – an area that appears patchy to say the least in Bradford and Kirklees!
    Additionally, much more attention is required re.the task of ‘INTEGRATION OF HEALTH SERVICES’. Whilst much work is going on around the Country in this respect, there appears to be little study in relation to the ‘end game’ re the difficult area of INTEGRATION and we may finish up in a worse place than when the various changes/studies started. More support from the Public will only be gained in each area of development if they are brought to the ‘starting gate’ i.e. post the small public groups support via CCGs / Social Services/Hospitals etc., there needs to be a major and continual promotion of the ‘benefits route’ that will enable the Individual Person/Patient to eventually play a major role in his/her health/wellbeing as well as co-managing illness. The end picture needs presenting in an imaginative way whilst encouraging public involvement in consultation. Whilst the CCGs could do much more in their own areas, a joint LOCAL NHS communications campaign would show all areas of the service ‘working to the same end’! Public Perception on NHS changes is low and time is running out – much good work will go unrewarded unless the Patient/Public are better informed and taken into partnership with their united local NHS services on the one hand, whilst being exposed Nationally to the overall successful progression of NHS developments!! No Company would embark on such major work as that of the NHS without a major coordinated information campaign demonstrating the results of consultation etc.and reminding people of the ‘end game’! INTEGRATION is a study that has many facets and really requires to be studied in much more detail rather than to be tagged on/missed off various studies! Without solving the key stages of progression for the INTEGRATION of patient services, the NHS will fall short in its task of efficiently treating and involving the Individual Patient in his/her health and envisaged!

  3. Bob Stone says:

    As a result of having radiation therapy for cancer, I developed lymphoedema. The nursing staff responsible for assessment and treatment could not have been more professional and helpful. I did notice, through a lack of funding or interest from those higher up, the treatments available were very basic. Massage being the primary treatment with some pressure bandaging. I have subsequently learned there are many other more scientific approaches that show substantial benefit to the patient. These alternative treatments need to be looked at with a view towards funding. I hope this helps because there are many more severly afflicted with this problem than me.

  4. Amanda Casey says:

    I am part of an ENT/Audiology multi-disciplinary balance team. Balance problems are a significant problem for adults and lead them to be more at risk of becoming fallers as older people. Services for this group are often very fragmented with patients being seen by a wide range of professionals with poor diagnostic processes and outcomes.

    Improvements in care would reduce costs and improve short and long-term outcomes for these patients.

  5. eileen Pearson says:

    My relative’s death was illegally hastened (later admitted) by a lot of cynical moves made by senior consultants, senior nursing staff, hospital administrators, nursing homes and GP practice. I was frantic with worry at the time and could not get any help from any of the people above. The patients Liaison complaints dept. was of no use. Shouldn’t there be someone in all hospitals, nursing homes gp practices etc. to act swiftly on behalf of the relatives/friends of patients who know things are wrong and need help. It would save NHS England £m in compensation after an event that need not have happened.

  6. Ashleigh says:

    although the NHS has come under scrutiny the quite some time, i believe that the majority of health care professionals working for and with the NHS all have the same vision, which is to improve the service given and improve overall standards of the NHS. In doing this, i personally would invest money into the educating of health professional’s. if the standard of the teaching of health professionals from the very word ‘go’ is improved, the next generation of healthcare professionals will be more knowledgable and therefore provide, and give better treatment, i see so many posts that really put a negative image of the NHS and it is such a shame because it is such a good system, to have, if only it was directed and improved and run more smoothly, i see many people, even health professionals slating the NHS, working for the NHS is more than just a job, it is a vocation, not forgetting that these professionals spend their lives being passionate and what these people do every day is nothing short of miracles, they are the saints of this country and i think its a shame that some are tired of feeling unappreciated, so i would say to improve working conditions for these people, these incredibly inspirational people, you’ll be surprised what just a little thank you or some respect and appreciation does for anyone, not just a health professional, its a human want and need. hats of to all of you.

    Aspiring Nurse