This consultation is now closed.
NHS England and Improvement’s Regional Commissioning Committee for North East and Yorkshire has met to consider the West Yorkshire consultation feedback report on specialised vascular services.
This decision-making committee has approved proposals to have two specialised vascular centres instead of three in West Yorkshire, one at Leeds General Infirmary due to its status as a major trauma centre and the other at Bradford Royal Infirmary due to its co-location with renal care.
Calderdale and Huddersfield NHS Foundation Trust will continue to provide vascular day-case surgery, diagnostics, outpatient appointments and rehabilitation services.
However, given the current context and with the NHS prioritising its work to respond to COVID-19, no large-scale service movement will be undertaken whilst responding to the immediate COVID crisis.
NHS England and NHS Improvement will inform patients and wider health system stakeholders when it is in a position to move forward with this work.
The consultation received more than 380 responses from vascular patients and carers, staff, members of the public and organisations with an interest in the proposals. NHS England and NHS Improvement would like to take this opportunity to thank all those that provided feedback and participated in the process.
NHS England Yorkshire and Humber region asked patients and the public for their views on proposals for the future of specialised vascular services in West Yorkshire.
Vascular services reconstruct, unblock or bypass arteries and are often one-off specialist procedures to reduce the risk of sudden death or amputation and prevent stroke.
Currently the specialised vascular services in West Yorkshire are delivered from three centres – Leeds General Infirmary, Bradford Royal Infirmary and Huddersfield Royal Infirmary. Based on a need to reduce the number of specialised vascular centres from three to two identified by Yorkshire and The Humber Clinical Senate, the proposed recommendation consulted on was that those centres should be at Leeds General Infirmary due to its status as a major trauma centre, and Bradford Royal Infirmary due to its co-location with renal care. The proposals could result in all specialised vascular surgery that requires an overnight hospital stay being transferred from Huddersfield Royal Infirmary to Bradford Royal Infirmary, which would potentially affect up to 800 patients a year.
The majority of patients would continue to access vascular day-case surgery, diagnostics, outpatient appointments and rehabilitation services in local hospitals throughout West Yorkshire.
There were three main reasons for the recommended change to services set out as part of the consultation:
- Specialised vascular centres must be able to deliver a safe and sustainable service to comply with NHS England’s national service specification.
- There are significant staffing pressures at both the Bradford and Huddersfield centres, and while teams are working very hard to maintain good patient outcomes and deliver the appropriate volume of activity for specialised vascular procedures, the service cannot continue in its current form.
- Calderdale and Huddersfield NHS Foundation Trust and Bradford Teaching Hospitals NHS Foundation Trust currently run a shared out of hours on-call rota for emergency vascular services between the two sites, which is not supported as an acceptable or long-term solution by NHS England or Yorkshire and The Humber Clinical Senate.
To request a copy of the consultation on the future of specialised vascular services in West Yorkshire to be sent to you by post, please email england.WYVfeedback@nhs.net or telephone 0113 8251536.
Six events in the local community took place for members of the public and patients to attend. They provided an opportunity for clinical leaders to explain the proposals.
This consultation, run by NHS England specialised commissioning working with the acute trusts through West Yorkshire Association of Acute Trusts, ran from 29 August 2018 until 17 January 2020.
Useful links and resources
- Consultation and supporting business case documents
- Yorkshire and The Humber Clinical Senate report on West Yorkshire Vascular Services
- NHS England national service specification for specialised vascular services for adults
- Getting it Right First Time information and national report on vascular surgery
- Yorkshire and The Humber Clinical Networks