Clinical evidence sources

Clinical working group reports

Since the consultation closed in March 2010 clinicians have reviewed all the responses and discussed the proposals for change with health professionals, local authorities and other stakeholders.

A number of stakeholder discussion events took place throughout September 2010 and feedback from the consultation and these events helped clinicians shape a revised set of recommendations. The revised recommendations were agreed by the Clinical Reference Group in November 2010.

Click on the links below to read the summary report and the final clinical working group recommendations reports. 

• Summary report of clinical recommendations

• Children and young people's care

• Unplanned/Unscheduled care 

• Planned/Scheduled care

• Maternity and newborn care

Click here to read borough summary reports and presentations which describe the impact of the proposals for local residents.

Evidence reports prepared by clinical working groups in September 2009 are available to view here.

Other clinical evidence reports

Many of the reports referenced in the Clinical Working Group recommendations reports (above) are available by clicking on the links below.

National / Healthcare for London reports

• Department of Health white paper: Our health, our care, our say

• Healthcare for London: A Framework for Action (July 2007)

Acute medical care

• Academy of Medical Royal Colleges: Acute healthcare services: a report of a working party (Sept 2007)

• College of Emergency Medicine: The Way Ahead 2008 - 2012 (Dec 2008)

• National Patient Safety Agency: Safer care for the acutely ill patient: learning from serious incident (Jan 2007)

• NCEPOD: Deaths in Acute Hospitals: Caring in the End? (2009)

• Selective referral to high volume hospitals: estimating potentially avoidable deaths

• The King’s Fund: Avoiding hospital admissions – lessons from evidence and experience (April 2010)

• HES online: Accident and Emergency Attendances in England (Experimental Statistics), 2009-10
  
  

Planned and emergency surgery

• Association of Surgeons of Great Britain and Ireland: Emergency General Surgery: The Future – A Consensus Statement (June 2007)

• Royal College of Surgeons: Delivering High-quality Surgical Services for the Future (March 2006)

• Royal College of Surgeons of England: Separating emergency and elective surgical care: Recommendations for practice (Sept 2007)

• National Confidential Enquiry into Patient Outcome and Death: An Age Old Problem - A review of the care received by elderly patients undergoing surgery (Nov 2010)

Maternity and newborn care

• Time of birth and risk of neonatal death at term: retrospective cohort study (2010)

• Summary of findings from the root cause analysis of 37 adverse events and near misses in obstetrics: A report for the NPSA (2000)  

• Safer Childbirth: Minimum standards for the organisation and delivery of care in labour (Oct 2007)

• Neonatal Taskforce Workforce Staff survey analysis (Jan 2009)

• National Clinical Director for Children, Young People and Maternity Services: The Health Challenge; Launch of ChiMat, University of York (2009)
  

Children and young people's care

• Royal College of Paediatrics and Child Health: Supporting Paediatric Reconfiguration - A Framework for Standards (July 2008)