Greater Manchester Lancs & South Cumbria Senate
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Clinical Senate Council

The NW Clinical Senates support Clinical Commissioning Groups (CCGs), Health and Wellbeing Boards (HWBs) and NHS England to make the best decisions about healthcare

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Welcome to the North West Clinical Senate

In March 2021 the two former NW Clinical Senates, Greater Manchester, Lancs & South Cumbria and Cheshire & Merseyside Clinical Senates formally merged to form a single NW Clinical Senate covering the whole of the NW.

Clinical Senates are a statutory function across England. They are hosted by NHS England & Improvement but the advice they give is wholly independent. The NW Clinical Senate supports commissioners by providing independent strategic clinical leadership and advice on how services should be designed to provide the best overall care and outcomes for patients.

As with our Clinical Senate counterparts across the country, the North West Clinical Senates are guided by the Single Operating Framework for Clinical Senates in England


What do the NW Clinical Senates do?

The NW Clinical Senate provide free, fully independent and impartial, expert clinical advice on any proposals for service change that have significant implications for patients and the public.  We provide this advice to both commissioners and providers of health and social care.

Who provides advice?

Clinical Senates have members from across the clinical spectrum from acute to primary care, including input from social care and patient/carer representatives.

How do we do it?  

In response to your request for advice we bring together the experts into a bespoke panel who will provide evidence-based advice to you, always given in the best interests of patients.  Our experts provide advice in an open and transparent way, which is independent of organisations and professional interests.  Where evidence is limited we seek to build and reflect clinical consensus.

What is our offer? 

Working with a Clinical Senate ensures that you have strong clinically evidence-based proposals for service change, focussed on improving quality, with all the key risks identified.  The benefit to you is how:

  • We provide a level of clinical scrutiny and transparency to the process, sense checking your thinking and challenging assumptions
  • We provide a clear senior clinical appreciation of your options without fear of partisan bias
  • We provide additional and important assurance to your stakeholders in readiness for consultation
  • We are aware of the wider strategic context and ensure that your plans align with this
  • We help to provide clinical consensus where this is lacking