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National Services Division Commissioning for Scotland's Health


This page lists all recent National Services Division news stories. For recent NHS Scotland News, please follow the link to Media Monitoring for NHS Scotland. This link will take you to an external NHS Scotland website. NSD does not accept responsibility for the content of external websites.

For information on new developments in NSD, please visit the New Developments section.

News Headlines

Please scroll down to take you to the relevant story.


Cleft Single Surgical Service Transition Plan
Story added: 24/05/17

This is the Cleft Single Surgical Service Transition Plan which sets out the implementation timetable to the new cleft service by the end of June 2017.

Cleft Transition Plan, May 2017 (410kb)

Statement on Cleft Lip & Palate Surgical Service by Cabinet Secretary
Story added: 20/12/16

Cabinet Secretary Statement (1 page, 973KB)

Cleft Surgical Services Proposal Equality Impact Assessment
Story added: 08/08/2016

The Cleft lip and palate surgical service equality impact assessment can be found at the link below.

Equality Impact Assessment  (7 pages, 882 KB)

Cleft Surgical Services Proposal: Communication from the NHS Board Chief Executives Group meeting
Story added: 29/06/2016

A communication from the Board Chief Exexcutives Group of 21 June 2016 on the Cleft Surgical Services Proposal can be found below.

Communication from the NHS Board Chief Executives Group Meeting - 21 June 2016 (2 pages)

Cleft Surgical Services Proposal Communication from the National Specialist Services Committee (NSSC)
Story added 10/06/2016

A communication from National Specialist Services Committee (NSSC) of 8 June 2016 on the Cleft Surgical Services Proposal can be found below.

Cleft Surgery Service Proposal Communiation (2 pages)

Cleft Surgical Service Consultation Sessions
Story added: 05/04/2016

A number of consultation sessions were held on the proposed changes to the national designated Cleft Surgical Service. An initial summary of the issues raised at the sessions can be found in paper below. A final version of it will form part of the feedback from the consultation process toNational Specialist Services Committee. The views expressed are those of the individual making the point only.

Consultation Feedback on Cleft Proposal [6 pages, 25Kb]

Cleft Surgical Service Outcomes Paper
Story added: 10/03/2016

In the run up the current consultation exercise the issue was raised of differential outcomes for speech between the Edinburgh and Glasgow specialist cleft lip and palate surgical services. In considering those concerns National Specialist Services Committee agreed that the consultation should include material on outcomes and the paper accessible through the link below is to provide that information.

Cleft Surgical Services Outcomes Paper [8 pages, 211Kb]

Cleft Surgical Service Proposal Consultation
Story added: 11/02/2016

We are consulting on proposed changes to the nationally designated Cleft Surgical Services for NHS Scotland from February until May 2016. A short information sheet explaining the proposal and how to participate and the Full Consultation Paper can be found below. We look forward to receiving your comments over the next few months.

Cleft Surgical Services Infomation Sheet [2 pages, 312Kb]

Consultation on Cleft Proposal [21 pages, 1.44Mb]

Cleft Surgical Services Options Appraisal Report
Story added: 10/12/2015

The Cleft Lip and Palate Surgical Service Options Appraisal Report can be found below:

Cleft Surgical Services Options Appraisal Report [259 pages, 4.20Mb]

A communication from National Specialist Services Committee (NSSC) of 9th December on Cleft Surgical Services can be found below:

NSSC Communication, 9th Dec. 2015, on Cleft Surgery Services [3 pages, 89Kb]

Commissioning Transplant to 2020
Story added: 03/06/2014

Two complementary strategies were published in summer 2013 by the Scottish Government:

A Donation and Transplantation Plan for Scotland 2013-2020 and NHS Blood and Transplant (Taking Organ Transplantation to 2020) which aim to significantly increase transplantation levels over the next 7 years.

There is an aspiration for Scotland to be one of the best performing countries in the world for donation and transplantation. In order to help make this happen, we are currently working with transplant recipients, the transplant services, NHS Blood and Transplant, and the Scottish Government to increase the quality of the services and the number of transplants provided over the next six years. It is also important that every transplant is as successful as possible.

As National Services Division commissions transplant services for people who live in Scotland, we have asked people who have received a transplant to tell us about all aspects of their care, before and after treatment through an online questionnaire, and are also holding local focus groups across Scotland. Our aim through this is to learn more about your personal experience, in terms of service you have received, but also the emotional and social effects of having a transplant. We will use this information to help improve our transplant services in the future.

If you would like to discuss this further, or would like to find out more about our work, please do not hesitate to contact Rachel Wielinga on 0131 275 7595 or at

Strengthening national commissioning
Story added: 03/01/2013

Introducing the new framework for making recommendations on national commissioning: National Specialist Services Committee

The new decision-making framework for making recommendations on national commissioning was developed over the last year by a sub group of the Scottish Government Health and Social Care Directorates National Planning Forum and will come into use during the 2013/14 national commissioning cycle. It involves a full and systematic approach to decision making, centred around patients’ need and based on clearly defined evaluation criteria. The framework is designed to ensure a fair, transparent and structured process to produce high-quality, consistent and well-documented commissioning decisions on specialist services.

A new committee – the National Specialist Services Committee (NSSC) - has now replaced the previous National Services Advisory Group and met for the first time on 12 November 2012.

Further information can be found on the updated national designation process page.

Review of Children's Congenital Cardiac Services at the Royal Hospital for Sick Children (Yorkhill), Glasgow
Story added: 16/05/2012

Children's congenital cardiac services are commissioned on a national basis by National Services Division (NSD) and are delivered by NHS Greater Glasgow and Clyde.

In 2011, clinicians and managers at the Royal Hospital for Sick Children (RHSC) at Yorkhill undertook a self-assessment against the the NHS in England’s ‘Safe and Sustainable’ standards of care.

As part of its role as the commissioning body, NSD also invited an independent expert panel to review the self-assessment documentation and the service delivered at the hospital.

Commenting on the report, NSD Director Deirdre Evans said: "As a commissioning body, we welcome independent scrutiny of services, to ensure that standards are as high as possible.

"It is fundamental that this service is safe, effective and centred around the needs of the patients.

"Evidence demonstrates the service is safe - results are on a par with other centres in the UK. It is also highly regarded by patients and their families.

"However, this report does highlight a number of areas where improvements can be made, and action is already underway on many of these. NHS Greater Glasgow and Clyde and NSD have each developed action plans to address these.

"The Scottish Government sets overall policy on national services and has confirmed that the decision has been taken that this service is sustainable for Scotland. NHS Greater Glasgow and Clyde deliver the service on the ground. We will work closely with both to respond to these findings."

Areas highlighted in the report

Safety: Outcomes and results for the service on are a par with other centres in the UK. congenital cardiac results are regularly monitored by participation in a national audit.

Intensive care results are similarly monitored through participation in a UK audit.

The English standards require a minimum of 400 operations per year by four surgeons. Scotland has an equivalent caseload per surgeon – our population requires just over 300 operations per year, carried out by a team of three. This means that all surgeons are undertaking around 100 cases a year as recommended.

Person centred: As noted in the Report, the service is highly regarded by patients and their families.

Staffing levels: Funding exists for ten consultants, of whom nine are in post with recruitment underway to fill the final post. NSD also fully funds the nursing establishment to the recommended professional levels. Operational responsibility for maintaining required staffing levels sits with NHS Greater Glasgow and Clyde.

Commissioning arrangements: NHSScotland operates a different commissioning model to the English NHS. While there are a number of designated services that are commissioned nationally, local health board commissioning is the norm in Scotland.

Network arrangements: NHSScotland operates an informal clinical network model which differs to that in the English NHS.

The independent report is available via the following links.

Review of Children's Congenital Cardiac Services at Yorkhill Glasgow Feb 2012 [32 pages, 415Kb]

Paediatric Congenital Cardiac Services in England Service Standards [77 pages, 463Kb]

NHS GGC Action plan for safe and sustainable cardiac services for children [7 pages, 84Kb]

Scottish Cervical Screening Programme - Test of Cure
Story added: 30/04/2012

Following the successful pilot, from 30 April 2012, all women who have had treatment for CIN in Scotland will be tested for HPV at their next cervical screening test. This normally takes place six months after treatment. The evidence and data for the Scottish Cervical Screening Programme is regularly reviewed to ensure the best care. We now know that women who have a test that shows normal cervical cells and no HPV (HPV negative) six months after treatment for CIN can return to routine three yearly screening.

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