Issue - meetings

Substantial Development or Variation in Service - delivering efficiencies

Meeting: 26/01/2010 - Cheshire and Wirral Councils' Joint Scrutiny Committee (Item 23)

23 Consultation on Substantial Development or Variation in Service - delivering high quality services through efficient design pdf icon PDF 369 KB

To consider the consultation document from the Cheshire and Wirral Partnership NHS Foundation Trust.


The Committee considered a consultation document on a Substantial Development or Variation in Service (SDV).  The consultation set out how CWP proposed to deliver high quality mental health, drug and alcohol and learning disability services:

*      Changing demographics and health need – develop services based on function and need wherever appropriate rather than based on age;

*      Best evidence on successful interventions;

*      New models of care – continue to improve access to services, respond to new ways of working by adopting care pathways that improve patient experience in the least restrictive setting, further develop partnerships with other agencies;

*      Provide services in an effective and efficient manner – reduce inefficiencies associated with under-occupied wards by having a smaller number of general acute admissions wards, develop specialist wards, make best use of highly specialist staff;

*      Commissioner intentions and available resources – use facilities flexibly so as to respond to national guidance which may mean adapting current services, take opportunities to further develop and/or establish wider range of specialist services due to emerging demand.


Dr Davidson explained that the consultation questionnaire was one of a number of methods of seeking views, there were also a number of public consultation events taking place, views would be sought from user groups/support groups and also through the Engage magazine which had a distribution of hundreds and through the website.




(a) the report be received and the proposals be confirmed as a substantial development or variation to the provision of services; and


(b) the arrangements made by CWP for public consultation on the issues and options be noted and supported.