Reducing differences in access to healthcare across Cheshire and Merseyside

In July 2022, the responsibility for commissioning healthcare treatments for the population of Cheshire and Merseyside moved from clinical commissioning groups (CCGs) to the newly formed integrated care board, NHS Cheshire and Merseyside.
Previously local areas made local decisions about how healthcare treatments are commissioned, which over time has resulted in some differences across Cheshire and Merseyside. 
NHS Cheshire & Merseyside logo

To address these differences, the NHS is reviewing its commissioning policies to see how they can be made the same across the region. The local areas involved are:

  • Cheshire East
  • Cheshire West
  • Halton 
  • Knowsley 
  • Liverpool 
  • Sefton
  • St Helens
  • Warrington 
  • Wirral

NHS Cheshire and Merseyside is now responsible for reviewing clinical policies on a regular basis to make sure that changes in best clinical practice are considered, including the latest guidance from the National Institute for Health and Care Excellence (NICE). This also means that any updates from new legislation or legal decisions can be made to existing policies. All clinical policies have a review date – usually two to three years after their adoption.

Professor Rowan Pritchard-Jones, medical director for NHS Cheshire and Merseyside, said: “Treatment policies are designed to provide fair, consistent, and transparent access to care for patients. Our treatment policies are currently being reviewed to ensure they are up to date using the best evidence, to support the best clinical outcomes for our patients across Cheshire and Merseyside. The policy review will make sure policies are fair and accessible for everyone across and consistently informed by the latest clinical evidence and nationally recommended best practice.”

NHS Cheshire and Merseyside is currently in the process of reviewing all 112 existing CCG policies. 

So far, polices for 49 treatments were found to be up to date with the latest evidence and guidance and were the same across all former CCG areas. These have now been harmonised into single, Cheshire and Merseyside wide policies for these 49 treatments.

The aims of this work are to ensure the quality and safety of patient care by: 

•    freeing up valuable resources such as time to allow for more effective interventions
•    reducing harm or the risk of harm to patients
•    helping clinicians to maintain professional practice
•    encouraging innovation
•    maximising value and avoiding waste.

Taking place in stages, the review is now working to harmonise policies where variation exists between different areas of Cheshire and Merseyside. 

The review of clinical policies is being carried out in stages. Some clinical policies were found to be the same across all the local areas of NHS Cheshire and Merseyside, these are referred to as harmonised policies.

Some of the clinical polices vary from area to area. Where this is the case patients and the public will have the chance to contribute at the appropriate time should any changes be proposed to harmonise policies in later stages of this work.

For further information about the process of clinical policy review and updates on finalised policies, please visit https://www.cheshireandmerseyside.nhs.uk/your-health/policies/