NHS England & NHS Improvement: Consultation

NHS England & NHS Improvement: Consultation - how MHRA engages with patients and the public

Medicines and Healthcare products Regulatory Agency (MHRA) -  Open consultation: How should we engage and involve patients and the public in our work.

For more information please see the consultation page on the Agency’s website for further details, including a link to the online questionnaire and a downloadable version for those who would prefer to respond offline.

We are also promoting the consultation among all our relevant stakeholder networks, as well as through a news release and social media:










The consultation is open for 12 weeks and will close at 11.45pm on Monday 7th October 2019.

Online Consultations Survey

Online consultations: an alternative way to have a consultation from your GP – surveys now open for your views

NHS England is gathering views on an alternative way for patients and carers to have a consultation with their practice.

Online Consultations are a way for patients to contact their GP practice without having to wait on the phone or take time out to come into the practice. Using a smartphone, tablet or computer, you can contact your practice about a new problem or an ongoing issue. You can ask questions or tell your GP about your symptoms. The practice will ensure your contact is dealt with by the right person in the team, helping ensure you are served as quickly and appropriately as possible. Sometimes this will mean you will need a phone call with the GP or nurse, or an appointment at the practice, and this will be arranged as usual.

Lots of people are already using practice websites to make an appointment, get test results, order a repeat prescription or to view their summary records, so this is a simply a further service being made available to current systems.

We want to find out what you think about using online consultation with your GP practice (not about hospital appointments).

This short survey should take less than 10 minutes to complete and we would really like to hear what you think. The survey is open from Tuesday 08 May and closes on Friday 15 June 2018.

You can find out much more about the programme on the NHS England website – including a link to an online survey to give us your views www.england.nhs.uk/ocsf/ 

For more details about this research project, email england.onlineconsultation@nhs.net.


West Herts Urgent Care Consultation


Herts Valleys Clinical Commissioning Group (CCG)  is looking at how people access urgent care services in west Hertfordshire and specifically walk-in services at Hemel Hempstead Hospital including the Urgent Treatment Centre (UTC) and West Herts Medical Centre (WHMC). To help us make decisions about these services we will be seeking your views.

All of the information for the consultation is available here:  www.hertsvalleysccg.nhs.uk/urgentcareconsultation

Details of the consultation public meetings are below – to help with arrangements it would be useful if you could confirm attendance by emailing communications.hvccg@nhs.net

Monday 12 February

7 – 9pm

Berkhamsted Civic Centre, 161 High Street, Berkhamsted, HP4 3HB


Wednesday 21 February

7 – 9pm

South Hill Centre, Cemetery Hill, Hemel Hempstead, HP1 1JF


Tuesday 20 March

7 – 9pm

Hertsmere Borough Council, Civic Offices, Elstree Way, Borehamwood, WD16 1 WA


Wednesday 21 March

7 – 9pm

St Albans Patient Group public meeting,

St Albans District Council Offices, St Peters Street, St Albans, AL13JE

More information: www.sapg.org.uk


Thursday 22 March

7 – 9pm

West Herts College, Watford Campus, Hempstead Road, Watford WD17 3EZ



NHS Over the Counter (OTC) Consultation

NHS England tablets.jpg

Please find below dates for the patient and public face to face meetings and webinars for the Over the Counter (OTC) consultation. 
These can also be found on the consultation webpage https://www.engage.england.nhs.uk/consultation/over-the-counter-items-not-routinely-prescribed/

Face to face

Conditions for which over the counter items should not routinely be prescribed in primary care: consultation meeting


Conditions for which over the counter items should not routinely be prescribed in primary care: consultation webinar

NHS England Gender Services Consultation

Gender services consultation launched

NHS England has launched a consultation on gender identity services. The consultation is seeking discussion and feedback around two proposed service specifications for adult gender identity services (people 17 and above). The service specifications are based on engagement with the trans community and clinical experts and describe new proposals for patients who are looking for support and/or treatment. As well as giving feedback through an online survey, there are a number of opportunities for people to get involved in the discussions throughout the 90 day consultation.

Staying informed about the consultation

If you would like to stay informed about NHS England’s work on gender identity service, you can register as a stakeholder of the Gender Identity Clinical Reference Group.

Local NHS Spending 'Lets Talk' Online consultation

We are planning to launch a public engagement exercise to seek the views of local people on future spending plans. 

Our board have now agreed a set of proposals upon which to consult local people and we now have a firm date for the start of our consultation: Monday 3 July. We are running this programme alongside East and North Hertfordshire CCG (ENHCCG). It is called ’NHS let’s talk’.

As a reminder: in recent months we have been exploring options for reducing our spending in response to growing financial pressures. There is a gap between the money coming in to pay for health and social care and what we need to spend in order to meet the needs of a growing, ageing population with more complex needs. This means that Herts Valleys CCG must make savings of around £45m in the coming year.

Across the wider area covered by the STP (sustainability and transformation partnership) the financial shortfall, if we don’t take any action, is estimated at £550m over the coming four years.

To tackle these challenges, we have been developing proposals to reduce spending overall.  Wherever we can, we are trying to make changes in ways which won’t affect services. For example, we are:  cutting administration costs; closely analysing all our lines of expenditure comparing our costs to those that other CCGs incur for similar things; and working with organisations that directly provide services to deliver best value for money.

These measures won’t cover the whole deficit and so we need to look at what we spend on some services. Our focus will be on protecting funding for those services which have the biggest impact on the health of our population.

Our proposals have been informed by a survey, carried out earlier this year, to ask residents what they thought our spending priorities should be.  This showed that people think it’s important to prioritise treatments that deliver lasting health benefits and improve patients’ quality of life and to make the best use of local NHS resources.

In line with this feedback and following detailed discussions with our lead GPs, we are considering changing access to some services, reviewing criteria for some treatments and doing what we can to help people to lead healthier lifestyles and take better care of themselves and families so that they rely less on the NHS. Doctors, who make up the majority of people on the CCG board, have been heavily involved in developing the proposals. This will help to ensure that good clinical practice is paramount in our considerations.

Our consultation – being undertaken in partnership with ENHCCG - is about:

·         Tightening up existing rules so that people who smoke or whose weight is classified as ‘obese’ are required to make bigger improvements to their health before non-urgent surgery – unless a longer wait for surgery would be harmful

·         Stopping the availability of NHS- funded IVF (in vitro fertilisation) and specialist fertility services, unless in exceptional circumstances

·         Limiting the routine prescription of food supplements, as well as medicines and products that can be bought without prescription for short-term conditions and minor ailments

·         Restricting the prescribing of gluten-free foods

·         Stoppingroutinefunding of female sterilisation procedures

·         Stopping routine funding of vasectomies (this proposal would only affect patients registered with a GP in the Herts Valleys CCG area)

We will be working with Healthwatch, patient groups, local community organisations and special interest groups to encourage as many people as possible to contribute their views.  We are holding public events and drop-in sessions, attending community meetings and running an extensive social media campaign. The easiest way to find out more and give us your views is by completing the online questionnaires at www.healthierfuture.org.uk/nhsletstalk.

The feedback we get will help inform our decision-making about these proposals.

We look forward to your joining us in this important local debate.

With kind regards,

Dr Nicolas Small, Chair of Herts Valleys CCG

Kathryn Magson, Chief Executive Officer, Herts Valleys CCG

Find out about the Bus consultation in Hertfordshire

The county council currently uses taxpayers’ money to subsidise a number of bus services. Without this financial support these bus services may not run because the commercial bus operators regard them as not profitable. It is a small proportion of these services (around 8% of all miles covered by bus services in Hertfordshire) which are the focus of this consultation.

Hertfordshire County Council currently spends £3.8m every year on supporting bus services –119 services in total. The amount of support the county council pays per passenger journey ranges from 10p to over £9 per individual journey. Factors that affect the amount of financial support include how many passengers use a particular service and whether or not the passenger is using a concessionary (discounted) pass to travel.

In the current financial climate, Hertfordshire County Council need to review whether this arrangementprovides the best value for taxpayers money while meeting, as far as possible, the essential travel needs of Hertfordshire’s residents. The county council is committed to saving at least £700k from the annual budget of £3.8m by April 2015.


To take part in the consultation, visit the Hertfordshire County Council Website to find out more and complete the online survey.

To request additional paper copies of the survey, please phone: 0300 123 4050 or email herts.direct@hertfordshire.gov.uk

The consultation closes on 8th October 2014