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The review started in May 2019. It is being led by a Programme Board chaired by the Regional Director of Specialised Commissioning and Health and Justice for the East of England. It has representatives from Healthwatch Hillingdon and Healthwatch Hertfordshire, London and East of England Cancer Alliances, local STPs, CCGs, and a number of acute hospitals, including East and North Herts and Hillingdon Hospitals NHS trusts.
An Independent Clinical Review Panel has already made some medium long term recommendations which were published in July 2019, and some short term recommendations to make the current service safer.
The independent Clinical Advisory Group concluded that significant changes needed to be made to the services to ensure they were able to meet patients’ needs in the long-term, including the location of some, or all, of the specialist cancer services on an acute hospital site.
Phase one
The first stage of the review was about gathering information in four parts:
Reviewing data – for example, looking at where patients come from to Mount Vernon and which parts of their treatment they have elsewhere, what patient outcomes are like, travelling times for services such as radiotherapy.
Interviewing clinical staff and stakeholders – asking the staff who work at Mount Vernon and key stakeholders for their opinions on what the options should be.
Independent Clinical Review Panel – leading clinicians from other parts of the country accompanied by representatives of Healthwatch Hillingdon and Healthwatch Hertfordshire reviewing the suggestions of clinical staff, speaking to clinical staff and to patients, and visiting the site, before producing a report in July 2019 making recommendations on the long term options and any short term actions that need to be taken. These recommendations included appointing a specialist cancer hospital to run the Mount Vernon Cancer Centre services. This report was published on 25th July 2019.
Patient and public engagement – analysis of existing patient feedback, and hearing patient views and ideas through public events, focus groups and a bespoke survey. Through July, August and early September 2019, patient and public workshops took place in Stevenage, Luton, Uxbridge, North London, Watford and at Mount Vernon. Structured interviews were held with representatives of some patient groups and a patient survey was available for all patients to complete. The patient feedback was analysed independently and the final engagement report is published below.
At the end of the first stage a decision was made to appoint University College London Hospitals as the preferred provider to run the Mount Vernon Cancer Centre. This is subject to a period of diligence which will ensure the clinical and business implications are properly understood before a final commitment is made, and that East and North Hertfordshire NHS Trust and University College London Hospitals (UCLH) can have important discussions with staff whose contracts would transfer to UCLH. Following this period of due diligence, the UCLH is expected to make a decision in April 2021, with the responsibility for the management of the services formally changing in April 2022.
This would mean that future Mount Vernon Cancer services will be provided by UCLH. This will be from the Mount Vernon site at least until a decision is made on the long term future of Mount Vernon Cancer Centre services. If changes are proposed in future, they will only take place after public consultation.
There are no plans to move any patients to central London unless they would need to go there anyway. In fact, UCLH would like to explore the possibility of some patients currently being treated in central London, being treated at Mount Vernon instead, if it was closer to where they live and if the right clinical facilities were available.
Phase two
The current stage of the review is to develop options.
Clinicians and patients have been involved in discussions on what the future services need to be in order to meet the needs of the Mount Vernon Cancer Centre population. This builds on the information gathered from patients and clinicians in the first stage.
A group of clinicians have reviewed the feedback from patients and stakeholders, and looked at Cancer Alliance Information, learning from other Cancer Centres, published research, local health priorities and other information, and made a recommendation for a new single specialist cancer centre on an acute site, in conjunction with enhanced local access (for example increased local delivery of chemotherapy, and local options for simple appointments such as blood tests). The alternative option considered was to move some services to an acute site, leaving some services at the current location.
This recommendation was informed by strong feedback from patients and carers that the staff team should be kept together and enabled to deliver as much specialist care, research and development as possible, as well as their frustration over long journey times for simple procedures such as blood tests which they felt they should be able to have locally. Feedback about the staff team was extremely positive and patients were keen to see the team maintained and strengthened.
Patients have also had their say on access and location of a possible new cancer centre. Work to identify the possible acute sites for the location of the new centre has included analysis of driving times and public transport, patient views about different hospital sites and ease of travel, and a second independent clinical report outlining the acute services that would need to be available to support a state-of-the-art cancer centre.
The Programme Board set essential criteria concerned the availability of co-located clinical services and access for patients (travelling times by car and by public transport), and noted that only one acute hospital site met all the criteria. A detailed exploration of the feasibility of developing a new Cancer Centre on the Watford Hospital site is now underway, with further consideration of how services could be enhanced in local areas, such as at Hillingdon Hospital.
We want to ensure people are fully involved in these options and will continue to involve patients and local people as we work on the options until a full options appraisal.
Phase three
The next stage of the review is to engage and consult on the final option/s. We will not be able to undertake public consultation unless we have identified the source of funding for the building work required. The announcement in May 2023 that it would not be funded as part of the New Hospitals Programme closed one potential source of capital and others are now being explored.
Phase four
Implementation. Once the public consultation has been completed, and the views of stakeholders and the general public have been considered, work on designing and building a new cancer centre can begin.
At the December 2020 Programme Board, each of the ICS's in the Mount Vernon catchment outlined their cancer strategies in order for them to be incorporated into the planning of future options of MVCC services. You can read the report here.
The review started in May 2019. It is being led by a Programme Board chaired by the Regional Director of Specialised Commissioning and Health and Justice for the East of England. It has representatives from Healthwatch Hillingdon and Healthwatch Hertfordshire, London and East of England Cancer Alliances, local STPs, CCGs, and a number of acute hospitals, including East and North Herts and Hillingdon Hospitals NHS trusts.
An Independent Clinical Review Panel has already made some medium long term recommendations which were published in July 2019, and some short term recommendations to make the current service safer.
The independent Clinical Advisory Group concluded that significant changes needed to be made to the services to ensure they were able to meet patients’ needs in the long-term, including the location of some, or all, of the specialist cancer services on an acute hospital site.
Phase one
The first stage of the review was about gathering information in four parts:
Reviewing data – for example, looking at where patients come from to Mount Vernon and which parts of their treatment they have elsewhere, what patient outcomes are like, travelling times for services such as radiotherapy.
Interviewing clinical staff and stakeholders – asking the staff who work at Mount Vernon and key stakeholders for their opinions on what the options should be.
Independent Clinical Review Panel – leading clinicians from other parts of the country accompanied by representatives of Healthwatch Hillingdon and Healthwatch Hertfordshire reviewing the suggestions of clinical staff, speaking to clinical staff and to patients, and visiting the site, before producing a report in July 2019 making recommendations on the long term options and any short term actions that need to be taken. These recommendations included appointing a specialist cancer hospital to run the Mount Vernon Cancer Centre services. This report was published on 25th July 2019.
Patient and public engagement – analysis of existing patient feedback, and hearing patient views and ideas through public events, focus groups and a bespoke survey. Through July, August and early September 2019, patient and public workshops took place in Stevenage, Luton, Uxbridge, North London, Watford and at Mount Vernon. Structured interviews were held with representatives of some patient groups and a patient survey was available for all patients to complete. The patient feedback was analysed independently and the final engagement report is published below.
At the end of the first stage a decision was made to appoint University College London Hospitals as the preferred provider to run the Mount Vernon Cancer Centre. This is subject to a period of diligence which will ensure the clinical and business implications are properly understood before a final commitment is made, and that East and North Hertfordshire NHS Trust and University College London Hospitals (UCLH) can have important discussions with staff whose contracts would transfer to UCLH. Following this period of due diligence, the UCLH is expected to make a decision in April 2021, with the responsibility for the management of the services formally changing in April 2022.
This would mean that future Mount Vernon Cancer services will be provided by UCLH. This will be from the Mount Vernon site at least until a decision is made on the long term future of Mount Vernon Cancer Centre services. If changes are proposed in future, they will only take place after public consultation.
There are no plans to move any patients to central London unless they would need to go there anyway. In fact, UCLH would like to explore the possibility of some patients currently being treated in central London, being treated at Mount Vernon instead, if it was closer to where they live and if the right clinical facilities were available.
Phase two
The current stage of the review is to develop options.
Clinicians and patients have been involved in discussions on what the future services need to be in order to meet the needs of the Mount Vernon Cancer Centre population. This builds on the information gathered from patients and clinicians in the first stage.
A group of clinicians have reviewed the feedback from patients and stakeholders, and looked at Cancer Alliance Information, learning from other Cancer Centres, published research, local health priorities and other information, and made a recommendation for a new single specialist cancer centre on an acute site, in conjunction with enhanced local access (for example increased local delivery of chemotherapy, and local options for simple appointments such as blood tests). The alternative option considered was to move some services to an acute site, leaving some services at the current location.
This recommendation was informed by strong feedback from patients and carers that the staff team should be kept together and enabled to deliver as much specialist care, research and development as possible, as well as their frustration over long journey times for simple procedures such as blood tests which they felt they should be able to have locally. Feedback about the staff team was extremely positive and patients were keen to see the team maintained and strengthened.
Patients have also had their say on access and location of a possible new cancer centre. Work to identify the possible acute sites for the location of the new centre has included analysis of driving times and public transport, patient views about different hospital sites and ease of travel, and a second independent clinical report outlining the acute services that would need to be available to support a state-of-the-art cancer centre.
The Programme Board set essential criteria concerned the availability of co-located clinical services and access for patients (travelling times by car and by public transport), and noted that only one acute hospital site met all the criteria. A detailed exploration of the feasibility of developing a new Cancer Centre on the Watford Hospital site is now underway, with further consideration of how services could be enhanced in local areas, such as at Hillingdon Hospital.
We want to ensure people are fully involved in these options and will continue to involve patients and local people as we work on the options until a full options appraisal.
Phase three
The next stage of the review is to engage and consult on the final option/s. We will not be able to undertake public consultation unless we have identified the source of funding for the building work required. The announcement in May 2023 that it would not be funded as part of the New Hospitals Programme closed one potential source of capital and others are now being explored.
Phase four
Implementation. Once the public consultation has been completed, and the views of stakeholders and the general public have been considered, work on designing and building a new cancer centre can begin.
At the December 2020 Programme Board, each of the ICS's in the Mount Vernon catchment outlined their cancer strategies in order for them to be incorporated into the planning of future options of MVCC services. You can read the report here.
Please share any questions you have and we will answer them as quickly as possible. Please note we cannot answer any clinical or medical questions here.
Share Some people living in Bedfordshire currenly go to Addenbrooke's for certain checks (skull base and VP shunts, for instance) yet have been referred to Mount Vernon for other types of scan. Why is it not possible for them to have all their scans, and different type of treatment, in one place? Why is it not possible to arrange services to suit the patient? on FacebookShare Some people living in Bedfordshire currenly go to Addenbrooke's for certain checks (skull base and VP shunts, for instance) yet have been referred to Mount Vernon for other types of scan. Why is it not possible for them to have all their scans, and different type of treatment, in one place? Why is it not possible to arrange services to suit the patient? on TwitterShare Some people living in Bedfordshire currenly go to Addenbrooke's for certain checks (skull base and VP shunts, for instance) yet have been referred to Mount Vernon for other types of scan. Why is it not possible for them to have all their scans, and different type of treatment, in one place? Why is it not possible to arrange services to suit the patient? on LinkedinEmail Some people living in Bedfordshire currenly go to Addenbrooke's for certain checks (skull base and VP shunts, for instance) yet have been referred to Mount Vernon for other types of scan. Why is it not possible for them to have all their scans, and different type of treatment, in one place? Why is it not possible to arrange services to suit the patient? link
Some people living in Bedfordshire currenly go to Addenbrooke's for certain checks (skull base and VP shunts, for instance) yet have been referred to Mount Vernon for other types of scan. Why is it not possible for them to have all their scans, and different type of treatment, in one place? Why is it not possible to arrange services to suit the patient?
PhilB
asked
over 2 years ago
Thank you for your question. Some cancer treatments require specialised care and services that may only be offered at certain hospitals. Because of the specific nature of rarer cancers and the treatment required, specially trained staff and equipment may be necessary requiring patients to be referred to different treatment facilities. We are talking to Addenbrookes and other cancer centres to ensure the changes we want to make improve access and care of our patients without disrupting services at those other cancer centres. While we strive to provide the best possible care to all our patients, some patients with particular treatment needs will need to be treated elsewhere. If anyone has any specific concerns about their care, they should speak with their clinical team.
Share The Michael Sobell Hospice is at the Mount Vernon site. Is this moving too? on FacebookShare The Michael Sobell Hospice is at the Mount Vernon site. Is this moving too? on TwitterShare The Michael Sobell Hospice is at the Mount Vernon site. Is this moving too? on LinkedinEmail The Michael Sobell Hospice is at the Mount Vernon site. Is this moving too? link
The Michael Sobell Hospice is at the Mount Vernon site. Is this moving too?
mike
asked
about 3 years ago
The Michael Sobell Hospice is not part of the Mount Vernon Cancer Centre and does not need to be on a main hospital site, so is not part of the plans to move Mount Vernon Cancer Centre.
The hospice is a community service for local people, whether they have used Mount Vernon or not, and will continue to be able to provide hospice care for local people, including those who may be treated at the new Mount Vernon Cancer Centre.
Share There are other areas at Mount Vernon that are not necessarily part of the cancer centre, but are used by those attending or staying at the cancer centre, such as the comfort shop, oak restaurant and costa coffee by the miu. Is there provision in the plans for these services? on FacebookShare There are other areas at Mount Vernon that are not necessarily part of the cancer centre, but are used by those attending or staying at the cancer centre, such as the comfort shop, oak restaurant and costa coffee by the miu. Is there provision in the plans for these services? on TwitterShare There are other areas at Mount Vernon that are not necessarily part of the cancer centre, but are used by those attending or staying at the cancer centre, such as the comfort shop, oak restaurant and costa coffee by the miu. Is there provision in the plans for these services? on LinkedinEmail There are other areas at Mount Vernon that are not necessarily part of the cancer centre, but are used by those attending or staying at the cancer centre, such as the comfort shop, oak restaurant and costa coffee by the miu. Is there provision in the plans for these services? link
There are other areas at Mount Vernon that are not necessarily part of the cancer centre, but are used by those attending or staying at the cancer centre, such as the comfort shop, oak restaurant and costa coffee by the miu. Is there provision in the plans for these services?
mike
asked
about 3 years ago
We are at a very early stage in developing our plans, but we do recognise that these important services will need to be available to patients at the new cancer centre.
We will be holding lots of planning events over the coming months where patients, carers and others will be able to have their say about what services and facilities might be needed.
Share As others, how will you address the parking & difficult access to Watford. It is difficult to access by surrounding areas let alone from further afield, and normally heavely congested, makeing travel so much harder for patients. Especially as Mt Vernon has just had all that money spent on new building. I for one will not continue with my import trial if I have to go to Watford & having had to get to UCL in London for another issue, I would not go there again either. It will just add more conjestion. There is lack of public transport. The biggest issue being lack of parking. Even though Watford is closer, it is so much easier to get to Mt Vernon on FacebookShare As others, how will you address the parking & difficult access to Watford. It is difficult to access by surrounding areas let alone from further afield, and normally heavely congested, makeing travel so much harder for patients. Especially as Mt Vernon has just had all that money spent on new building. I for one will not continue with my import trial if I have to go to Watford & having had to get to UCL in London for another issue, I would not go there again either. It will just add more conjestion. There is lack of public transport. The biggest issue being lack of parking. Even though Watford is closer, it is so much easier to get to Mt Vernon on TwitterShare As others, how will you address the parking & difficult access to Watford. It is difficult to access by surrounding areas let alone from further afield, and normally heavely congested, makeing travel so much harder for patients. Especially as Mt Vernon has just had all that money spent on new building. I for one will not continue with my import trial if I have to go to Watford & having had to get to UCL in London for another issue, I would not go there again either. It will just add more conjestion. There is lack of public transport. The biggest issue being lack of parking. Even though Watford is closer, it is so much easier to get to Mt Vernon on LinkedinEmail As others, how will you address the parking & difficult access to Watford. It is difficult to access by surrounding areas let alone from further afield, and normally heavely congested, makeing travel so much harder for patients. Especially as Mt Vernon has just had all that money spent on new building. I for one will not continue with my import trial if I have to go to Watford & having had to get to UCL in London for another issue, I would not go there again either. It will just add more conjestion. There is lack of public transport. The biggest issue being lack of parking. Even though Watford is closer, it is so much easier to get to Mt Vernon link
As others, how will you address the parking & difficult access to Watford. It is difficult to access by surrounding areas let alone from further afield, and normally heavely congested, makeing travel so much harder for patients. Especially as Mt Vernon has just had all that money spent on new building. I for one will not continue with my import trial if I have to go to Watford & having had to get to UCL in London for another issue, I would not go there again either. It will just add more conjestion. There is lack of public transport. The biggest issue being lack of parking. Even though Watford is closer, it is so much easier to get to Mt Vernon
Gill Pugh
asked
about 3 years ago
Thank you for your questions.
The Watford option will include a Chemotherapy Unit at Hillingdon Hospital, possibly some services at Hillingdon and Northwick Park hospitals, as well as other hospitals outside London. This will mean less patients need to go to the main Cancer Centre.
For those patients who still need to go to the Cancer Centre, we want to make getting there as easy as possible so will work with transport providers and local authorities to see what could be done to improve access, and will look at improving patient transport options. There is already a new road to Watford that avoids the town centre, and a new multi-storey car park is being built.
In terms of money spent on the new building, Mount Vernon Cancer Centre and the Mount Vernon Hospital are different. The new building at the Mount Vernon Hospital site is not part of the Cancer Centre and will remain at the existing site.
However, the new Cancer Centre will take some years to build during which time we will need to maintain services on the current site. This includes replacing equipment and refurbishing departments when it is needed.
Share I agree with Catherine. The dreadful hilly site makes it SO difficult to walk up from the ridiculously busy and difficult / sometimes near impossible to park at car parking facilities. It is hard for 'well patients' - let alone anyone who is undergoing cancer treatment that is so debiitiating. It was hard to walk the short flat distances at Mt Vernon after chemo - let alone UP a HILL! That is a major negative to Watford. on FacebookShare I agree with Catherine. The dreadful hilly site makes it SO difficult to walk up from the ridiculously busy and difficult / sometimes near impossible to park at car parking facilities. It is hard for 'well patients' - let alone anyone who is undergoing cancer treatment that is so debiitiating. It was hard to walk the short flat distances at Mt Vernon after chemo - let alone UP a HILL! That is a major negative to Watford. on TwitterShare I agree with Catherine. The dreadful hilly site makes it SO difficult to walk up from the ridiculously busy and difficult / sometimes near impossible to park at car parking facilities. It is hard for 'well patients' - let alone anyone who is undergoing cancer treatment that is so debiitiating. It was hard to walk the short flat distances at Mt Vernon after chemo - let alone UP a HILL! That is a major negative to Watford. on LinkedinEmail I agree with Catherine. The dreadful hilly site makes it SO difficult to walk up from the ridiculously busy and difficult / sometimes near impossible to park at car parking facilities. It is hard for 'well patients' - let alone anyone who is undergoing cancer treatment that is so debiitiating. It was hard to walk the short flat distances at Mt Vernon after chemo - let alone UP a HILL! That is a major negative to Watford. link
I agree with Catherine. The dreadful hilly site makes it SO difficult to walk up from the ridiculously busy and difficult / sometimes near impossible to park at car parking facilities. It is hard for 'well patients' - let alone anyone who is undergoing cancer treatment that is so debiitiating. It was hard to walk the short flat distances at Mt Vernon after chemo - let alone UP a HILL! That is a major negative to Watford.
Sally F
asked
about 3 years ago
Thank you for your comment.
We have heard feedback from patients about the hill at Watford, and also some suggested solutions. For example, one suggested a multi-storey car park that has an exit at the top of the hill and a flat walkway.
We are very early in this process and will involve patients in helping plan and design any new buildings in a way that will help solve this problem.
Share Why was not I informed about this whole review process apart from a quick comment at my annual cancer review in Jan 2020? I have been going to Mt Vernon since 2004... on FacebookShare Why was not I informed about this whole review process apart from a quick comment at my annual cancer review in Jan 2020? I have been going to Mt Vernon since 2004... on TwitterShare Why was not I informed about this whole review process apart from a quick comment at my annual cancer review in Jan 2020? I have been going to Mt Vernon since 2004... on LinkedinEmail Why was not I informed about this whole review process apart from a quick comment at my annual cancer review in Jan 2020? I have been going to Mt Vernon since 2004... link
Why was not I informed about this whole review process apart from a quick comment at my annual cancer review in Jan 2020? I have been going to Mt Vernon since 2004...
Sally F
asked
about 3 years ago
Thank you for your comment. We are at a very early stage in this process and are not starting the full public consultation until later this year (2021).
An independent clinical team reported in the summer of 2019 that in the interests of patient welfare and safety changes needed to be made, and some improvements were made in that year. We went through a process in January 2020 to identify a specialist provider to run the services provided by Mount Vernon, but not the future location of it. The review then had to pause for much of 2020 because of covid, only starting again in the autumn of 2020 when we began to look in detail at the long-term future of the centre..
We are now looking at what the best option might be and trying to involve as many people as possible as early as we can. We have not decided on any changes.
It has been challenging to contact and inform everyone during the pandemic as placing posters and leaflets in hospital sites has been stopped, and many patient groups, charities and community groups have not held meetings. However, we understand that East and North Hertfordshire Hospitals NHS Trust are sending flyers to patients with information about the review, and articles have appeared in local papers such as "Hemel Today" and the "Watford Observer". Communication will increase as we go further through this process.
Share Does this review include the Paul Strickland Scanner Centre? on FacebookShare Does this review include the Paul Strickland Scanner Centre? on TwitterShare Does this review include the Paul Strickland Scanner Centre? on LinkedinEmail Does this review include the Paul Strickland Scanner Centre? link
Does this review include the Paul Strickland Scanner Centre?
mike
asked
about 3 years ago
Thank you for your question.
Our current thinking is that the Paul Strickland Scanner Centre would need to be located with the new Mount Vernon Cancer Centre at Watford. We are including space for it in our discussions with Watford Hospital.
The Paul Strickland Scanner Centre has a place on the Mount Vernon Cancer Review Board, and will have a say in the final decision about the Mount Vernon Cancer Centre. However, the Paul Strickland Scanner Centre is an independent organisation and will need to make its own decision about whether to move.
Share One of the bonuses of the Mount Vernon site was a relatively tranquil spacious site outside of congested city traffic. If the cancer centre were to be placed at Watford, this would not be the case? In addition, the hilly site and appalling shortage of parking at Watford would add significant physical and mental stress to any visit. How would you propose to address these huge disadvantages? on FacebookShare One of the bonuses of the Mount Vernon site was a relatively tranquil spacious site outside of congested city traffic. If the cancer centre were to be placed at Watford, this would not be the case? In addition, the hilly site and appalling shortage of parking at Watford would add significant physical and mental stress to any visit. How would you propose to address these huge disadvantages? on TwitterShare One of the bonuses of the Mount Vernon site was a relatively tranquil spacious site outside of congested city traffic. If the cancer centre were to be placed at Watford, this would not be the case? In addition, the hilly site and appalling shortage of parking at Watford would add significant physical and mental stress to any visit. How would you propose to address these huge disadvantages? on LinkedinEmail One of the bonuses of the Mount Vernon site was a relatively tranquil spacious site outside of congested city traffic. If the cancer centre were to be placed at Watford, this would not be the case? In addition, the hilly site and appalling shortage of parking at Watford would add significant physical and mental stress to any visit. How would you propose to address these huge disadvantages? link
One of the bonuses of the Mount Vernon site was a relatively tranquil spacious site outside of congested city traffic. If the cancer centre were to be placed at Watford, this would not be the case? In addition, the hilly site and appalling shortage of parking at Watford would add significant physical and mental stress to any visit. How would you propose to address these huge disadvantages?
Catherine Ternouth
asked
over 3 years ago
Thank you for your question. These are really important factors in the patient experience and often matter as much to patients as the access to the widest range of treatments and best quality care. As we move forward in the planning phases, we will be capturing all the things that are important to patients and have planning groups to look at how we can incorporate them into plans for a new centre. For example, how we could incorporate green space, areas for reflection and adequate parking on the Watford site. We will involve patients and the public in that process and will advertise those opportunities on this website and in other ways, and are expecting to consult on the final proposals later this year.
Click here to play video
Workshop presentation
This video shows the presentation given at one of the workshops run between January and March 2021. It describes the reasons for the review and how a preferred option is being identified. This presentation was given at a Hillingdon area event but also contains information relevant to all areas.
Share Please select one option on FacebookShare Please select one option on TwitterShare Please select one option on LinkedinEmail Please select one option link
Contributions to this consultation are closed for evaluation and review. The project team will report back on key outcomes.
Final report
this is an upcoming stage for About The Review
The final outcomes of the consultation are documented here. This may include a summary of all contributions collected as well as recommendations for future action.
This video shows the presentation given at one of the workshops run between January and March 2021. It describes the reasons for the review and how a preferred option is being identified. This presentation was given at a Hillingdon area event but also contains information relevant to all areas.
Independent Clinical Advisory Panel Report July 2019 (373 KB) (pdf)
