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Consultations and public engagement

We want people to get involved and influence local health services. As a CCG, putting patients, carers and service users at the centre of our plan and getting their input is very important.  When major plans are being considered to the way services are being delivered we want to hear what you have to say so that these views are integral in helping us make decisions.

In addition to local consultations we will bring to your attention national and regional consultations which might be of interest.  For more information on NHS England consultations click here

Current engagements

Urgent care services provided at St Albans City Hospital

This engagement runs until midnight on 1 August 2021

We are inviting you to give us your views on urgent care services based  at St Albans City Hospital to help us decide what service to provide there in the future.

The Minor Injuries Unit (MIU) at St Albans City Hospital was temporarily closed in April 2020 when staff were redeployed to support the response to COVID-19. It has remained closed to keep the hospital a COVID-19 free site. We now need to decide what sort of urgent care services to provide at St Albans City Hospital once services can be reopened in the first half of 2021.

This is an opportunity to improve the urgent care service at St Albans City Hospital so that it meets national standards and works alongside other available service to provide enhanced support for patients.

Looking at the options

We need to fully test all possible options for future urgent care at St Albans City Hospital – including those we have concerns about – so that we can be both thorough and open in our approach.  The options are as follows:

  1. Not reopen an urgent care service at St Albans City Hospital and ask patients to continue to use other nearby services in the same way as they have been doing in the last 12 months.
  2. Reopen the minor injury unit as it was before the pandemic, as a service that is led and delivered by senior experienced and specially trained nurses. This would not cater for minor illnesses.
  3. Open a new integrated urgent care service that would offer a minor illness and injury service. It would be led and delivered by senior experienced nurses with the support of GPs.  It would offer some additional diagnostic services on top of x-rays. Appointments would be through the NHS111 service or GPs. There would be no walk-in patients.
  4. Open a new urgent treatment centre that would provide a comprehensive urgent illness and injury service with a broader range of diagnostic services. It would be led and delivered by GPs with the support of senior and qualified nurses and health care assistants. It would offer both walk-in and booked appointments.

The CCG has measured these options against the following key criteria that any new service will need to satisfy.

  • Fit with local and national plans for urgent care
  • Patient experience and access
  • Making the best use of staff and NHS resources
  • Ensuring patient safety
  • Affordability, value for money and sustainability
  • Potential for future integration with other services

Measuring the options against the above factors the Clinical Commissioning Group prefers Option 3 - Integrated Urgent Care Hub. We believe that this option will would meet local needs for an illness and injury service and would allow us to make the best use of staff resource, reduce waiting times and manage patient demand for urgent care services appropriately.

Your views are important

Before we make a decision we want to hear your views about the four options. We also want to know more about how you use urgent care services and what is important to you when accessing urgent care services.

Find out more

In our information booklet you will find

  • An explanation of what urgent care is and how it differs from emergency care.
  • An overview of the different urgent care services available across west Hertfordshire
  • More information about each of the options and how they measure up against the key criteria outlined above.

View our presentation for a quick overview of our proposals.

How to have your say

Complete our questionnaire here

Your feedback will go to The Campaign Company who will independently review and analyse responses. They will then put these into a report to the Clinical Commissioning Group. This report will be published for everyone to see.

Join a focus group 

To support our engagement we are holding some focus groups during the first week of August. These groups will take place online and will last no more than 90 minutes.

The groups will be run by The Campaign Company. If you take part you'll receive a payment or voucher to reimburse you for your time and to help with any expenses such as childcare. To register your interest in these groups go to . Please register by Thursday 29 July.



Previous Engagements 

The following engagements have now closed. 

Let's Talk

Hertfordshire CCGs identified they needed to make the best use of the money available, so that as many people can be helped as possible to live healthier, longer lives, avoiding preventable illnesses.

There was simply not enough money to do everything and continue as before – we consulted across Hertfordshire to hear views about some difficult decisions on how to spend the money available to the local NHS.

For more information on the consultation and the decisions click here


West Herts Medical Centre and Urgent Treatment Centre

This consultation which took place between January and March 2018 invited views from patients, potential users, NHS employees and anyone with an interest in the services provided at either the Hemel urgent treatment centre or West Herts Medical Centre. The consultation asked about opening hours for the urgent treatment centre (UTC) and on whether the contract for West Herts Medical Centre should be reviewed. 

Following the cosnultation the CCG decided on 8am to 10am opening hours for the UTC and decided not to renew the contract for West Herts Medical Centre and to support patients to re-register with other practices. The West Herts Medical Centre building became an extended access hub so that GP appointments continue to be provided on the site. 

To view the full report on the engagement, together with an independent view of the consultation click here

To view the September report to the Herts Valleys board which details recommendations and patient preferences for approval click here.


Consultation for the relocation of Moorfields Eye Hospital from City Road to St Pancras

Proposed Relocation of Moorfields Eye Hospital City Road services: Committees in Common (decision-making) meeting was held on Wednesday 12 February 2020.

The DMBC and associated appendices have been published and are available on: and at

They include a comprehensive summary of the findings from the consultation, the response to the findings and other decision-making information, such as service modelling, financial planning, and the integrated health inequality and equality impact assessment.

Papers from the meeting were as follows:

Moorfields Consultation Committees in Common agenda

Moorfields Consultation Committees in Common report

Decision Making Business Case (DMBC) for the proposed relocation of services from Moorfields’ City Road site to St Pancras.

Decision-Making Business Case: Oriel: creating the centre for advancing eye health

Any questions, feedback and general queries can be submitted outside of formal meetings through the normal communication channels by emailing

North Central London Clinical Commissioning Groups.

Outcome of CiC - Committees in Common (decision-making) meeting:

Proposed move of Moorfields Eye Hospital’s City Road services

The proposal to move Moorfields Eye Hospital, University College London’s Institute of Opthalmology and Moorfield’s Charity to a new site at St. Pancras in London has been approved.

Camden Clinical Commissioning Group on behalf of those CCGs across England that commission services from Moorfields City Road site, in partnership with NHS England/Improvement Specialised Commissioning (London), consulted between 24 May and 16 September 2019 on a proposal to relocate services from Moorfields Eye Hospital’s City Road site to St Pancras. This new-build centre will bring together excellent eye care, ground-breaking research and world-leading education in ophthalmology.

This project will be a partnership between Moorfields Eye Hospital and University College London (UCL) Institute of Ophthalmology (IoO). Moorfields Eye Hospital and UCL will sell the current land at City Road, and all proceeds of the sale will be reinvested in a multi-million pound development on land available at the site of St Pancras Hospital, just north of King’s Cross and St Pancras stations in central London.

During the consultation around 4,600 contributions were received, of which 1,511 were completed consultation surveys. People also gave their feedback in other ways including emails, discussion groups, phone calls, letters and via the virtual assistant on the consultation’s website. You can read the final outcome report at .

To further explore and discuss the findings and their impact upon the proposals, the report and proposals were presented at:

The Committees in Common has now approved the proposal.

Further engagement and co-production will now be undertaken with staff, the local community and service users to develop and design the new centre. This will include:

  • Development and implementation of an accessibility plan, which will be co-designed in partnership with sight loss charities, the Oriel Advisory Group, patients, transport providers, local authorities, commissioners and voluntary organisations. The Trust will ensure plans and processes are in place to enable patients to travel to the new centre safely.

  • Continued involvement of the Oriel Advisory Group and the extensive range of stakeholders that have contributed to the consultation, in the development of the new centre at the St Pancras site.

  • To realise the potential benefits of new clinical pathways and working at scale, a London Ophthalmology Collaborative will be established to progress system-wide service redesign of eye care services across London.

  • Development of an organisational development programme to realise the benefits of integrating research, education and innovation with clinical practice.

  • In addition, Moorfields Eye Hospital will review the feedback received on the patient experience during the consultation and will address areas of improvement before implementation of Oriel where possible. The Trust will also proactively work with partners to ensure that the impacts identified in the Integrated Health Inequalities and Equalities Impact Assessment (IIA) are mitigated as far as possible and the potential positive impacts are harnessed, in a plan to be developed in response to each of the recommendations arising from the IIA.



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