Date of referral.
Strategic Health Authority.
Strategic Health Authority Lead (name and full contact details).
Name and contact details of programme manager.
Name of Scheme and a very short description (3 lines or so) of the scheme (type of care, number of patients and facilities involved).
NHS Organisations affected.
Local Authority Health Overview and Scrutiny Committees affected.
Indicative time scales (including likely timing of public consultation).
National Clinical Advisory Team (please specify the nature of the NCAT support requested i.e. 1st assurance of scheme or more detailed engagement).
Timing of NCAT assurance.

From: Appendix 2, Pro forma for organisations requesting a National Clinical Advisory Team review

Cover of Insights from the clinical assurance of service reconfiguration in the NHS: the drivers of reconfiguration and the evidence that underpins it – a mixed-methods study
Insights from the clinical assurance of service reconfiguration in the NHS: the drivers of reconfiguration and the evidence that underpins it – a mixed-methods study.
Health Services and Delivery Research, No. 3.9.
Imison C, Sonola L, Honeyman M, et al.
Southampton (UK): NIHR Journals Library; 2015 Mar.
Copyright © Queen’s Printer and Controller of HMSO 2015. This work was produced by Imison et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.

Included under terms of UK Non-commercial Government License.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.