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Produced by Verita with named authors, it documents legal advice and supporting correspondence included as appendices. The included excerpts discuss commissioning decisions for upper gastrointestinal services, reference national cancer strategy and earlier Department of Health guidance, and address population base requirements and service centralisation considerations, including implications for outcomes and patient 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\nAn addendum to the report  \nDecember 2010  \nAuthors:  \nLucy Scott-Moncrieff Ed Marsden  \n© Verita 2010  \nVerita is an independent consultancy which specialises in conducting and managing investigations, reviews and inquiries for public sector and statutory organisations.  \nVerita  \n53 Frith St  \nLondon W1D 4SN  \nTelephone 020 7494 5670 Fax 020 7734 9325  \nEmail [enquiries@verita.net](enquiries@verita.net)  \n[Website](Website www.verita.net)[ ](Website www.verita.net)[www.verita.net](Website www.verita.net)  \nContents  \nAppendix A Legal advice from David Lock to Royal Cornwall Hospitals NHS Trust 4  \nAppendix B Letter from John Watkinson to John Mills 13  \nAppendix C Statement from PCT and letters to and from PCT and RCHT about the Griffin review (handling & publication) 15  \nAppendix D Letter from Bill Shields to John Watkinson 20  \nAppendix E Extract from email to John Watkinson dated 4 August 2008 22  \nAppendix F HCC draft infection control report 23  \nAppendix G Email dated 15 August 2008 to John Watkinson from HCC 52  \nAppendix H Response from HCC to RCHT on factual accuracy 53  \nAppendix I HCC final infection control report 65  \nAppendix J HCC briefing to SHA 77  \nAppendix K Mr Biggs’ record of his conversation with John Watkinson on 3 July 86 Appendix L RCHT action plan following Hawker review 87  \nAppendix M John Watkinson’s response to Hawker report and note of the trust and confidence hearing 128  \nAppendix N RCHT performance timeline: 2006-07, 2007-08 and 2008-09 166  \nAppendix O Letter from Ian Biggs, HCC, to Sir Ian Carruthers 175  \nAppendix P RCHT progress report dated March 2009 in response to HCC intervention report of April 2008. 178  \nAppendix A Legal advice from David Lock to Royal Cornwall Hospitals NHS Trust  \n1. I have been asked to provide some advice to the Board of the Royal Cornwall Hospitals NHS Trust (\"the Trust\") about the proposals by the Cornwall and Isle of Wight Primary Care Trust (\"the PCT\") to cease commissioning upper gastrointestinal services (\"upper GI services\") from the Trust and to transfer commissioning of these activities to the Derriford Hospital, Plymouth. I will seek to keep this advice in a short form but am of course happy to supplement it with detailed advice on any aspect set out below if the Trust Board would wish me to do so.  \n2. The National Cancer Strategy published in December 2007 referred to centralisation of services as follows:  \n\"7.17 PCTs working together across a cancer network will wish to consider which diagnostic services should be centralised, taking account of National Institute for Health and Clinical Excellence (NICE) Improving Outcomes Guidance. They will also wish to consider what follow up services could be provided closer to peoples' homes, but with appropriate specialist monitoring\"  \n3. This supports earlier work undertaken by the Department of Health which is explained on its website as follows:  \n\"Calman and Hine's 'A Policy Framework for Commissioning Cancer Services' (DH, 1995) proposed that cancer services should be based around Cancer Units and Cancer Centres, working together to create Cancer Networks involving NHS Trusts, Health Authorities, Primary Care Groups/Trusts, and the voluntary sector. This guidance manual on improving outcomes for upper gastro-intestinal cancers (affecting the oesophagus, stomach, and pancreas) notes that service provision in England and Wales has tended to be fragmented and disorganised. It sets out a specific service model which would make specialist care available to all patients, following the basic structure of the Calman and Hine model\"  \n4. The Guidance was published back in 2001. I do not know what steps have been taken since 2001 but it does appear that this issue has been left on the back burner by local commissioners for a very long time. However the 2","cbCaidihzrt9B65k","https://ap.wps.com/l/cbCaidihzrt9B65k","pdf",5651076,191,"English","# Contents\n## Appendix A Legal advice from David Lock to Royal Cornwall Hospitals NHS Trust\n## Appendix B Letter from John Watkinson to John Mills\n## Appendix C Statement from PCT and letters to and from PCT and RCHT about the Griffin review (handling & publication)\n## Appendix D Letter from Bill Shields to John Watkinson\n## Appendix E Extract from email to John Watkinson dated 4 August 2008","[{\"question\":\"What is the purpose of the addendum dated December 2010?\",\"answer\":\"It provides additional material connected to an investigation, focusing on the approach and behaviour of NHS South West concerning John Watkinson’s dismissal by Royal Cornwall Hospitals NHS Trust.\"},{\"question\":\"Which health services are discussed in the legal advice excerpt?\",\"answer\":\"The excerpts address commissioning of upper gastrointestinal (upper GI) services, including proposals to cease commissioning such services and transfer commissioning activities to Derriford Hospital, Plymouth.\"},{\"question\":\"What guidance documents are cited regarding service centralisation?\",\"answer\":\"The text cites the National Cancer Strategy (December 2007) and earlier Department of Health guidance, including Calman and Hine’s policy framework and a 2001 guidance manual on improving outcomes for upper gastro-intestinal cancers.\"}]","An independent review into the approach and behaviour of NHS South West in relation to the dismissal of John Watkinson by Royal Cornwall Hospitals NHS Trust - An addendum to the report - December 2010 | PDF",1790366262,67]