Fit for the Future – Decision Making Business Case to be considered by CCG Governing Body

I wanted to make you aware that NHS Gloucestershire Clinical Commissioning Group’s Governing Body will meet on Thursday 18 March to give careful consideration to the Fit for the Future Decision Making Business Case (DMBC). The meeting had originally been scheduled for 11 March but we have decided to extend the review period for an extra week in recognition of the significant amount of evidence the Governing Body will be considering.

The DMBC (found on this page) sets out proposed resolutions for the medium and long term future of a number of specialist hospital services following the Fit for the Future consultation:

  • Acute Medicine (specifically acute medical take)
  • Emergency General Surgery
  • Gastroenterology inpatient services
  • Image Guided Interventional Surgery (IGIS) including Vascular Surgery
  • Trauma and Orthopaedic (T&O) inpatient services.

The DMBC (page 112) also includes a resolution for Planned General Surgery that recommends that further work is done to define a new option to deliver:

  • Planned high risk Upper Gastrointestinal (GI) and Lower Gastrointestinal (Colorectal) surgery at Gloucestershire Royal Hospital
  • Planned complex and routine inpatient and day case surgery in both Upper and Lower GI (Colorectal) at Cheltenham General Hospital.

Should the resolution for Planned General Surgery be passed, local people and staff will be given the opportunity to be inform the definition of a new option.

The Governing Body meeting and the DMBC follow the consultation review period, where Gloucestershire Hospitals NHS Foundation Trust and the CCG looked in detail at the output of consultation report, the Citizens’ Jury reports and public, staff and stakeholder comments following publication of additional information.

We recognise that this item is of significant importance to patient care and the development of specialist hospital services in the county and governing body members will carefully consider all of the information they are presented with before reaching any decisions.

The Governing Body papers, including the DMBC, and meeting information are available at:

We will send you a further communication confirming the outcomes of the 18 March Governing Body meeting in due course.

Best wishes

Dr Andy Seymour 
Clinical Chair
NHS Gloucestershire Clinical Commissioning Group