The main organisations involved:

CCG: CCG stands for Clinical Commissioning Group.  The two key ones in our area include NHS Kirklees CCG and NHS Wakefield CCG.  Led by local GPs, CCGs are the bodies that will hold health budgets and take on the responsibility for purchasing health services to meet the needs of local communities. CCGs will become fully functional in April 2013 and replace PCTs.

MY: MY stands for Mid Yorkshire Hospitals NHS Trust. This is the organisation that manages hospital services at Dewsbury, Pinderfields and Pontefract Hospitals. Also known as the ‘Hospital Trust’.

PCT: PCT stands for Primary Care Trust. Today’s meeting is being held by the Cluster Board which includes three primary care trusts: Calderdale, Kirklees and Wakefield District.  A PCT is an NHS organisation which commissions local health services on behalf of local people. In 2013, PCTs will be replaced by Clinical Commissioning Groups.

Below is a useful list of other words or terms that might be helpful:


Acute healthcare

Medical and surgical treatment usually provided in a hospital setting. See Secondary Care.


The ability to do something without incurring financial difficulty.




Relating to patient care e.g. clinical evidence, clinical practice.


 A health professional, such as a family doctor, psychiatrist, psychologist or nurse, involved in clinical practice.

Clinical pathways

Medical guidelines or other management tools based on evidence based practice for a specific group of patients which improve health results.


A principle of the ‘Meeting the challenge’ programme, which is about bringing more services together on a number of specific sites to create a greater level of expertise.


To decide on behalf of a local population what type, quantity and quality of services it requires, obtain the services from service providers and monitor the way they are provided. See Clinical Commissioning Group, Primary Care Trust.


The person or body who decides on behalf of a local population what type, quantity and quality of services it requires, obtain the services from service providers and monitor the way they are provided. See Clinical Commissioning Group, Primary Care Trust.

Community healthcare

NHS services provided outside a hospital. Community health staff include district nurses, health visitor, community midwives, district dieticians, chiropodists and community psychiatric nurses. Many community staff are attached to GP practices and health centres.

Complex elective medicine or surgery

A planned operation or medical care where the patient may need to be in a high-dependency unit while recovering from the operation, either because the operation is complex or because they have other health problems. See High-dependency unit.


The way that services are organised.

CQC - Care Quality Commission

This is an organisation funded by the Government to check all hospitals in England to make sure they are meeting government standards and to share their findings with the public.



Elective care

Elective care is pre­arranged, non-emergency care that includes scheduled operations. It is provided by clinical specialists in a hospital or other secondary care setting. Patients are usually referred from a primary care professional such as a GP.

Elective Hospital

This is where patients go if they need an operation which is not urgent and so can be planned.

Emergency care

Treatment for medical and surgical emergencies that are likely to need admission to hospital.

Emergency department

Also known as ‘Accident & Emergency.’  A service available 24 hours a day, seven days a week where people receive treatment and/or stabilisation for medical and surgical emergencies.

Emergency surgery

Surgery that is not planned and which is needed for urgent conditions.  This includes surgery for appendicitis, perforated or obstructed bowel and gallbladder infections.  It is also known as non-elective surgery. 



Formal consultation

A formal, public programme for a set period designed to seek views from those who would be affected by, or those who have a particular interest in, proposed new services or changes in services.




A doctor who treats a variety of illnesses and diseases, providing preventative care and health education for everyone. Usually, but not always, based in the community.




The diagnosis, treatment, and prevention of disease, illness, injury, and other physical and mental impairments in humans.

Health and well-being board (HWB)

Part of the NHS reforms, set up to ensure agreed objectives between the NHS and local authorities across health and social care. Have been working in shadow form during 2012 with full effect from April 2013.


These are new organisations which will replace LINks (see below) as part of the  NHS reforms  Their role is to make sure patients are involved in developing and changing NHS services and provide support to local people.  There will be a national HealthWatch to oversee the local HealthWatch and provide advice as an independent part of the CQC (see above).

High dependency unit

Treats conditions that need intensive nursing support, such as people who are ill with pneumonia or who have had major surgery.




A patient who is admitted for a stay in hospital, usually for 24 hours for treatment or an operation

Inpatient paediatrics

These hospitals treat sick children who require a stay in hospital

Intensive care

These units provide support for patients after complex surgery, or patients needing multiple organ support such as ventilation and dialysis



LINks - local involvement networks

LINks are made up of individuals and community groups whose goal is to improve health and social care services.  They are funded by local councils, although they are independent of the Government. In April 2013 they will be replaced by HealthWatch (see above).


A principle of this programme which is to deliver as much care as possible in the most convenient locations making sure people have earlier and easier access to treatment.

Long-term conditions (LTC)

A condition that cannot be cured but can be managed through medication and/or therapy.  Examples include diabetes, asthma and coronary heart disease.




Relating to pregnancy, childbirth and immediately following childbirth.


A specialty that covers a wide range of conditions for which people are admitted to hospital that do not need an operation. Many focus on particular organs (e.g. the heart) or diseases such as cancer.  Medical specialties include: cardiovascular medicine, dermatology, endocrinology and diabetes, gastroenterology, genito-urinary medicine, oncology and rheumatology to name a few.



National Clinical Advisory Team (NCAT)

The National Clinical Advisory Team provides a pool of clinical experts to support, advise and guide the local NHS on local service reconfiguration proposals to ensure safe, effective and accessible services for patients. 


Relating to newborn infants.

Non-elective medicine

Treatment for illnesses that is not planned, including severe pneumonia, flare-ups of inflammatory bowel disease, severe asthma attacks and worsening of COPD, needing admission to hospital

Non-complex elective surgery or medicine (or both)

This includes things such as hernia repairs, knee replacements and planned gallbladder operations, usually as day cases.

Non-elective surgery

See emergency surgery.




Outline Business Case. The case made for the proposals which form this consultation.

Obstetrics and maternity unit

Where babies are delivered and women with complex pregnancies, such as expectant mothers with diabetes or heart disease or who are pregnant with triplets, are monitored.


The results that a patient gets from their treatment – in terms of how well they recover and how far it has been possible to cure their condition


A patient who attends an appointment to receive treatment without  needing to be admitted to hospital.  Outpatient care can be provided by hospitals, GPs and community providers and is often used to follow up after treatment or to assess for further treatment.

Overview and Scrutiny Committee (OSC)/Health Overview and Scrutiny Committee (HOSC)

The committee of the relevant local authority, or group of local authorities, made up of local councillors who are responsible for monitoring, and if necessary challenging, programmes such as the ‘Meeting the challenge’ programme.  Parts of consultation such as the length of a consultation period, have to be agreed by them.



Paediatric services

This refers to healthcare services for babies, children and adolescents

Patient and public advisory group (PPAG)

There is a Wakefield and North Kirklees PPAG.  Volunteer members include representatives of local LINks, patient groups and community organisations. Their role is to help us make sure that the way we communicate information and engage with local people is reasonable and understandable.

Patient pathway or journey

This is the term used to describe the care a patient receives from start to finish of a set timescale, in different stages.  There can be integrated care pathways which include multi-disciplinary services for patient care.  

Public Finance Initiative (PFI)

Schemes set up by the Government during the 1990’s to help finance public sector projects including hospitals, roads, prisons and medical centres, through private sector funds.

Primary care

The first contact a patient has with local healthcare in their community, usually a GP, dentist or optician. (i.e.not secondary care, which is hospital based.)




The degree to which health services increase the likelihood of good health outcomes and are consistent with current professional knowledge. There are often six dimensions to quality: safety, effectiveness, patient centredness, timeliness, efficiency and equity.



Secondary care

Healthcare services delivered by medical or other specialists, usually in hospitals or clinics, that patients have been referred to by their GP or other primary care provider.


People and organisations with a shared interest in an issue, either because they may be affected by it or be able to affect a decision about it.


Clinical specialty which involves operations on particular parts of the body or to address specific injuries, diseases or degenerative conditions.


Ensuring a service can operate properly, well into the future, in a way that is safe, of a high standard, appropriately staffed and which makes the best use of the resources available.



Trauma care

The care provided to people with serious and often multiple injuries e.g. major road accident victims.

Trauma centre

This type of service treats major trauma patients who have complex injuries - either one very serious injury or a number of injuries -which make managing these patients very challenging.  They need expert care from a large number of different specialities to give them the best chance of survival and recovery.

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