Public consultation helps CCG decide on health service proposals   You are here: Home » News Detail

13th June 2017

Hundreds of people in Milton Keynes have had their say in a public consultation undertaken by NHS Milton Keynes Clinical Commissioning Group (CCG).

The Clinical Priority and Best Value Consultation sought local people’s views on proposals on podiatry services, adult hearing services, supply of medicines, procedures of limited clinical value and inpatient community services. The proposals were put forward to enable the CCG to continue to prioritise those services that deliver the greatest health gain for local people, whilst at the same time continuing to live within its financial means.

Following eight weeks of consultation with patients, members of the public, providers and stakeholders, the CCG’s Board has carefully considered all the responses and has decided not to pursue the original proposal to limit service provision and exclude patients with mild hearing loss. The CCG will also not limit the supply of a second hearing aid and instead will improve its commissioning of hearing services to deliver improved value from existing contracts and seek to introduce other improvements.

Following the consultation, the CCG’s Board has agreed to make the following changes: 

  • Cease prescribing gluten free foods on NHS Prescription, but a patient’s GP will be able to apply for prescription in exceptional circumstances, where they believe a patient is at real risk of dietary neglect, for whatever reason.
  • Funding (and GPs stop prescribing) of over the counter medicines on NHS prescription for conditions that can be managed through self-care will cease. Where a treatment is needed for a long-term chronic condition or there are legal restrictions on the amount of medicine that can be purchased over the counter, then the patient's regular clinician will still be able to prescribe.
  • Ensuring that in future podiatry services will be given to those at highest risk of developing complications. Routine procedures such as corns, callus and nail conditions will no longer be available for those with no underlying medical conditions.
  • The CCG will work with Central and North West London NHS Foundation Trust to test and pilot new ways of working that will support more people to return home quicker, either from acute care, or by shortening the length of stay in a community bed. The CCG recognises that this may result in a reduction in the number of community beds, but this will importantly not be a reduction in the care given to individual patients who will have their care preference better met as a result.
  • Changes to policies with defined clinical criteria for Procedures of Limited Clinical Value. These changes will come into effect on 1 July and will be available on the CCG’s website from that date:


Dr Nicola Smith, Chair of NHS Milton Keynes said:

“We are really pleased that so many people took the time to read the consultation documents, come to our public meetings and share their views online or by post.

“We have carefully considered all of the responses and taken into consideration all the feedback that we have received. After listening to the views of patients and other stakeholders about the current adult hearing service, we have decided not to limit the availability of the service but will instead improve the way we commission the service to achieve cost-effectiveness and quality of services.

“We entered into this consultation open-minded and were of course open to all feedback from patients, members of the public, providers and stakeholder. This process has been extremely valuable to us and has meant that we have amended some of our proposals to ensure that our services meet the needs of local people and are commissioned and delivered in the most effective way.

“Demand for NHS services continues to increase. Therefore we need to look at everything we do to ensure the NHS locally uses its funding appropriately and fairly. We believe the changes that we will make will ensure that services for local people offer the best care possible, in the most appropriate place, at the right time.” 

For more information on the results of the consultation visit