About Us

The Clinical Senates nationally have been established to be a source of independent, strategic advice and guidance to commissioners and other stakeholders to assist them to make the best decisions about healthcare for the populations they represent.

They are comprised of a core Clinical Senate Council and a wider Clinical Senate Assembly.

The Clinical Senate Council is a small multi-professional steering group. This group co-ordinates and manages the Senate's business. It will maintain a strategic overview across the region and be responsible for the formulation and provision of advice working with the broader Clinical Senate Assembly.

The Clinical Senate Assembly is a diverse multi-professional forum providing the Council with ready access to experts from a broad range of health and care professions. Membership of the assembly will encompass the 'birth to death' spectrum of NHS care and will include patient representatives. 


Background to Senates

The NHS Future Forum (2012) listened to thousands of members of the public, patients and service users, their carers, health and social care professionals and managers in a variety of settings up and down the country. It found there was universal support for multi-professional clinical leadership in the NHS and recommended the creation of Clinical Senates. The former NHS Commissioning Board now NHS England then went on to create Clinical Senates across the country. Their remit was to provide strategic, independent clinical advice and leadership support to the commissioning system and provision of high quality healthcare designed to best meet the needs of patients.

From 1 April 2013, twelve Clinical Senates were established across England, broadly based around major patient flows into specialist and tertiary centres. The footprint of each area maps into Clinical Commissioning Groups (CCG's) and local authority boundaries. There is a Clinical Senate for each geographical area.

The West Midlands Clinical Senate is a non-statutory advisory body covering the West Midlands. The Clinical Senate brings together multi-professional clinical leaders to work collaboratively as an arm’s length body who will advise, and where necessary challenge, all parts of the healthcare system to drive improvement. Through its members, the Clinical Senate will use its extensive knowledge of the local healthcare system to assist commissioners make the best decisions about healthcare for the West Midlands population. This is to put outcomes and quality at the heart of the commissioning system, increase efficiency and promote the needs of patients above the needs of organisations.

There are a number of features that distinguish the West Midlands Clinical Senate from other bodies in the new health system, namely that it:

  • Covers a larger geographical area than many other bodies
  • Will not focus on a specific condition rather taking a broader, more strategic view on the totality of healthcare across an area.
  • Has a strong clinical leadership focus


NHS England http://www.england.nhs.uk/


Our Vision and Values


Putting strategic, objective, clinical advice and leadership at the heart of commissioning and service delivery; to improve quality and healthcare outcomes for our patients and the public; by working collaboratively across the West Midlands.


Integrity, Inclusivity, Objectivity, Evidence-Based and Transparency