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<p>NHS England’s proposals for change, to ensure that all providers of congenital
heart disease services for adults and children comply with new commissioning standards,
are based on written evidence provided by the units themselves. The Royal Brompton
and Harefield NHS Foundation Trust conducted a self-assessment against the nationally
agreed standards which NHS England then considered. No inspection was undertaken as
part of this process.</p><p> </p><p>NHS England has met with the Royal Brompton and
Harefield NHS Foundation Trust to discuss the impact of their proposals for change.
On reviewing the material provided by the Trust, NHS England has asked for further
information.</p><p> </p><p>The standards for paediatric co-location are not currently
met by the Royal Brompton and Harefield Hospital NHS Foundation Trust, University
Hospitals of Leicester NHS Trust and Newcastle Hospitals NHS Foundation Trust. NHS
England has informed these trusts of its assessment and whether this may involve further
consideration of proposals to cease providing those services.</p><p> </p><p>NHS England
has not yet made any commissioning decisions. It will run a service change process,
including a public consultation, on its proposals for change.</p>
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