What is happening?

We're reviewing lots of services and are currently working to improve critical care for people who have had a stroke and children's surgery and anaesthetic services

Doctors, nurses, healthcare staff and specialist experts all agreed in our recent reviews of hyper acute stroke services and children's surgery that if we are to continue giving safe, high quality care in the future, we need to change how we provide the services across our region.

As a result, we asked for your views on these two areas to help us develop a number of options for the future of the services. These options were open to formal consultation between 3 October 2016 and 14 February 2017 with a final decision expected in June 2017.

We have also carried out a review into urgent and emergency care and are beginning to think about how we can improve these services across the region.

Finally, we're working with Macmillan to develop services that support people who are living with and beyond cancer with work that launched on 19 April 2016.

What we've already done

Last year, we worked with doctors and other health professionals to develop a same day 'treat & return' service for people living in South Yorkshire and Bassetlaw who have had a certain type of heart attack*.

This means that people who go to their hospital in Barnsley, Bassetlaw, Doncaster or Rotherham with this condition now have a same-day return ambulance transfer to Sheffield, where they receive emergency treatment as a day case patient.

Since this does not now require an overnight stay in the specialist centre, the speed of treatment does not depend on the availability of a bed in Sheffield. A more timely response means more people being treated and leading to reduced likelihood of the problem recurring. And it means everyone across the area gets the same quality of care and treatment.

* The service is for people who have had what doctors call an *non-ST elevation myocardial infarction (NSTEMI)

There are three types of heart attack (or acute coronary syndrome):

ST segment elevation myocardial infarction (STEMI)

A STEMI is the most serious type of heart attack, where there is a long interruption to the blood supply. This is caused by a total blockage of the coronary artery, which can cause extensive damage to a large area of the heart. A STEMI is what most people think of when they hear the term 'heart attack'.

Non-ST segment elevation myocardial infarction (NSTEMI)

A NSTEMI is a type of heart attack that is generally less serious than a STEMI. This is because the supply of blood to the heart is only partially, rather than completely, blocked. As a result, a smaller section of the heart is damaged. However, NSTEMI is still regarded as a serious medical emergency.

Unstable angina

Unstable angina is the least serious type of acute coronary syndrome although, like NSTEMI, it is still regarded as a medical emergency.

In unstable angina, the blood supply to the heart is still seriously restricted, but there is no permanent damage, so the heart muscle is preserved.