F02. Specialised Blood Disorders


This Clinical Reference Group (CRG) covers haemophilia and other bleeding disorder services. Bleeding disorders are medical conditions in which the blood fails to clot properly. These conditions are rare in the general population, affecting around 24,000 people in the UK. Most are genetically inherited. They include Haemophilia A and B (classified as mild, moderate or severe), Von Willebrand disease and platelet disorders.


  • Dr. John Hanley, Chair
  • Dr. John Pasi, Clinical Member
  • Dr. Charles Hay, Clinical Member
  • Dr. Tina Dutt, Clinical Member
  • Thuvia Flannery, Clinical Member
  • Dr. Sarah Mangles, Clinical Member
  • Dr. Susie Shapiro, Clinical Member
  • Dr. Emily Symington, Clinical Member
  • Dr. Charles Percy, Clinical Member
  • Matt Gregory, Patient & Public Voice Representative
  • Nicola Sugg, Patient & Public Voice Representative
  • Cathy Harrison, Affiliate Member
  • Ri Liesner, Affiliate Member
  • Anna Wells, Affiliate Member
  • William Horsley, Lead Commissioner


A key part of the CRG’s work is the delivery of the ‘products’ of commissioning. These are the tools used by the 10 Hub Commissioning Teams to contract services on an annual basis.

Service Specifications

Service specifications are important in clearly defining the standards of care expected from organisations funded by NHS England to provide specialised care. The specifications have been developed by specialised clinicians, commissioners, expert patients and public health representatives to describe both core and developmental service standards. Core standards are those that all funded providers should be able to demonstrate, with developmental standards being those which may require further changes in practice over time to provide excellence in the field.

The following service specifications fall within the scope of this CRG:


A commissioning policy is a document that defines access to a service for a particular group of patients. A NICE Technology Appraisal Guideline on the same topic will replace, or be incorporated into, a commissioning policy as appropriate. These are important documents that are developed to ensure consistency in access to treatments nationwide.

The following policies fall within the scope of this CRG: