Trauma is one of six National Programmes of Care (NPoCs) overseeing the commissioning of specialised and highly specialised services.
The role of the NPoC is to provide leadership and oversight of the development and delivery of a comprehensive work programme that achieves demonstrable improvements in the quality, equity, value and outcomes of commissioned specialised services.
The Trauma NPoC covers specialised services in traumatic injury, orthopaedics, head and neck and rehabilitation. It consists of an NPoC Board and seven Clinical Reference Groups (CRGs) as follows:
- Rehabilitation and Disability (D01)
- Major Trauma (D02)
- Spinal Services (D03)
- Neurosciences (D04)
- Adult Critical Care (D05)
- Specialised Ear and Ophthalmology Services (D06)
- Specialised Pain (D07)
CRGs provide clinical advice and leadership on the specialised services in the Trauma NPoC. These groups of clinicians, commissioners, public health experts, patients and carers use their specific knowledge and expertise to advise NHS England on the best ways that specialised services should be provided.
CRGs lead on the development of clinical commissioning policies, service specifications and quality standards. They also provide advice on innovation, horizon scanning, service reviews and guide work to reduce variation and deliver increased value. CRGs, through their Patient and Public Voice (PPV) members, also help ensure that any changes to the commissioning of specialised services involve patients and the public.
Chair and membership of the Trauma NPoC Board
Chair: Robert Cornall, Regional Director of Specialised Commissioning North
Co-Chair: Paul May, Liverpool
Biography: Paul May is Divisional Clinical Director for Neurosurgery, Critical Care and Pain, at The Walton Centre NHS Foundation Trust in Liverpool. He has been a consultant neurosurgeon since 1991. A significant part of Paul’s career has been devoted to the development and establishment of paediatric neurosurgical services, both nationally and internationally. He was responsible for the application and subsequent designation of Supraregional Craniofacial Services in Merseyside and was the lead clinician in that service for 13 years. He was responsible for drawing up service specifications for craniofacial services nationally and worked closely with the then National Commissioning Group in their monthly and yearly audits and assessments. Paul has always maintained active practice in adult neurosurgery and in April 2010 moved back into full-time adult neurosurgical services where he is currently Divisional Clinical Director in the UK’s only independent neuroscience NHS Foundation Trust. In addition, Paul has been the trauma lead neurosurgeon involved in negotiations and planning for the implementation of the Government’s White Paper on major trauma, and has worked closely with the Strategic Health Authority and NHS North of England in devising plans and policies, as well as coordinating neurosurgical support and cooperation between three regional neuroscience centres in Preston, Manchester and Liverpool.
- National Programme of Care Senior Manager: Jacquie Kemp
- National Programme of Care Manager: Helen Morrison
- Commissioning Manager, Highly Specialised Commissioning: Nicola Symes
- Regional Programme of Care Manager North: David Stockdale
- Regional Programme of Care Manager Midlands & East: Carolyn Young
- Regional Programme of Care Manager London: Victoria Osborne-Smith
- Regional Programme of Care Manager South: Katharine Young,
- Programme of Care PPV member: Jayne Hidderley
- Programme of Care PPV member: Vacancy – If you are interested in applying for this vacancy please email email@example.com for more information.
The ‘products’ of commissioning are the tools used by the 10 Hub Commissioning Teams to contract services on an annual basis and are listed under each CRG. A small number of products – service specifications and policies – are listed here as they fall within the scope of this NPoC but do not logically sit with a single CRG.
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 NPoC:
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 NPoC:
- Hyperbaric Oxygen Therapy
- Hyperbaric oxygen therapy for carbon monoxide poisoning (all ages)
- Hyperbaric oxygen therapy for decompression illness/gas embolism (all ages)
- Hyperbaric oxygen therapy for malignant otitis externa (all ages)
- Hyperbaric Oxygen Therapy for necrotising soft tissue infections (adults)
- Hyperbaric oxygen therapy for soft tissue radiation damage in patients with a history of pelvic irradiation for malignant disease (all ages)