The Clinical Reference Group (CRG) covers complex rehabilitation and complex disability services. Complex disability includes specialised prosthetics services, Environmental Controls (EC) and Augmentative and Alternative Communication (AAC) technologies.
Chair: Colonel Alan Mistlin, Consultant Rheumatology and Rehabilitation, Defence Medical Rehabilitation Centre.
Recruitment to this CRG is in progress and the names of the members will be updated shortly.
Guide to commissioning AAC services
NHS England has produced a guide to explain how Augmentative and Alternative Communication (AAC) services for those with difficulty with speech are organised and commissioned, with signposts for how to access the support the services provide.
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 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:
- Complex Disability Equipment: Communication Aids (Specialised Augmentative and Alternative and Communication (AAC) Services)
- Complex Disability Equipment: Environmental Controls (All Ages)
- Complex Disability Equipment: Prosthetics (All Ages)
- Specialist Rehabilitation for Patients with Highly Complex Needs (All Ages)
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:
- Microprocessor controlled prosthetic limbs
- Hand and upper limb reconstruction using vascularised composite allotransplantation (HAUL-VCA)