D01. Rehabilitation and Disability


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 at Headley Court and Frimley Park
  • Prof Jai Kulkarni, clinical member
  • Dr Emer McGilloway, clinical member
  • Dr Krystyna Walton, clinical member
  • Dr Helen Harvey, clinical member
  • Zoe Clarke, clinical member
  • Julie Atkinson, clinical member
  • Prof Lynne Turner-Stokes, clinical member
  • Saeed Zahedi, affiliate member
  • Carolyn Young, lead commissioner
  • Catherine Croucher, Public Health England lead
  • Deborah Bent, Patient and Public Voice representative
  • Penny Roberts, Patient and Public Voice representative
  • Sally Light, Patient and Public Voice representative

Guide to commissioning augmentative and alternative communication 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

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:


Not routinely commissioned: