D03. Spinal Services


This Clinical Reference Group (CRG) covers specialised spinal cord injury services and complex spinal surgery.


Chair: Mr Ashley Cole, Consultant Spinal Surgeon, Sheffield Children’s Hospital & Northern General Hospital.

Vacancy, North
John Leach, North
Aheed Osman, Midlands & East
David Cumming, Midlands & East
Angela Gall, London
James Allibone, London
Chalil Vinod, South
Nigel Henderson, South
Kevan Baker, Patient & Public Voice
Andy Masters, Patient & Public Voice
Daniel Burden, Patient & Public Voice
David Stockdale, Lead Commissioner, david.stockdale1@nhs.net


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: