D03. Spinal Services


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


Chair: Mr David Cumming, Consultant Spinal Surgeon at East Suffolk & North Essex NHS Foundation Trust
Mr Vinay Jasani, Clinical Member
Ms Glynis Peat, Clinical Member
Mr Robin Bhatia, Clinical Member
Ms Elaine Buchanan, Clinical Member
Dr Jane Duff, Clinical Member
Mr Aheed Osman, Clinical Member
Mr John Leach, Clinical Member
Mike Hutton, Affiliate Member
Stuart Blagg, Affiliate Member
Dot Tussler, Affiliate Member
Helen Morrison, Lead Commissioner
Robert Wilson, Public Health England lead
Dave Bracher, Patient and Public Voice representative
Andy Masters,  Patient and Public Voice representative


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 for routine commissioning: