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
Ms Glynis Peat
Mr Robin Bhatia
Ms Elaine Buchanan
Dr Jane Duff
Mr Aheed Osman
Mr John Leach


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:


National Low Back and Radicular Pain Pathway

A link to the National Low Back and Radicular Pain Pathway can be found on the United Kingdom Spine Societies Board website.