Specialised neurology


This Transform Clinical Reference Group (CRG) covers specialised neurology services.


  • Chair: Niranjanan Nirmalananthan, National Clinical Director for Neurology
  • Martin Wilson, Clinical Member
  • Helen Grote, Clinical Member
  • Richard Grunewald, Clinical Member
  • Tarunya Arun, Clinical Member
  • Ruth Dobson, Clinical Member
  • Jeremy Robson, Clinical Member
  • Shelley Jones, Clinical Member
  • Carolyn Brennan, Lead Commissioner
  • Giles Ratcliffe, Public Health lead
  • Georgina Carr, Patient and Public Voice representative
  • Gideon Schulman, Patient and Public Voice representative

Affiliated members:

  • Geraint Fuller, Clinical Lead for Neurology, GIRFT
  • Richard Davenport, Association of British Neurologists (ABN)
  • Samantha Millsa, British Society of Neuroradiologists
  • Martin Koltzenberg, British Society for Clinical Neurophysiology
  • Rachel Thomasson, Faculty of Neuropsychiatry

Non-core members of the group may be drawn upon for specialist advice and expertise required to deliver the key objectives of the CRG work programme.


A key part of the CRG’s work is the delivery of the ‘products’ of commissioning. These are the tools used by the Regional 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:



Not routinely commissioned

Policy statements

Policy statements are brief documents that define the current commissioning position to support service contracting.

The following policy statements fall within the scope of this CRG:

Treatment algorithm for multiple sclerosis disease-modifying therapies

This algorithm provides a framework to aid decision-making for multiple sclerosis treatment, to help reduce variation in practice, and ensure safe and effective prescribing.

Other related links

NHS England Neurology Service Transformation Programme

The NHS England Neurology Service Transformation Programme is a clinically led programme focused on improving the delivery of neurology services and the experience of those accessing services. Further information on the Programme can be found on the FutureNHS platform: Neurology Service Transformation Programme (this platform requires user to register).

Get involved

If you are interested in the work of the neurology CRG or its NPOC, you can register as stakeholder.

For details on our latest consultations please visit the NHS England consultation hub.

Get in contact

For any questions or queries relating to the work of the neurology CRG or its NPOC, please contact: england.npoc-trauma@nhs.net