Specialised ear surgery


This clinical reference group (CRG) covers:

  • Cochlear implants
  • Implantable hearing aids
  • Bone anchored hearing aids
  • Middle ear implants
  • Auditory brainstem implants.


  • James Tysome, Clinical lead for Specialised Ear Surgery
  • Nicola Symes, Lead Commissioner
  • Robert Wilson, Public Health England lead
  • Frank Stafford, GIRFT Clinical Lead, ENT – affiliate member

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:



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:

Other related links

Get involved

If you are interested in the work of the specialised ear surgery 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 CRG or its NPOC, please contact: england.npoc-trauma@nhs.net