E02. Specialised Surgery in Children


Specialised surgery in children includes:

  • Management of rare surgical conditions in children
  • Provision of specified specialised surgical procedures during childhood
  • Surgery in neonates
  • Surgical management or procedures for more common paediatric surgical conditions when a child requires specialist pre-operative, anaesthetic or post-operative care (Simple surgical procedures in children with complex medical needs).

This clinical reference group covers a large number of specialities and diagnoses. This is because specialised surgery in children comprises both the ongoing management of congenital abnormalities and serious acquired conditions during childhood.
The services included but not limited to:

  • Specialist Ear, Nose and Throat services for children (including specialist audiology services)
  • Specialist Gynaecology services for children
  • Specialist Orthopaedic surgery services for children
  • Specialist Plastic Surgery services for children
  • Specialist Paediatric Surgery services
  • Specialist Paediatric Urology services
  • Specialist Dentistry services for children
  • Cleft Lip and Palate Services
  • Craniofacial Services
  • Surgery for Complex Obesity in Children
  • Paediatric Chronic Pain Services


  • Chair: Mr Oliver Gee, Consultant Paediatric Surgeon, Birmingham Children’s Hospital NHS Foundation Trust.
  • Mr Scott Deacon, Clinical member
  • Mr Robert Freeman, Clinical member
  • Dr Glyn Williams, Clinical member
  • Ms Sujata De, Clinical member
  • Jilly Duckworth, PPV member
  • Graham Slater, PPV Member
  • Heather Weaver, Pharmacy Lead
  • Dr Jacqui Lindo, Public Health Lead
  • Bernie Stocks, HSS Commissioning Lead
  • Katie Jones, Lead Contact


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.