E03. Paediatric Medicine


This clinical reference group (CRG) covers the more specialised elements of children’s care across a range of medical specialties, including highly specialised services, renal services, diabetes, rheumatology, immunology, endocrinology, gastroenterology, haematology, respiratory, palliative care and gender identity development services.


Chair: Dr Sue Protheroe, Consultant Paediatric Gastroenterologist at Birmingham Women’s and Children’s Hospital
Dr Ronny Cheung, Clinical Member
Professor Peter Clayton, Clinical Member
Dr Sarah Mitchell, Clinical Member
Dr Carol Inward, Clinical Member
Professor Saul Faust, Clinical Member
Dr Astor Rodrigues, Clinical Member
Dr Clarissa Pilkington, Clinical Member
Dr Jacqui Lindo, Public Health Lead
Bernie Stocks, HSS Commissioning Lead
Stephen Tomlin, Pharmacy Lead
Dr Heidi Unwin, Patient and Public Voice Member
Vacant post, Patient and Public Voice Member
Dr Maya Desai, Affiliate Member
Dr Hilary Cass, Affiliate Member
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.

The following policies 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: