E03. Paediatric Medicine


This CRG covers the more specialised elements of children’s care across a range of medical specialities, including highly specialised services, renal services, diabetes, rheumatology, immunology, endocrinology, gastroenterology, haemotology, respiratory, palliative care and gender identity development services.


Chair: Sue Protheroe, Consultant Paediatric Gastroenterologist at Birmingham Children’s Hospital.

Peter Clayton, North
Fiona Campbell, North
Maya Desai, Midlands & East
Clarissa Pilkington, London
Susan Leech, London
Saul Faust, South
Carol Inward, South
Stephen Tomlin, Lead Pharmacist
Nick Posford, Patient & Public Voice
Sally Vincent, Patient & Public Voice
Lynnette Ametewee, Lead Commissioner, lynnette.ametewee@nhs.net


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: