Services suitable for delegation in 2024/25
| PSS Manual Line | PSS Manual line description | Service Line Code | Service line description |
|
2 | Adult congenital heart disease services |
13X |
Adult congenital heart disease services (non-surgical) |
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|
13Y |
Adult congenital heart disease services (surgical) |
|
3 |
Adult specialist pain management services |
31Z |
Adult specialist pain management services |
|
4 |
Adult specialist respiratory services |
29M |
Interstitial lung disease (adults) |
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|
29S |
Severe asthma (adults) |
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|
|
29L |
Lung volume reduction (adults) |
|
5 |
Adult specialist rheumatology services |
26Z |
Adult specialist rheumatology services |
|
7 |
Adult Specialist Cardiac Services |
13A |
Complex device therapy |
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|
13B |
Cardiac electrophysiology & ablation |
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|
13C |
Inherited cardiac conditions |
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|
13E |
Cardiac surgery (inpatient) |
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|
13F |
PPCI for ST- elevation myocardial infarction |
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|
13H |
Cardiac magnetic resonance imaging |
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|
13T |
Complex interventional cardiology (adults) |
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|
13Z |
Cardiac surgery (outpatient) |
|
9 |
Adult specialist endocrinology services |
27E |
Adrenal Cancer (adults) |
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|
|
27Z |
Adult specialist endocrinology services |
|
11 |
Adult specialist neurosciences services |
08O |
Neurology (adults) |
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|
08P |
Neurophysiology (adults) |
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|
08R |
Neuroradiology (adults) |
|
08S |
Neurosurgery (adults) | ||
|
08T |
Mechanical Thrombectomy | ||
|
58A |
Neurosurgery LVHC national: surgical removal of clival chordoma and chondrosarcoma | ||
|
58B |
Neurosurgery LVHC national: EC-IC bypass(complex/high flow) | ||
|
58C |
Neurosurgery LVHC national: transoral excision of dens | ||
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58D | Neurosurgery LVHC regional: anterior skull based tumour s
| ||
|
11 |
Adult specialist neurosciences services |
58E |
Neurosurgery LVHC regional: lateral skull based tumours |
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58F |
Neurosurgery LVHC regional: surgical removal of brainstem lesions |
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58G |
Neurosurgery LVHC regional: deep brain stimulation |
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58H |
Neurosurgery LVHC regional: pineal tumour surgeries – resection |
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|
58I |
Neurosurgery LVHC regional: removal of arteriovenous malformations of the nervous system |
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|
58J |
Neurosurgery LVHC regional: epilepsy |
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|
58K |
Neurosurgery LVHC regional: insula glioma’s/ complex low grade glioma’s |
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58L |
Neurosurgery LVHC local: anterior lumbar fusion |
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58M |
Neurosurgery LVHC local: removal of intramedullary spinal tumours |
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58N |
Neurosurgery LVHC local: intraventricular tumours resection |
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58O |
Neurosurgery LVHC local: surgical repair of aneurysms (surgical clipping) |
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58P |
Neurosurgery LVHC local: thoracic discectomy |
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|
58Q |
Neurosurgery LVHC local: microvascular decompression for trigeminal neuralgia |
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|
58R |
Neurosurgery LVHC local: awake surgery for removal of brain tumours |
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|
58S |
Neurosurgery LVHC local: removal of pituitary tumours including for Cushing’s and acromegaly |
|
12 |
Adult specialist ophthalmology services |
37C |
Artificial Eye Service |
|
|
|
37Z |
Adult specialist ophthalmology services |
|
13 |
Adult specialist orthopaedic services |
34A |
Orthopaedic surgery (adults) |
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|
34R |
Orthopaedic revision (adults) |
|
15 |
Adult specialist renal services |
11B |
Renal dialysis |
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|
|
11C |
Access for renal dialysis |
|
16 |
Adult specialist services for people living with HIV |
14A |
Adult specialised services for people living with HIV |
|
17 |
Adult specialist vascular services |
30Z |
Adult specialist vascular services |
|
18 |
Adult thoracic surgery services |
29B |
Complex thoracic surgery (adults) |
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|
29Z |
Adult thoracic surgery services: outpatients |
|
30 |
Bone conduction hearing implant services (adults and children) |
32B |
Bone anchored hearing aids service |
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|
|
32D |
Middle ear implantable hearing aids service |
|
35 |
Cleft lip and palate services (adults and children) |
15Z |
Cleft lip and palate services (adults and children) |
|
36 |
Cochlear implantation services (adults and children) |
32A |
Cochlear implantation services (adults and children) |
|
40 |
Complex spinal surgery services (adults and children) |
06Z |
Complex spinal surgery services (adults and children) |
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|
|
08Z |
Complex neuro-spinal surgery services (adults and children) |
|
54 |
Fetal medicine services (adults and adolescents) |
04C |
Fetal medicine services (adults and adolescents) |
|
58 |
Specialist adult gynaecological surgery and urinary surgery services for females |
04A |
Severe Endometriosis |
|
|
04D |
Complex urinary incontinence and genital prolapse | |
|
58A |
Specialist adult urological surgery services for men |
41P |
Penile implants |
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|
|
41S |
Surgical sperm removal |
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|
|
41U |
Urethral reconstruction |
|
59 |
Specialist allergy services (adults and children) |
17Z |
Specialist allergy services (adults and children) |
|
61 |
Specialist dermatology services (adults and children) |
24Z |
Specialist dermatology services (adults and children) |
|
62 |
Specialist metabolic disorder services (adults and children) |
36Z |
Specialist metabolic disorder services (adults and children) |
|
63 |
Specialist pain management services for children |
23Y |
Specialist pain management services for children
|
|
64 |
Specialist palliative care services for children and young adults |
E23 |
Specialist palliative care services for children and young adults |
|
65 |
Specialist services for adults with infectious diseases |
18A |
Specialist services for adults with infectious diseases |
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|
|
18E |
Specialist Bone and Joint Infection (adults) |
|
72 |
Major trauma services (adults and children) |
34T |
Major trauma services (adults and children) |
|
78 |
Neuropsychiatry services (adults and children) |
08Y |
Neuropsychiatry services (adults and children) |
|
83 |
Paediatric cardiac services |
23B |
Paediatric cardiac services |
|
94 |
Radiotherapy services (adults and children) |
01R |
Radiotherapy services (Adults) |
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|
51R |
Radiotherapy services (Children) |
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|
01S |
Stereotactic Radiosurgery / radiotherapy |
|
105 |
Specialist cancer services (adults) |
01C |
Chemotherapy |
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01J |
Anal cancer (adults) |
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|
01K |
Malignant mesothelioma (adults) |
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01M |
Head and neck cancer (adults) |
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|
01N |
Kidney, bladder and prostate cancer (adults) |
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|
01Q |
Rare brain and CNS cancer (adults) |
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|
01U |
Oesophageal and gastric cancer (adults) |
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01V |
Biliary tract cancer (adults) |
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01W |
Liver cancer (adults) |
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|
01Y |
Cancer Outpatients (adults) |
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|
01Z |
Testicular cancer (adults) |
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|
04F |
Gynaecological cancer (adults) |
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|
19V |
Pancreatic cancer (adults) |
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|
24Y |
Skin cancer (adults) |
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|
19C |
Biliary tract cancer surgery (adults) |
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|
19M |
Liver cancer surgery (adults) |
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|
19Q |
Pancreatic cancer surgery (adults) |
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|
51A |
Interventional oncology (adults) |
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|
51B |
Brachytherapy (adults) |
|
51C |
Molecular oncology (adults) | ||
|
105 |
Specialist cancer services (adults) |
61M |
Head and neck cancer surgery (adults) |
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|
|
61Q |
Ophthalmic cancer surgery (adults) |
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|
61U |
Oesophageal and gastric cancer surgery (adults) |
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|
61Z |
Testicular cancer surgery (adults)
|
|
33C |
Transanal endoscopic microsurgery (adults) | ||
|
33D |
Distal sacrectomy for advanced and recurrent rectal cancer (adults) | ||
|
106 |
Specialist cancer services for children and young adults |
01T |
Teenage and young adult cancer |
|
|
|
23A |
Children’s cancer |
|
106A |
Specialist colorectal surgery services (adults) |
33A |
Complex surgery for faecal incontinence (adults) |
|
|
|
33B | Complex inflammatory bowel disease (adults) |
|
107 |
Specialist dentistry services for children |
23P | Specialist dentistry services for children |
|
108 |
Specialist ear, nose and throat services for children |
23D | Specialist ear, nose and throat services for children |
|
109 |
Specialist endocrinology services for children |
23E |
Specialist endocrinology and diabetes services for children |
|
110 |
Specialist gastroenterology, hepatology and nutritional support services for children |
23F | Specialist gastroenterology, hepatology and nutritional support services for children |
|
112 |
Specialist gynaecology services for children |
73X |
Specialist paediatric surgery services – gynaecology |
|
113 |
Specialist haematology services for children |
23H | Specialist haematology services for children |
|
115B |
Specialist maternity care for adults diagnosed with abnormally invasive placenta |
04G | Specialist maternity care for women diagnosed with abnormally invasive placenta |
|
118 |
Neonatal critical care services |
NIC | Specialist neonatal care services |
|
119 |
Specialist neuroscience services for children |
23M | Specialist neuroscience services for children |
|
|
|
07Y |
Paediatric neurorehabilitation |
|
|
|
08J |
Selective dorsal rhizotomy |
|
120 |
Specialist ophthalmology services for children |
23N |
Specialist ophthalmology services for children |
|
121 |
Specialist orthopaedic services for children |
23Q | Specialist orthopaedic services for children |
|
122 |
Paediatric critical care services |
PIC | Specialist paediatric intensive care services |
|
125 |
Specialist plastic surgery services for children |
23R | Specialist plastic surgery services for children |
|
126 |
Specialist rehabilitation services for patients with highly complex needs (adults and children) |
07Z | Specialist rehabilitation services for patients with highly complex needs (adults and children) |
|
127 |
Specialist renal services for children |
23S | Specialist renal services for children |
|
128 |
Specialist respiratory services for children |
23T | Specialist respiratory services for children |
|
129 |
Specialist rheumatology services for children |
23W | Specialist rheumatology services for children |
|
130 |
Specialist services for children with infectious diseases |
18C | Specialist services for children with infectious diseases |
|
131 |
Specialist services for complex liver, biliary and pancreatic diseases in adults |
19L | Specialist services for complex liver diseases in adults |
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|
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19P | Specialist services for complex pancreatic diseases in adults |
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19Z | Specialist services for complex liver, biliary and pancreatic diseases in adults
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|
19B |
Specialist services for complex biliary diseases in adults |
|
132 |
Specialist services for haemophilia and other related bleeding disorders (adults and children) |
03X | Specialist services for haemophilia and other related bleeding disorders (Adults) |
|
|
|
03Y |
Specialist services for haemophilia and other related bleeding disorders (Children) |
|
134 |
Specialist services to support patients with complex physical disabilities (excluding wheelchair services) (adults and children) |
05P |
Prosthetics (adults and children) |
|
135 |
Specialist paediatric surgery services |
23X | Specialist paediatric surgery services – general surgery |
|
136 |
Specialist paediatric urology services |
23Z | Specialist paediatric urology services |
|
139A |
Specialist morbid obesity services for children |
35Z | Specialist morbid obesity services for children |
|
139AA |
Termination services for patients with medical complexity and or significant co-morbidities requiring treatment in a specialist hospital |
04P | Termination services for patients with medical complexity and or significant co-morbidities requiring treatment in a specialist |
|
ACC |
Adult Critical Care |
ACC | Adult critical care |