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.
- Acute kidney injury (adult)
- Adult critical care services
- Adult critical care transfer services
- Adult highly specialist pain management services
- Adult specialised services for people living with HIV
- Airborne high consequence infectious diseases service specification (adults)
- Airborne high consequence infectious diseases service specification (children)
- Alkaptonuria service (adult)
- Alström syndrome service (all ages)
- Ataxia telangiectasia service (adult)
- Ataxia telangiectasia service (children)
- Atypical haemolytic uraemic syndrome (all ages)
- Auditory brainstem implant for children with congenital abnormalities of the auditory nerves or cochleae
- Autologous intestinal reconstruction (adult)
- Axicabtagene Ciloleucel Chimeric Antigen Receptor T Cell (CAR T) Therapy for the treatment of adult patients with relapsed or refractory large B-cell lymphoma
- Bardet-Biedl syndrome service (all ages)
- Barth syndrome service (children)
- Beckwith-Wiedemann syndrome with macroglossia service (children)
- Behçet’s syndrome service (adults and adolescents)
- Bladder exstrophy service (children)
- Bone and joint infections (adult)
- Bone conduction hearing implant and middle ear implant service (all ages)
- Brachytherapy (all ages)
- Cancer anal (adult)
- Cancer brain and central nervous system (adult)
- Cancer chemotherapy (adult)
- Cancer chemotherapy (child, teenager and young adult)
- Cancer specialist gynaecological
- Cancer head and neck (adult)
- Cancer malignant mesothelioma (adult)
- Cancer oesophageal and gastric (adult)
- Cancer pancreatic
- Cancer penile (adult)
- Cancer services for teenager and young adults
- Cancer services for teenager and young adults – user friendly guide
- Cancer skin (adult)
- Cancer testicular (adult)
- Cardiac surgery (adult)
- Cardiology cardiac magnetic resonance imaging (adult)
- Cardiology electrophysiology and ablation services (adult)
- Cardiology implantable cardioverter defibrillator and cardiac resynchronisation therapy (adult)
- Cardiology inherited cardiac conditions (all ages)
- Cardiology primary percutaneous cortonary intervention (adult)
- Cardiothoracic transplantation service (paediatrics)
- Chronic pulmonary aspergillosis service (adults)
- Cleft lip and / or palate services including non-cleft velopharyngeal dysfunction (all ages)
- Cochlear implantation services (adults and children)
- Colorectal complex inflammatory bowel disease (adult)
- Colorectal cytoreductive surgery (adult)
- Colorectal distal sacretomy (adult)
- Colorectal faecal incontinence (adult)
- Colorectal transanal endoscopic microsurgery (adult)
- Community forensic child and adolescent mental health service (including secure outreach)
- Community forensic child and young people mental health service (FCAMHS)
- Complex childhood osteogenesis imperfecta service
- Complex disability equipment – alternative and augmentative communication aids (all ages)
- Complex disability equipment – Environmental controls (all ages)
- Complex disability equipment- prosthetics (all ages)
- Complex Ehlers Danlos service (all ages)
- Complex gynaecology congenital gynaecological anomalies
- Complex gynaecology/female urology: genito-urinary tract fistulae (girls and women aged 16 years and above)
- Complex gynaecology recurrent prolapse and urinary incontinence
- Complex gynaecology severe endometriosis
- Complex gynaecology urinary fistulae
- Complex gynaecology urogenital anorectal conditions
- Complex home ventilation (adult)
- Complex neurofibromatosis Type 1 service (all ages)
- Complex Spinal Surgery
- Complex tracheal disease service (children)
- Congenital heart disease specification (adult)
- Congenital heart disease standards level 1 specialist surgical centres (adult)
- Congenital heart disease standards level 2 specialist centres (adult)
- Congenital heart disease standards level 3 local centres (adult)
- Congenital heart disease specification (paediatric)
- Congenital heart disease standards level 1 specialist children’s surgical centres (paediatric)
- Congenital heart disease standards level 2 specialist children’s cardiology centres (paediatric)
- Congenital heart disease standards level 3 local children’s cardiology centres (paediatric)
- Congenital heart disease standards and specifications
- Congenital hyperinsulinism service (children)
- Craniofacial service (all ages)
- Cryopyrin associated periodic syndrome (all ages)
- Cystic fibrosis (adult)
- Cystic fibrosis (children)
- Cystinosis diagnosis and co-ordination of management (all ages)
- Diagnostic service for amyloidosis (all ages)
- Diagnostic service for primary dyskinesia (all ages)
- Diagnostic service for rare neuromuscular disorders (all ages)
- DNA repair (all ages)
- Encapsulating peritoneal sclerosis treatment service (adults)
- Epidermolysis bullosa service (all ages)
- Epilepsy surgery service (children)
- External beam radiotherapy services delivered as part of a radiotherapy network (adults)
- Extra corporeal membrane oxygenation service for neonates, infants and children with respiratory failure
- Extra corporeal membrane oxygenation for respiratory failure in adults
- Ex-vivo partial nephrectomy service (adult)
- Fertility preservation for service users with ovarian tissue who are at high/very high risk of infertility and cannot store mature eggs
- Fertility preservation for service users with testicular tissue who are at high/very high risk of infertility and cannot store sperm
- Fertility and endocrine restoration using cryopreserved ovarian tissue
- Fetal medicine
- Gender identity development service for children and adolescents
- Gender identity services for adults; non-surgical interventions
- Gender identity services for adults; surgical interventions
- Gestational trophoblastic disease (Choriocarcinoma – all ages)
- Haematopoietic stem cell transplantation (adult)
- Haematopoietic stem cell transplantation (children)
- Haemodialysis providers delivering only dialysis away from base
- Haemodialysis to treat established renal failure in the home
- Haemophilia (all ages)
- Hand and upper limb transplant service (adults)
- Heart transplantation service (adult)
- Hepato-pancreatic biliary (HPB) – pancreatic and periampullary cancers
- Hepato-pancreatic biliary (HPB) – primary liver, secondary liver, perihilar biliary tract and gallbladder cancers
- High secure infectious diseases unit (all ages)
- Human T-cell lymphotropic virus Type 1 and 2 (all ages)
- Hyperbaric oxygen therapy (all ages)
- In centre haemodialysis
- Inherited White Matter Disorders Diagnostic and Management Service (IWMD) (All Ages)
- Insulin-resistant diabetes services (all ages)
- Interstitial lung disease service (adult)
- Intestinal pseudo-obstructive disorders service (children)
- Islet transplantation service (adult)
- Kidney transplant service (adult)
- Live liver transplantation service (adult)
- Liver transplantation service (adult)
- Liver transplantation service (children)
- Lung transplantation service (adult)
- Lymphangioleiomyomatosis service (adult)
- Lysosomal storage disorders service (children)
- Major trauma (all ages)
- McArdle’s disease service (children)
- Medical genetics (all ages)
- Mental health – high secure services (adult)
- Mental health – low secure services including access assessment service and forensic outreach and liaison services (adult)
- Mental health – medium secure services including access assessment service and forensic outreach and liaison services (adult)
- Mental health service for deaf children and adolescents
- Metabolic disorders (adult)
- Metabolic disorders (children)
- Metabolic disorders (laboratory services)
- Molecular radiotherapy (all ages)
- Multiple sclerosis management service for children service specification
- National artificial eye service (all ages)
- Neonatal critical care
- Neonatal critical care retrieval (transport)
- Neurofibromatosis Type 2 service (all ages)
- Neurointerventional Services for Acute Ischaemic & Haemorrhagic Stroke
- Neuromyelitis optica service (adults and adolescents)
- Neuropathology
- Neurosciences specialised neurology (adult)
- Neurosurgery (adult)
- Ocular oncology service (adult and adolescent)
- Open fetal surgery to treat fetuses with open spina bifida
- Operational delivery networks for external beam radiotherapy services (adults)
- Operational delivery networks for hepatitis C care (adult)
- Ophthalmic pathology service (all ages)
- Osteo-odonto-keratoprosthesis service for corneal blindness (adult)
- Paediatric high dependency care
- Paediatric intensive care
- Paediatric intensive care retrieval (transport)
- Paediatric long term ventilation
- Paediatric medicine: Endocrinology and diabetes
- Paediatric medicine: Gastroenterology, hepatology and nutrition
- Paediatric medicine: Haematology
- Paediatric medicine: Immunology and infectious diseases
- Paediatric medicine: Palliative care
- Paediatric medicine: Renal
- Paediatric medicine: Respiratory
- Paediatric medicine: Rheumatology
- Paediatric medicine: Specialised allergy services
- Paediatric neurosciences: Neurodisability
- Paediatric neurosciences: Neurology
- Paediatric neurosciences: Neurorehabilitation
- Paediatric neurosciences: Neurosurgery
- Paediatric oncology shared care unit
- Paediatric photon radiotherapy services
- Paediatric surgery (and surgical pathology, anaesthesia and pain)
- Paediatric surgery: Chronic pain
- Paediatric surgery: Neonates
- Pain-related Complex Cancer Late Effects Rehabilitation Service
- Pancreas transplantation service (adult)
- Paroxysmal nocturnal haemoglobinuria service (adult and adolescent)
- Penile Prosthesis Surgery
- Perinatal pathology
- Peritoneal dialysis to treat established renal failure
- Positron emission tomography – computed tomography (PET CT) scanning (all ages)
- Principal treatment centres service
- Primary ciliary dyskinesia management service (children)
- Primary ciliary dyskinesia management service (adults)
- Primary malignant bone tumours service (adult and adolescent)
- Proton beam therapy service (all ages)
- Proton beam therapy service – overseas programme (adult and children)
- Provision NHS termination of pregnancy centres for patients presenting with medical complexity and/or significant co-morbidities requiring NHS treatment
- Pseudomyxoma peritonei service (adult)
- Pulmonary hypertension centres (adult)
- Pulmonary hypertension service (children)
- Pulmonary hypertension shared care (adult)
- Pulmonary thromboendarterectomy (adult and adolescent)
- Rare mitochondrial disorders service (all ages)
- Reconstructive surgery service for adolescents with congenital malformation of the female genital tract
- Refractory epilepsy specialist clinical advisory service
- Renal assessment (adult)
- Renal transplantation (adult)
- Renal transplantation (adult) service specification summary
- Retinoblastoma service (children)
- Sarcoma services (all ages)
- Severe acute porphyria service (all ages)
- Severe asthma
- Severe combined immunodeficiency and related disorders service (children)
- Severe intestinal failure service (adult)
- Severe obsessive compulsive disorder and body dysmorphic disorder service (adult and adolescent)
- Small bowel transplantation service (children and adults)
- Specialised allergy services (all ages)
- Specialised and complex obesity surgery for children
- Specialised burn care (adults)
- Specialist burn care services (children)
- Specialised complex surgery for urinary incontinence and vaginal and uterine prolapse (16 years and above)
- Specialised dermatology services (adults and children)
- Specialised eating disorders service
- Specialised eating disorders change notice
- Specialised endocrinology service (adult)
- Specialised human immunodeficiency virus services (children)
- Specialised kidney, bladder and prostate cancer services (adults)
- Specialised maternity care for patients (child bearing age) diagnosed with abnormally invasive placenta
- Specialised maternity service specification insert
- Specialised mental health services for deaf people (adult)
- Specialised ophthalmology (adult)
- Specialised ophthalmology (paediatrics)
- Specialised orthopaedics (adult)
- Specialised perinatal mental health services (in-patient mother and baby unit and linked outreach teams)
- Specialised rheumatology services (adult)
- Specialised services for infectious diseases (adult)
- Specialised services for service users with complications of mesh inserted for urinary incontinence, vaginal or internal and external rectal prolapse (16 years and above)
- Specialised vascular services (adult)
- Specialist children’s and young people’s mental health medium secure in-patient service (MSUs)
- Specialist haemoglobinopathy services (all ages)
- Specialist immunology (adults)
- Specialist liver disease service (children)
- Specialist rehabilitation for patients with highly complex needs (all ages)
- Spinal cord injuries (all ages)
- Stereotactic radiosurgery and stereotactic radiotherapy (intracranial) (all ages)
- Stereotactic radiosurgery and stereotactic radiotherapy (intracranial) (teenage, young adults and adults)
- Stevens-Johnson syndrome and toxic epidermal necrolysis (all ages)
- Stickler syndrome diagnostic service (children)
- Stroke thrombectomy service for acute ischaemic stroke (adults)
- Thoracic surgery (adult)
- Thrombotic Thrombocytopenic Purpura (TTP)
- Tier 4 CAMHS adolescent medium secure
- Tier 4 CAMHS children’s services
- Tier 4 CAMHS general adolescent services
- Tier 4 CAMHS low secure inpatient service
- Tier 4 CAMHS psychiatric intensive care unit
- Tier 4 CAMHS specialist autism spectrum disorder
- Tisagenlecleucel Chimeric Antigen Receptor T Cell (CAR T) Therapy for ALL and DLBCL
- Tropical medicine (all ages)
- Vein of Galen malformation service (all ages)
- Ventricular assist devices as a bridge to heart transplantation or myocardial recovery (all ages)
- Veterans’ post traumatic stress disorder programme (adult)
- Wolfram syndrome service (all ages)