NHS England has launched public consultations on a proposed number of new policies or service specifications for specialised services. The proposals have been published in 3 waves, each with different consultation dates
1st Wave
Service Specification
Liver Transplantation Service (Adults)
Clinical Commissioning Policies
Dornase alfa inhaled therapy for primary ciliary dyskinesia (all ages)
Pasireotide: An injectable medical therapy for the treatment of Cushing's disease
Personalised External Aortic Root Support (PEARS) for surgical management of enlarged aortic root (adults)
Robotic assisted trans-oral surgery
Rituximab for CIPD
Temperature-controlled laminar airflow device
Palliative radiotherapy for bone cancer
Radiotherapy for breast cancer
2nd Wave
Clinical Commissioning Policies
Renal denervation for Resistant Hypertension
Surgical correction for pectus deformity (all ages)
Robotic assisted surgery for oesophago-gastric cancers
Robotic assisted lung resection for primary lung cancer
Stereotactic Radiosurgery (SRS) for adults with Parkinson's tremor and Familial Essential Tremor
Amifampridine phosphate for the treatment of Lambert-Easton Myasthenic Syndrome
Extra corporeal membrane oxygenation (ECMO) service for adults with cardiac failure
Use of Plerixafor for Stem Cell Mobilisation (Update to include paediatrics)
Plasma-derived C1-esterase inhibitor for Prophylactic treatment of hereditary angioedema (HAE) types I and II
3rd Wave
Clinical Commissioning Policies
Ivacaftor for children aged 2-5 years with cystic fibrosis (named mutations)
Continuous aztreonam lysine for cystic fibrosis (all ages)
Rituximab for the treatment of dermatomyositis and polymyositis (Adults)
Auditory brainstem implant with congenital abnormalities of the auditory nerves or cochleae
