{
  "url": "https://openlegislation.uk/local-health-boards-functions-amendment-regulations-2003/schedule",
  "json_url": "https://openlegislation.uk/local-health-boards-functions-amendment-regulations-2003/schedule.json",
  "legislation": "wsi/2003/816",
  "legislation_title": "The Local Health Boards (Functions) (Amendment) Regulations 2003",
  "legislation_url": "https://openlegislation.uk/local-health-boards-functions-amendment-regulations-2003",
  "path": "schedule",
  "kind": "schedule",
  "number": null,
  "heading": "Excepted functions of a relevant Health Authority",
  "text": "Commissioning of Specialised Services for adults and children in respect of:—\nDescription\nBlood and bone marrow transplantation\nAutografts and Allografts, all phases.\nAssessment and provision of equipment for people with complex physical disability\nProsthetics and complex orthotics;Wheelchair provision including complex postural seating and powered wheelchair controls; Communication aids (excluding all forms of hearing aids and cochlear implants);\nEnvironmental controls and other electronic assistive technology;\nTelecare.\nAll services provided by the Artificial Limbs and Appliances Service.\nHaemophilia and other bleeding disorders\nAll activity including genetic support.\nSpinal services\nSpinal injuries (with damage or threat to spinal cord function) —all activity in designated centres;\nComplex spinal deformity surgery and reconstructive spinal surgery (without threat to spinal cord function).\nBurns services\nThe treatment of complex burns including acute surgical care, intensive care, rehabilitation and multiple in-patient and out patient interventions for re-constructive surgery.\nCystic fibrosis\nAll services including outreach and shared care.\nCleft lip and palate services\nServices provided by all relevant specialites\nAllergy\nTreatment of allergic disease requiring special facilities for investigation and management normally available only in national specialist centres.\nMedical genetics\nClinical genetics;\nLaboratory genetics;\nCytogenetics;\nMolecular genetics;\nMetabolic biochemistry;\nPlanning for population screening\nClinical Immunology\nLaboratory investigation for the diagnosis, clinical assessment and treatment of patients with suspected and established primary and humoral immunodeficiences and the monitoring of complex therapies.\nCommissioning of Specialised Services for Adults in respect of:—\nCancer Services\nSpecialised services including Continuous Hyperfractionated Accelerated Radiotherapy (for lung cancer), Stereotactic radiosurgery, total skin electon beam radiotherapy cutaneous lymphoma only, micrographic surgery for skin cancer, thoracic surgery for the treatment of cancer, exenterative surgery for gynaecological cancer, brachytherapy, hyperthermia, radionuclide therapy, specialised palliative care services for common cancers: stents, laser and cryotherapy, photodynamic therapy, conformal radiotherapy, photopheresis, Position Emmission Tomography scanning, testing people for cancers that have genetic or familial associations including familial polyposis, hereditary non-polyposis, colon, breast.Specialised conditions including brain/central nervous system/spinal cancers, endrocrine, sarcoma (soft tissue and bone), skin cancer (melanoma (any site)), cutaneous lymphoma, Human Immunodeficiency Virus related malignancies, mesthelioma, specialised gynaecological cancers — vulval, vaginal and germ cell cancers, head & neck cancers, haematological malignancies such as leukaemia, lymphoma and myeloma, urological cancers —complex bladder, retro-peritoneal surgery, testes, lymphnode section, complex penile; pituitary tumours and teenage & young adult cancer (up to age 25).\nComplex rehabilitation for brain injury and complex disability\nCentres providing a significant proportion of complex rehabilitation — excluding local aftercare and rehabilitation.\nNeurosciences\nNeurosurgery;\nNeurology (excluding in-patient stroke and cerebral haemorrhage);\nNeurorehabilitation;\nNeuropathology;\nNeurophysiology;\nNeuroradiology;\nNeuroophthalmology;\nNeurootology.\nRenal services\nTreatment for End Stage Renal Failure;\nTreatment for acute renal failure;\nGeneral nephrology (provided in a main nephrology unit);\nRenal related surgery including dialysis.\nHome parental nutrition\nHome care packages and support provided by hospital team.\nCardiology and cardiac surgery\nCardiothoracic transplantation (including implantable ventricular assist devices);\nPulmonary hypertension;\nCardiac electrophysiology;\nCongenital heart disease;\nInvasive cardiology;\nAngiography and cardiac surgery.\nInfectious diseases\nInpatient infectious disease activity.\nHepatology, hepatobiliary and pancreatic surgery\nServices for the treatment of patients with viral hepatitis;\nServices for patients with acute liver failure and advanced complications of cirrhosis;\nServices for patients with benign and malignant liver tumours and cancer of the intra and extrahepatic biliary tree (including pancreas);\nHepatobiliary and pancreatic surgery.\nMental Health\nTertiary Eating Disorder services;\nNeuropsychiatry;\nForensic Services excluding low secure;\nMental health services for deaf people;\nGender Identity disorder;\nPerinatal psychiatric services (Mother and Baby) units;Complex and/or treatment resistant disorders.\nPlastic Surgery\nSurgery on the skin and/or appendages including microsurgery.\nThoracic surgery\nSurgery on the lungs and thoracic cavity and walls excluding cardiac surgery\nWomen’s health\nFoetal medicine including prenatal diagnosis and foetal therapy; Congenital abnormalities of the genital tract.Infertility Services involving in-vitro techniques\nPathology\nDermatology\nCochlear Implants\nCommissioning of Specialised Services for Children in respect of:—\nCardiology and cardiothoracic surgery;\nNephrology, including renal replacement therapy;\nGastroenterology/\nHepatology/\nNutritional support;\nRespiratory;\nOncology;\nMalignant haematology;\nNon-malignant haematology;\nNeonatal intensive care;\nPaediatric intensive care;\nImmunological disorder/infectious disease/allergy;\nPaediatric pathology;\nPaediatric Neurosciences (Including complex disability and rehabilitation);\nMetabolic disorders;\nPaediatric endocrinology and diabetes;\nRheumatology;\nSpecialised child and adolescent mental health services;\nSpecialised dermatology;\nPaediatric surgery;\nPaediatric orthopaedic surgery;\nPaediatric ophthalmology;\nPaediatric ear, nose and throat surgery;\nPaediatric oral and maxillofacial surgery;\nPaediatric plastic surgery;\nPaediatric urology;\nComplex child and adolescent gynaecology, congenital anomalies and intersex.\nOther Services\nRheumatology;\nEndocrinology;\nHyperbaric treatment;\nRespiratory services;\nVascular services;\nPain management services;\nBone Anchored Hearing Aids;\nColorectal services;\nOrthopaedic services;\nMorbid obesity services.\nHighly specialised services which are commissioned on a UK basis by the National Specialist Commissioning Advisory Group\nNational Poisons Information Service\nAdvisory service for the identification, treatment and management of poisoning.\nNHS Direct\nNational Population Screening Programmes\nProgrammes of population screening including NHS Breast Screening Programme, Cervical Screening Wales and New Born Hearing Screening Wales.\nEmergency Ambulance Services\nEmergency transport services for the sick and injured.\nBlood Transfusion and Tissue Typing Services\nThe collection, testing and distribution of blood and blood products in Wales, including autologous transfusion, storage and distribution of blood products, tertiary reference service for transfusion serology, a medical advisory service and support to the transfusion medicine teaching curriculum; Maintaining the Welsh Bone Marrow Donor Registry and a tissue typing service for transplantation.\nRegional Pharmaceutical Services\nClinical Support Services; Quality and Technical Services;Surgical Materials Testing Service.\nDental Service Increment Training\nService Increment for Training\nFunctions under section 87 of the Water Industry Act 1991\nEmergency Planning services.\nMedical SIFT\nService Increment for Training\nDiabetic Retinopathy Screening\nFunctions of a local supervising authority (LSA) pursuant to article 42(1)(b) and article 43 of the Nursing and Midwifery Order 2001.",
  "extent": null,
  "status": null,
  "version": "current",
  "annotations": [
    {
      "type": "footnote",
      "label": "f1",
      "text": "1991 c. 56."
    },
    {
      "type": "footnote",
      "label": "f2",
      "text": "S.I. 2002/253."
    }
  ],
  "outstanding_effects": [],
  "provenance": {
    "source": "legislation.gov.uk",
    "source_url": "https://www.legislation.gov.uk/wsi/2003/816/schedule",
    "retrieved_at": "2026-10-29T00:11:31.236335+00:00"
  },
  "licence": "Open Government Licence v3.0",
  "licence_url": "https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/",
  "attribution": "Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives."
}