Schedule Excepted functions of a relevant Health Authority
| Commissioning of Specialist Services for adults and children in respect of:— | Description |
|---|---|
| Blood and bone marrow transplantation | Autografts and Allografts, all phases. |
| Assessment and provision of equipment for people with complex physical disability | Prosthetics and complex orthotics; Wheelchair provision including complex postural seating and powered wheelchair controls; Communication aids (excluding all forms of hearing aids and cochlear implants); Environmental controls and other electronic assistive technology; Telecare. |
| Haemophilia and other bleeding disorders | All activity including genetic support. |
| Spinal services | All activity in designated centres in respect of spinal injuries (with damage or threat to spinal cord function); Complex spinal deformity surgery and reconstructive surgery (without threat to spinal cord function). |
| Burns services | Services based on referral guidelines in the “Standards and Strategy for Burn Care” |
| Cystic fibrosis | All services including outreach and shared care. |
| Cleft lip and palate services | All relevant services. |
| Allergy | Activity at designated centres only. |
| Medical genetics | Clinical genetics; Laboratory genetics; Cytogenetics; Molecular genetics; Metabolic biochemistry; Strategic planning for population screening programmes. |
| Pathology | |
| Commissioning of Specialist Services for Adults in respect of:— | |
| Cancer Services (excluding District General Hospital Oncology) | |
| Complex rehabilitation for brain injury and complex disability | Centres providing a significant proportion of complex rehabilitation excluding district level rehabilitation and local aftercare and rehabilitation. |
| Neurosciences | Neurosurgery; Neurology (excluding in-patient stroke); Neurorehabilitation; Neuropathology; Neurophysiology; Neuroradiology; Neurophthalmology; Neurootology. |
| Renal services | Treatment for End Stage Renal Failure; Treatment for acute renal failure; General nephrology (provided in a main nephrology unit); Renal related surgery; Dialysis. |
| Home parenternal nutrition | Home care packages and support provided by hospital team. |
| Cardiology and cardiac surgery | Cardiothoracic transplantation (including implantable ventricular assist devices); Pulmonary hypertension; Cardiac electrophysiology; Congenital heart disease; Invasive cardiology and cardiac surgery. |
| Infectious diseases | Inpatient activity only. |
| Heptology, hepatobiliary and pancreatic surgery (adult) | Treatment of patients with viral hepatitis; Services for patients with acute liver failure and advanced complications of cirrhosis; Services for patients with benign and malignant liver tumours and cancer of the intra- and extra-hepatic biliary tree (including pancreas); Hepatobiliary and pancreatic surgery. |
| Mental Health | Tertiary Eating Disorder services; Neuropsychiatry; Forensic Services; Mental health services for deaf people; Gender Identity disorder; Perinatal psychiatric services(Mother and Baby Units); Complex and/or Treatment resistant disorders. |
| Women’s health | Foetal medicine including prenatal diagnosis and foetal therapy. |
| Commissioning of Specialist Services for Children in respect of:— | |
| Cardiology and cardiothoracic surgery; Nephrology, including renal replacement therapy; Gastroenology/Hepatology/ Nutritional support; Respiratory; Oncology; Malignant Haematology; Non-malignant haematology; Neonatal intensive care; Paediatric intensive care; Immunological disorder/infectious disease/allergy; Paediatric pathology; Paediatric Neurosciences (Including complex disability and rehabilitation); Metabolic Disorders; Paediatric endocrinology and diabetes; Rheumatology; Child and adolescent mental health services; Dermatology; Paediatric surgery; Paediatric orthopaedic surgery; Paediatric ophthalmology; Paediatric ear, nose and throat surgery; Paediatric oral and maxillofacial surgery; Paediatric plastic surgery; Paediatric urology; Complex child and adolescent gynaecology, congenital anomalies and intersex. | |
| Other services:— | |
| Dermatology (adult); | |
| Pathology; | |
| Cochlear implants (adult); | |
| National Poisons Information Service; | |
| Thoracic surgery; | |
| NHS Direct; | |
| Population screening Services including cervical cytology and breast screening; Plastic Surgery (all ages) Emergency ambulance services. | |
| Functions under section 87 of the Water Industry Act 1991 (c. 56) | |
| Emergency Planning services. |