# The Local Health Boards (Functions) (Wales) Regulations 2003, 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.

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Source: https://www.legislation.gov.uk/wsi/2003/150/schedule (the official version)
Page: https://openlegislation.uk/local-health-boards-functions-wales-regulations-2003/schedule
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.