Described recently as “the biggest part of the NHS you’ve never heard of”, Specialised Commissioning – which provides life-saving services for people with rare or complex conditions – is in the crosshairs of reform.
Since 2013, Specialised Services have been heavily centralised: in all, 149 services – ranging from relatively high-volume interventions like kidney dialysis and chemotherapy, through to the treatment of rare conditions only affecting a handful of patients each year – have been planned and commissioned on a national or regional scale by NHS England.
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