The below Parliamentary question was asked by Jamie Reed on 2015-11-05.
To ask the Secretary of State for Health, what steps he is taking to improve access to specialist health facilities for children with cerebral palsy.
Jane Ellison
The commissioning of health services generally, including provider facilities, is the responsibility of local clinical commissioning groups (CCGs). When considering what services should be commissioned we would expect CCGs to take account of best practice and guidance such as the National Institute for Health and Care Excellence guideline on the management of spasticity in under 19s, and the local Joint Strategic Needs Assessment, and Joint Health and Wellbeing Strategy, which captures local need.
Children with particularly complex needs may also be eligible for continuing care, commissioned by the CCG to meet the needs of children or young people which cannot be met through universal services. The continuing care framework is currently being updated following a public consultation, to ensure it provides the right guidance on assessing and planning for needs.
Specialised services are commissioned by NHS England. For cerebral palsy it has commissioned Selective Dorsal Rhizotomy procedures as part of its Commissioning through Evaluation (CtE) programme.
CtE schemes run in areas where the current evidence base on clinical and cost effectiveness of a particular treatment is insufficient to support routine funding, and where further research is unlikely to be forthcoming. In these circumstances, NHS England identifies funding for a CtE scheme to gather and support a review of the national clinical commissioning policy position.