This page is divided into the following sections which are easily accessible by following the links below:
Our aim at National Services Division is to help patients who need access to treatment or investigation of a very specialised nature, or who have a very rare condition, to obtain the care that they need, while seeking to ensure that the highest possible standards are delivered within available resources. National commissioning aims to:
- Ensure equity of access for all Scottish residents to specialist and screening services
- Ensure the best possible clinical outcomes within the funding available
- Provide a secure funded environment for the establishment and development of new national services
- Provide a risk-sharing arrangement for NHS Boards where incidence is sporadic and treatment involves specialist skills or expensive equipment
- Avoid the unnecessary proliferation of duplicate services, thus promoting clinical quality and cost effectiveness
National commissioning is reserved for those very specialist services where local or even regional commissioning is not appropriate. The services are generally concerned with the diagnosis and/or treatment of rare conditions.
Applications for designation to become a nationally commissioned service will be considered by the National Specialist Services Committee (NSSC). Please follow the link to the national designation process page for more information on applying for national designation and on the NSSC.
Performance Management of national services is a continuous process of close informal working and formal annual performance review. The formal element of the annual cycle of performance management involves two meetings each year with each national service.
All national services are required to submit an annual report using the NSD template. This is available, along with guidance on how to complete from the links below:
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All existing designated national specialist services are reviewed within a 3-5 year rolling programme to ensure that services:
- continue to meet the National Specialist Services Committee designation criteria
- Are clinically and cost effective
- Continue to meet needs and still require designation
The table below includes a list of the National Specialist Services commissioned by NSD:
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