Skip to main content

Commissioned Services

The aim of WHSSC is to ensure that specialised services are commissioned from providers that have the appropriate experience and expertise; are able to provide a robust, high quality and sustainable service; are safe for patients and are cost effective for NHS Wales.

Commissioning refers to the process of planning services to meet the identified health need requirements of the population, developing and managing contracts with providers to ensure they meet the healthcare standards, and monitoring and reviewing quality, safety and performance of the service.  

WHSSC is managed through functional directorates (patient care, medical, planning, finance and corporate  services) which integrate through 6 multi-disciplinary Programme Commissioning Teams (accurate as at March 2021):  



Commissioned Services

Assistant Director of Planning Lead
  • Intestinal Failure
  • Home Parenteral Nutrition
  • Hyperbaric  Oxygen Therapy
Mental Health & Vulnerable Groups
  • High Security Psychiatric Services
  • Medium Secure Psychiatric Services
  • All Wales Traumatic Stress Quality Improvement Initiative (Traumatic Stress Wales)
  • Gender Identity Services for Adults
  • Gender Identity Development Service for Children and Young People
  • Specialised Eating Disorder Services (Tier 4)
  • Mental Health Services for Deaf People (Tier 4)
  • Specialised Perinatal Services
  • CAMHS (Child and Adolescent Mental Health Services) Tier 4 Only incl.
  • Forensic Adolescent Consultation and Treatment Service (FACTS)
  • Neuropsychiatry
Cancer and Blood
  • PET scanning
  • All Wales Lymphoma Panel
  • Specialist services for Sarcoma
  • Haematopoietic Stem Cell Transplantation (BMT)
  • Extra corporeal photopheresis for graft versus host disease
  • CAR-T therapy for lymphoma and acute lymphoblastic leukaemia
  • Thoracic surgery
  • Hepatobiliary cancer surgery
  • Microwave ablation for liver cancer
  • Brachytherapy (prostate and gynaecological cancers)
  • Proton Beam Therapy
  • Radiofrequency Ablation for Barrett’s Oesophagus
  • Stereotactic Ablative Body Radiotherapy
  • Specialist service for Neuroendocrine Tumours
  • Peptide Receptor Radionuclide Therapy (PRRT) for Neuroendocrine Tumours
  • Hyperthermic Intraperitoneal Chemotherapy (HIPEC) for Pseudomyxoma Peritonei.
  • All Wales Medical Genomics Service
  • Burns and Plastics
  • Specialist service for Paroxysmal Nocturnal Haemoglobinuria
  • Inherited Bleeding Disorders
  • Welsh Blood Service
  • Hereditary Anaemias specialist service
  • ECMO
  • Long Term Ventilation
  • Immunology
  • Cardiac Surgery
  • Heart transplantation including VAD's
  • Electrophysiology, ablation and complex ablation
  • Complex Cardiac Devices
  • Interventional Cardiology (PPCI, PCI, PFO closures, TAVI, PMVLR)
  • Inherited Cardiac conditions
  • Adult Congenital Heart Disease
  • Pulmonary Hypertension
  • Cystic Fibrosis
  • Cardiac Networks (SWSWCHD Network, NWNWCHD Network, All Wales Cardiac Network)
  • Bariatric surgery
Neurosciences & Long-term Conditions
  • Neurosurgery Emergency and elective neurosurgery (including stereotactic radiosurgery and Deep Brain Stimulation)
  • Neuroradiology (diagnostic and interventional undertaken by neuroradiologists)
  • Neurorehabilitation
  • Spinal rehabilitation
  • Artificial Limbs and Appliances Service including:
  • Wheelchair and special seating
    • Prosthetics
    • Orbital prosthetics
    • Electronic assistive technology
    • Alternative Augmentative Communication (AAC)
  • Immunology for Primary Immuno Deficiency
  • Cochlear and BAHA
  • Rare Diseases - RDIG
Women and Children's Services
  • Fetal Cardiology
  • Fetal Medicine
  • Neonatal
  • Neonatal Transport
  • Paediatric Cardiology
  • Paediatric Cystic Fibrosis
  • Paediatric Endocrinology
  • Paediatric ENT
  • Paediatric Gastroenterology
  • Paediatric Intensive Care
  • Paediatric Immunology
  • Paediatric Inherited Metabolic Disease
  • Paediatric Nephrology
  • Paediatric Neurology
  • Paediatric Neuro-rehab
  • Paediatric Oncology
  • Paediatric Radiology
  • Paediatric Radiotherapy
  • Paediatric Rheumatology
  • Paediatric Surgery
North Wales
  • IVF

Other specific workstreams