The Local Health Boards (Functions) (Wales) Regulations 2003

Regulation 3(2)

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.