Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he has taken to develop a national diagnostic and treatment pathway for craniocervical instability.

Craniocervical instability (CCI) is a complex condition managed through existing specialised neurology and spinal pathways. There is currently no single national diagnostic or treatment pathway for CCI and no plan to change that at this time. Instead, care is provided through existing specialised neurology and spinal pathways in centres with the appropriate clinical expertise.

NHS England continues to review emerging clinical evidence through its established specialised commissioning processes. We will continue to monitor developments in this area and work with NHS England to ensure that patients can access the most appropriate care based on the best-available evidence.