Spinal Injuries: Health Services
(asked on 25th March 2026) - View Source
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will commit to making the 2022 SCI Rehabilitation Standards mandatory.
Specialised spinal cord injury services are currently commissioned by NHS England Specialised Commissioning, in line with the service specification published by the Clinical Reference Group. This translates to 385 spinal cord injury beds commissioned from eight providers in England. NHS England provides annual funding of approximately £80 million to spinal cord injury centres to deliver inpatient care and outreach to secondary care prior to admission and to community services following discharges to support transition.
NHS England recognises that services have experienced increasing referrals alongside complexity of presentations. NHS England plans to undertake work during 2026/27 to assess the adequacy of treatment pathways within specialised spinal injury services and will consider if any further updates are required to the national service specification based on the findings.
All spinal cord injury providers are required to submit outcome data to the Specialised Services Quality Dashboard. These data enable the National Health Service to monitor of the quality of care, including clinical outcomes and equitability of access. The data is linked to the national spinal cord injury (SCI) registry, which provides audit data.
The dashboard is a key tool in monitoring the quality of services, enabling comparison between service providers, and supporting improvements over time in the outcomes of services commissioned by NHS England.
Additionally, in March 2025, NHS England published the Spinal Services Clinical Network Specification, which establishes expectations for spinal clinical networks to standardise pathways and reduce variation, with the aim of improving access to care for patients.
Spinal Cord Injury services in England are commissioned against the published national service specification, which sets out the mandated standards that all providers are required to meet for all patients, including in relation to rehabilitation. The service specification mandates that spinal cord injury centres must provide restorative rehabilitation and re-enablement, and support patients’ reintegration into the community. When a patient is admitted to a spinal cord injury centre, there must be a focus on rehabilitation from the outset, with treatment by a co-ordinated multidisciplinary team. The specification is available at the following link: