The commissioning of prosthetics is the responsibility of NHS England as a specialised service. The rehabilitation and re-ablement of patients is provided at a local level by specialised Multi-Disciplinary Teams which should be consultant led. The NHS Standard Contract for Complex Disability Equipment – Prosthetics, sets out how the specialist centres should operate and the required level of prosthetic services to be delivered.
A revised policy proposal for the routine commissioning of microprocessor controlled knees was considered by NHS England’s expert Clinical Priorities Advisory Group which recommended its adoption for routine commissioning. The proposal was then considered by NHS England’s Specialised Commissioning Oversight Group at its meeting on 9 December where it was agreed that NHS England would support this service development as a possible call on its resources. However given the potential scale of investment and the need to consider its priority relative to other treatments which would also have a possible call on the specialised commissioning resources, it was decided that the policy should go forward for consideration as part of NHS England's next annual prioritisation round in June 2016.