Who should read this Service Managers, Clinical Directors, Multidisciplinary Team (MDT) Leads, Pathway Coordinators, Quality Assurance Teams, and Digital Transformation Leads within Specialised NHS Services. Quick Summary Providing highly specialised care—from complex spinal surgery to neuro-oncology—requires immense clinical expertise. But under NHS England commissioning rules, delivering the care is only half the mandate. Demonstrating the quality of that care via Specialis