Highly Specialised Commissioning | Craniofacial Surgery | Last update 17th May 2019

Craniofacial services in England

This page signposts craniofacial referral pathways and is for health professionals from primary, secondary and tertiary care.

Craniosynostosis is a rare and complex condition requiring highly specialised surgical treatment and complex multidisciplinary care. It is designated by the `Rare diseases` section of the Department of Health and NHS England, as one of the “highly specialised services” and so receives specific funding allocation. The Department of Health and NHS England recommends management of craniosynostosis to be carried out in one of four major well-resourced highly specialised centres. Initial access is via a consultant clinic, whereupon a care plan and initial investigations are instituted. These are reviewed by the multidisciplinary team with regular (weekly) team meetings. The care plan is reviewed and refined as required, with sign off, and communication with the patient is facilitated by the clinical nurse specialist. Appointments for investigations, surgeries and follow ups as required are set and travel and accommodation for patients and families facilitated as required and detailed according to specific need and centre of care. Post – procedure follow up and investigation as required are by protocol and adjusted for specific need where necessary. Multi-disciplinary appointments are co-ordinated to minimise the impact of travel etc. upon the patient and family.

Patients can go here for more detailed information.

Craniofacial conditions treated:

Craniosynostosis - Single Suture

Craniosynostosis - Syndromic

Orbital Dystopia


The Craniofacial Service is nationally designated according to the model of one service on four sites. 

This allows access to all craniofacial units according to patient choice.

Click here to find out more about each unit


Find out more about each centre: