<p>NHS England commissions a range of different products to manage Haemophilia A and B and other inherited bleeding disorders. NHS England also requires that all major service providers participate in the regular national Peer Review Audit of Haemophilia services.</p><p>NHS England collects some limited service data through the Haemophilia Services Dashboard. NHS England commissions the National Haemophilia Database (NHD) to collect a range of clinical outcomes relating to patients with bleeding disorders. The NHD is also able to infer clinical differences between treatments and treatment strategies and this information has been shared with commissioners to inform future commissioning decisions.</p><p>In 2023/24 the Specialised Blood Disorders Clinical Reference Group will be making use of the information collected through the dashboard and database to inform a review of the NHS England Service Specification for Haemophilia. The review will specifically address the potential for an increased role for non-medical, non-nursing roles in Haemophilia/Blood Disorders, including physiotherapy, psychology, to improve outcomes for patients.</p>