Who does the RSN affect?
Patient group

The RSN aims to improve the care of all patients requiring spine surgical services or spine intervention (injections) in the West Midlands in particular. However, the policies and pathways may also affect patients not having intervention and not referred to surgical services. 
Paediatric and adult patients are included. Elective and non-elective patients are included. 
Clinical staff

All clinicians involved in the management of patients with a spine disorder  
Managerial staff The responsible directorate managers, divisional managers, associate directors and Chief Operating Officer for each Trust in the WM RSN (spinal hub, spinal partner and non-spine partner hospitals), the STP / CCG chairs and the planned and unplanned care leads in the CCG must all be aware of the RSN and be involved in acting on policies and recommendations.