The area of expertise covers all craniofacial anomalies and cleft lip/palate. Within the craniofacial team the following expertise is offered: plastic surgery, neurosurgery, maxillofacial surgery, ENT, ophthalmology, pediatrics, intensive care, anesthesiology, orthodontics, genetics, hand surgery, neurology, radiology, psychology, social work, speech therapy, prenatal diagnostlcs(some), and home ventilation supported by respiratory physicians. All care is coordinated by two clinical nurse specialists, dedicated to craniofacial anomalies. The cleft team offers: cleft surgery (currently two maxillofacial surgeons), ENT, pediatrics, orthodontics, genetics, psychology, speech therapy, and home ventilation. A nurse specialist dedicated to cleft is present.
The team offers fellowships craniofacial surgery that are recognised by the Specialist Advisory Committees for neurosurgery, maxillofacial surgery and plastic surgery in the UK. There is an active teaching programme that supports teaching for medical student, residents, referring pediatrlclans, prenatal doctors, family doctors and health care center doctors. Team members participate in the European Society of Craniofacial Surgery and the International Society of Craniofacial Surgery.
Research is an integrated part of care and is a strategic quality aim of the organisation. This is done in close collaboration with all team members within the center, and also in collaboration with other centres, particularly GOSH and John Radcliffe (Oxford). In addition, Alder Hey has developed a 3d photography based morphable model of the whole human head through the 'Heads pace Project' ( https://wwwusers. cs.york.ac.uk/-nep/research/Headspace/) and our research partners for this project are Dept of Computer Science at the University of York.
The cleft team offers cleft management from antenatal diagnosis through to adulthood. Members of the central multi-disciplinary team include clinical nurse specialists, cleft surgeons, speech therapists, psychologists, orthodontists, dentists, ENT and cleft anaesthetists. There is close association with genetics, paediatrics, audiology and ENT. There is close co-operation with the regional obstetric units and district hospitals with service level agreements across the Network. The team is involved in the cleft development group and the clinical reference group responsible for cleft care in the UK and the development of quality dashboards and the National Specification respectively. The team also has representation on all the sub·specialilty natioanl clinical excellence networks (CEN's) involved in developing national standards of care in cleft. lnternationally the network is participating In the I CH OM project for cleft lip and palate and the Cleft Q pilot. The cleft network is part of the National cleft training fellowships and is actively involved in teaching locally, regionally and nationally on all aspects of cleft care to all disciplines.
** Members of CRANIO Network Board: Chris Parks and Christian Duncan