Exceptional Cases Panels Mr. Grogan 13. To ask the Secretary of State for Health if he will issue national guidance to primary care trusts on the composition and rules of procedure of exceptional cases panels. Mr. Bradshaw Yes. We are developing both a set of principles and detailed guidance to support local decision making including exceptional cases panels. We expect to publish both the principles and the new guidance in the new year. My right hon. Friend the Secretary of State will be saying more on this in his statement.