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Vol 274 No 7341 p328
19 March 2005

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Neurology framework published

Multiple sclerosis

Multiple sclerosis, resulting from demyelination, as shown here, is among the conditions covered by the new NSF

The National Service Framework for Long-term Conditions, focusing on neurological conditions, was published by the Department of Health last week.

Central to the NSF is the requirement to implement a person-centred service in which patients with long-term neurological conditions will have a single point of access to services via a named contact and will be able to refer themselves quickly back to services as their needs change.

“Pharmacists who run specialist clinics, for instance those working with epilepsy, multiple sclerosis and Parkinson’s disease patients, could be the named contact and so the first point of call for patients,” Claire Reed, neurosciences pharmacist at Queen’s Medical Centre, Nottingham, said.

In the NSF, Health Secretary John Reid explains that the focus on neurological conditions “highlights and sets in clear context issues which are also relevant to the millions of people living with other long-term conditions”.

The NSF has 11 quality requirements which the NHS and social services will have to provide within 10 years, including early recognition, prompt diagnosis and treatment, early and specialist rehabilitation and community rehabilitation and support.

“Since drug therapy is a major form of treatment for many of these conditions, pharmacists have a substantial role in optimising and individualising therapy,” Charles Tugwell, clinical pharmacist for neurology and neurosurgery at Barts and The London NHS Trust, said. “This new NSF refers to the need for closer links between GPs, local hospitals and specialist neuroscience service provision. Pharmacists’ involvement and subsequent contribution to patient care is most likely to result from actively participating in the planning of services rather than waiting to be asked,” he added.

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