Improved NHS care for Parkinson’s, Multiple Sclerosis and Motor Neurone Disease to save 2,500 hospital trips

People living with brain and nerve conditions like Parkinson’s could benefit from quicker diagnosis and better coordinated care as part of a new NHS initiative, which is also set to free up millions of pounds to reinvest in patient care.

NHS experts have joined forces with seven leading charities to produce a toolkit that will help local health groups improve services for people with conditions including Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Parkinson’s, including rolling out fast-tracked blood tests and and consultant appointments over Skype for those who want them.

Up to 2,500 emergency admissions to hospital a year could be avoided for patients with these conditions as a result, with up to £10 million freed up to fund improved services.

The guidance aims to help Clinical Commissioning Groups (CCGs) deliver faster diagnosis and treatment for progressive neurological conditions, better join-up the different health professionals and organisations supporting each individual, and improve access to specialist physical and mental health care.

People will also be supported to better understand and manage their symptoms at home, and to take a more informed and active role in making decisions about the treatment they receive.

Created with Parkinson’s UK, MS Society, MS Trust, MND Association, Sue Ryder, MSA Trust and PSP Association, the guidance comes as local health groups are working with staff and communities to develop their plans to join up and improve care over the next five years, to deliver the benefits for patients set out in the NHS Long Term Plan.

Dawn Chamberlain, Programme Director – Clinical Improvement at NHS England and NHS Improvement, said: “This is an opportunity for the NHS to work directly with patients and their families to deliver better care closer to home for the thousands of people with progressive neurological conditions.

“As they work with staff, patients and stakeholders to implement the NHS Long Term Plan, this toolkit provides the information local health leaders need to understand how to deliver high quality neurology services.

“Many areas are already providing high quality care in line with best practice, and by supporting others to come up to the same standard, we can deliver faster, more joined-up and better care for thousands more people – supporting them to stay well in their own homes.”

The Progressive Neurological Conditions Toolkit is the latest publication from the NHS RightCare programme, which was set up to provide support to local CCGs to improve care in key areas, based on the best-available data, evidence and intelligence.

Alongside the best practice guidance, CCGs will receive extensive data on local performance, and tailored support to improve their offer to patients.

The charities who have worked closely with the NHS RightCare team to develop the toolkit will continue to support efforts to see it implemented effectively, with the shared aim of improving care for everyone living with a progressive neurological condition in England.

Steve Ford, Chief Executive at Parkinson’s UK, said: “For too long, services have neglected progressive neurological conditions. This is as dangerous as it is unjust, putting people at higher risk simply because of the kind of condition they have.

“We are urging all Clinical Commissioning Groups to work with charities and implement the new toolkit, so they can make the changes so desperately needed to reduce hospital admissions and unlock these vital cost savings.”

Case study

Claire Plackett, 54, from Croydon, was diagnosed with relapsing MS in February 2015. Claire’s main symptoms were tingling, numbness, cognitive problems, and double vision, but it was 17 years before she received a correct diagnosis. In spite of repeated trips to the neurologist, MS was never spotted until a bad fall prompted Claire to see a consultant privately. She was diagnosed with MS two days later.

Today Claire is treated at St George’s MS service, which is listed in the new RightCare toolkit as an example of MS services done well.

Claire says: “I have blood tests once every three months to check my medicine is working, but in the past always had to join the general queue. It would take hours and hours, and was physically very draining. But now two days a week there’s an MS phlebotomist there taking blood just for MS patients. The service is incredibly important to me because it makes life so much easier.

“St George’s also has an MS co-ordinator, and she’s literally like magic. If you have any problems you can contact her and she’s always on hand to put your mind at rest. Having MS comes with a lot of challenges but now I know there is always somebody who will be there for me.

“MS affects over 100,000 of us in the UK, but services here are generally very inconsistent. Getting the right support can make a huge difference to your life and I feel incredibly lucky, because I honestly don’t know how I would cope, or how my MS would be, if things had been different.”