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Good Practice Guide and examples
- Quality requirement 1: A person-centred service
- Quality requirement 2: Early recognition, prompt diagnosis and treatment
- Quality requirement 3: Emergency and acute management
- Quality requirement 4: Early and specialist rehabilitation
- Quality requirement 5: Community rehabilitation and support
- Quality requirement 6: Vocational rehabilitation
- Quality requirement 7: Providing equipment & accommodation
- Quality requirement 8: Personal care and support
- Quality requirement 9: Palliative care
- Quality requirement 10: Supporting families and carers
- Quality requirement 11: Caring for people with neurological conditions during admission
- Chapter 3 of the NSF: Neuroscience networks
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MS Service, Gloucestershire Royal Hospital
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Last modified date:9 January 2008
The Neurology Department in this small district general hospital has developed a locally responsive service with accelerated access to care for people with multiple sclerosis through the development of a specialist practitioner role, a neurological nurse consultant. Performing of elective lumbar punctures supported by patient selection protocols and competence-based training, and a nurse-led helpline and relapse clinic with admitting rights to the day case unit for intravenous methylprednisolone with non-medical prescribing have been key to reducing waiting times to under 4 weeks and 1 week respectively, with no detriment to patient safety and outcomes, and modest cost savings.
The team are willing to share the protocols, care pathways and educational material that they have developed to support these initiatives.
For further information please contact: Richard Warner, Nurse Consultant Neurology, Gloucestershire Royal Hospital
Tel: 08454 22 6404; Email:
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