In 2013, to help develop their work plan, the Thames Valley Mental Health, Dementia and Neurology Network (MHDN) commissioned the Neurological Commissioning Support (NCS) to assess the state of play of neurology in the Thames Valley and identify any gaps and variances in service provision.
The makeup of neurological services across the Thames Valley SCN is complex. Historically there has been little local leadership for long-term neurological conditions (LTNC) across all health economies, this has led to a lack of designated leads, formalised integrated pathways and informed neurology commissioning. Services have evolved over time, driven by clinicians with individual interests in specific conditions; the result of developing and providing services in this way renders an overall vulnerability and service delivery tends to rest on individuals.
Based on the evidence provided by the NCS report and illustrated by the various reports and work undertaken on headaches, the MHDN network is proposing a new model for adoption by the CCGs to improve neurological services within Thames Valley, improve patient experience and reduce overall costs to the system.
The aim is to empower patients and GPs such that common neurological problems are expertly self-managed. The model will focus on developing an integrated neurology healthcare pathway (applicable to all common neurological presentations) and currently being developed for headaches; the new pathway would involve explicitly directing patients down one of several routes based on clinical criteria and good clinical judgement with the use of a clinical decision support tool.
Further information can be found at:
Below is a presentation given to the Thames Valley Clinical Commissioning Groups Accountable Officers Forum:
if you are interested in becoming involved please contact: Eva Morgan firstname.lastname@example.org