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Services to people with neurological conditions: progress review inquiry


When the Committee reported on services to people with neurological conditions in 2012, it was concerned with the implementation of the National Service Framework for Long-term Conditions as it lagged behind those for cancer and strokes. It found "coordination of care for individuals is poor, and there is a lack of integration between health and social services...[with] a lack of neurological expertise, both in hospitals and in the community, and access to services varies widely."

The Committee made six recommendations to improve leadership and accountability at the national and local level; to add key indicators and targets to the Framework; to improve the quality of services and reduce variation across the country; to improve integration of services through joint health and social care commissioning; to offer personal care plans; and finally to develop a NICE quality standard for all neurological conditions.

The National Audit Office's progress review found progress against one of the recommendations has been good, progress against three of the recommendations has been poor, with moderate progress against the remaining two recommendations. The three recommendations against which the NAO judged progress to be poor were:

  • using the clinical commissioning group outcomes indicators set, joint strategic needs assessments and health and wellbeing boards to ensure that all people with neurological conditions have appropriate access to services
  • mandating joint health and social care commissioning of neurological services; and
  • ensuring that everyone with a long-term neurological condition is offered a personal care plan, covering both health and social care.

This inquiry challenges the Department of Health and NHS England on this poor progress in achieving better services and outcomes for people with neurological conditions.

Reports, special reports and government responses

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24th Report - Services to people with neurological conditions: progress review
Inquiry Services to people with neurological conditions: progress review inquiry
HC 502

Oral evidence transcripts

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14 December 2015
Inquiry Services to people with neurological conditions: progress review inquiry
Witnesses Arlene Wilkie, Chief Executive, Neurological Alliance, Paul Morrish, Consultant Neurologist and adviser to the National Neurology Intelligence Network, and Dr Geraint Fuller, former President of the Association of British Neurologists; Dame Una O'Brien, Permanent Secretary, Department of Health, Simon Stevens, Chief Executive, Sir Bruce Keogh, National Medical Director, and David Bateman, National Clinical Director for Adult Neurology Conditions, NHS England (at 4.30pm).
Oral Evidence
Dr Neil Munro (NEU0013)
Neurological Alliance (NEU0023)
Division Of Neuropsychology,Part Of The British Psychological Society (NEU0014)

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  • Address: Public Accounts Committee, House of Commons, London, SW1A 0AA