Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential impact of the NHS England Getting It Right First Time neurology programme on the (a) quality and (b) consistency of multiple sclerosis care.

The Getting it Right First Time (GIRFT) National Specialty Report made recommendations designed to improve neurology services nationally and to support the National Health Service to deliver care more equitably across the country. The National Specialty Report highlighted differences in how services are delivered and offered an unprecedented opportunity to share successful initiatives between trusts to improve patient services nationally.

Building on the GIRFT National Specialty Report, the Neurology Transformation Programme has developed a model of integrated care for neurology services to support integrated care boards to deliver the right service, at the right time for all neurology patients, including those with multiple sclerosis (MS). This focuses on providing access equitably across the country, care as close to home as possible, and early intervention to prevent illness and deterioration in patients with long-term neurological conditions.

The Neurology Transformation Programme has developed a national data dashboard for integrated care systems to monitor delivery of MS care, including for disease-modifying therapies. Additionally, NHS England has also developed guidance for systems on improving access to disease-modifying treatments for MS closer to home, which includes successful delivery models and good practice case studies.

The Neurology Transformation Programme is working with the National Clinical Director for Neurology and the Neurology Clinical Reference Group to develop a revised service specification for neurology. The updated service specification will further build on the specific recommendations in the GIRFT report and will include specific guidance for pathways for MS and other neuroinflammatory conditions.