Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking to address geographic variations in (a) access and (b) efficacy of treatment for multiple sclerosis in (i) the South West and (ii) England.

Integrated care boards (ICBs) are responsible for commissioning services for their local population, including for multiple sclerosis (MS), across England, including in the South West. The Government expects ICBs to assess the demand for service provision in designing their local services.

At a national level, to reduce variation in access and treatment for patients with MS, there are initiatives to support better care for patients with neurological conditions such as MS across England. These include the Getting It Right First Time Programme for Neurology, which aims to improve MS care by supporting the National Health Service to address variations in care and promoting best practice.

The Progressive Neurological Conditions Toolkit, published by NHS England’s RightCare Programme, supports healthcare systems in improving the care of individuals living with progressive neurological conditions, including MS. It aims to enhance local services and reduce hospital admissions by focusing on preventative care and optimising the delivery of services.

NHS England’s Neurology Transformation Programme (NTP) is a multi-year programme to develop a new model of integrated care for neurology services. The NTP has collaborated with clinicians and patient groups to create specific pathways for MS, aiming to improve the quality and coordination of care.

Last month, NHS England published its updated Specialised Neurology Service Specification for Adults, which includes MS. Service specifications define the standards of care expected from organisations funded by NHS England to provide specialised care.

The three shifts outlined in the recently published 10-Year Health Plan will support people with long-term conditions, including those with MS, to better manage their condition and access services closer to home. For example, it will empower them to access their medical history and allow them to book and manage their appointments and medication.