Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to support people living with multiple sclerosis to access timely, high-quality care and treatment in Mid Buckinghamshire constituency.

At the national level, there are a number of initiatives supporting service improvement and better care for patients with multiple sclerosis (MS), including those in the Mid Buckinghamshire constituency, including the RightCare Progressive Neurological Conditions Toolkit and the Getting It Right First Time Programme for Neurology.

NHS England’s Neurology Transformation Programme has developed a new model of integrated care for neurology services, to support systems to deliver the right service, at the right time for all neurology patients, including those with 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 guidance on improving access to disease-modifying treatments for MS with the aim of enabling people to receive care closer to home. The guidance includes successful delivery models and good practice case studies, and has been made available to National Health Service colleagues. The Neurology Transformation Programme is working with a number of systems across England to implement change, which will be implemented within individual systems, and which would also assess the impact on access to specialised neurology care, including care from specialist nurses, for people living with MS.

On 13 August 2025, NHS England updated its service specification for specialised adult neurology services, following extensive consultation. A copy of this service specification is attached. The service specification includes guidance on both the specialised and core neurology services that should be available for patients with MS with a clear model for networked care to improve access to specialist services in underserved areas. The service specification outlines that specialised neurology centres must include access to treatment services for MS and have clear pathways for access to disease-modifying therapies.