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<p>NHS England continues to work with Muscular Dystrophy UK through the Bridging the
Gap Project, which aims to ensure people with neuromuscular conditions, along with
their families, play a leading role in the development and commissioning of the services
they use.</p><p>NHS England commissions some services for patients with neuromuscular
conditions nationally as part of its remit to deliver specialised neurological services.
However, the majority of services are provided outside of specialised centres and
are the responsibility of clinical commissioning groups to provide, should they deem
it clinically appropriate. This includes services such as hydrotherapy.</p><p>In 2012
Muscular Dystrophy UK, working with the Department’s National Institute for Health
Research (NIHR) issued a call for research proposals into the clinical effectiveness
of hydrotherapy in maintaining physical function in people with Duchenne muscular
dystrophy (DMD). The call was made because there is little evidence to support the
use of hydrotherapy in relation to DMD and other neuromuscular disorders. The NIHR
Health Technology Appraisal programme is now funding a pilot study to look at hydrotherapy
for the treatment of DMD, with an evaluation report expected in January 2017.</p>
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