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<p>Since 1 April 2013, NHS England has been responsible for commissioning specialised
neurological services, which includes services for patients with neuromuscular disorders,
such as muscular dystrophy. NHS England has published a neurosciences specification,
which sets out what providers must have in place to offer high quality care and treatment
for patients.</p><p> </p><p> </p><p> </p><p>The neurosciences service specification
describes when patients should be referred to specialist respiratory services and
the circumstances in which cough assist devices should be considered. It is available
from the NHS England website at this link:</p><p> </p><p> </p><p> </p><p>http://www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf.</p><p>
</p><p> </p><p> </p><p>A copy of this document has also been attached.</p><p> </p><p>
</p><p> </p><p>The equipment and respiratory support of cough assist is the commissioning
responsibility of clinical commissioning groups, delivered through local specialist
respiratory services, according to any local clinical commissioning policy they may
have in place.</p><p> </p>
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