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<p>NHS England commissions adult specialised neuroscience services, including those
for people with complex neurological diseases. Although some of this specialised care
would be related to Huntington's Disease, much of the care that patients require can
be accessed through local hospital and general practitioner (GP) services which are
funded by clinical commissioning groups.</p><p> </p><p> </p><p> </p><p>Patients with
Huntington's Disease have access to a range of NHS services including those provided
by GPs and associated health professionals, neurology services, occupational therapists,
speech and language therapists, local mental health services and palliative care where
appropriate.</p><p> </p><p> </p><p> </p><p>The Neurosciences Clinical Reference Group
(CRG) is continuing to work on the development of a draft neuropsychiatry service
specification which will be of relevance for patients with Huntington’s Disease. The
service specification will outline the multi-disciplinary approach to caring for patients
with long term conditions who require assessment and help in managing a neurological
problem.</p><p> </p><p> </p><p> </p><p>The CRG is also tasked to consider the current
service specification and describe in detail where services are specialised and can
only be delivered in a tertiary centre and where services can be part of a hub and
spoke arrangement with secondary care (in a hospital closer to home). This should
assist in the day to day care and access as care closer to home for some conditions,
will be supported by advice where needed from the specialised centre and delivered
in the local hospital.</p><p> </p>
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