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<p>The vast majority of services for people with the multiple sclerosis (MS) are planned
and commissioned by local clinical commissioning groups. Action is led locally to
ensure the solutions put in place reflect the needs of individual communities and
recruitment and retention of National Health Service staff is a local matter. To support
local commissioners plan and deliver services for people with MS, the National Institute
for Health and Care Excellence has published clinical guidance.</p><p> </p><p>The
guidance sets out that people with MS are cared for with a coordinated multidisciplinary
approach. This should involve professionals who can best meet the needs of the person
with MS and who have expertise in managing MS including, including MS nurses. The
guidance can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg186/resources/multiple-sclerosis-in-adults-management-pdf-35109816059077"
target="_blank">www.nice.org.uk/guidance/cg186/resources/multiple-sclerosis-in-adults-management-pdf-35109816059077</a></p><p>
</p><p>NHS England is responsible for commissioning specialised neurological services,
including some services for patients with MS. NHS England has published a service
specification for neurological care that includes an exemplar service specification
for neuromuscular conditions that sets out what providers must have in place to offer
evidence-based, safe and effective services. This includes the provision of care from
a multidisciplinary team which includes specialist nurses. The service specification
for neurological care can be found at the following link:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf"
target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf</a></p>
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