To ask the Scottish Executive whether guidance exists as to how far people diagnosed with multiple sclerosis and other chronic conditions that cause fatigue should have to travel to access specialist services.
There is no specific guidance as to how far people with multiple sclerosis (MS) or other long-term conditions that cause fatigue should have to travel to gain access to specialist services.
The Scottish Government is however committed to providing services for long-term conditions such as MS which are fully responsive to the totality of people''s needs and are delivered as locally and as speedily as possible, but with ready access to specialist services when needed. We made clear in Better Health, Better Care our support for a Managed Clinical Network (MCN) approach to these conditions, since MCNs balance the need for specialisation with local delivery of services wherever possible.
This approach is echoed in the development of the obligate networks concept in the 2007 report Delivering for Remote and Rural Healthcare. These networks are intended to link Rural General Hospitals with larger centres to support local delivery of care by reducing to a minimum onward referral and travel for patients in remote and rural areas. This work is being taken forward by the Remote and Rural Implementation Group of the North of Scotland Planning Group.
We expect this overall approach to be encouraged through implementation of the clinical standards for MS which NHS Quality Improvement Scotland expects to publish in final form next month. Regional neurology centres are expected to develop contacts with Community Health Partnerships to facilitate the management of people with MS in the community.