Working with other specialties
Treating people with acute neurological conditions involves working with acute and other medical specialties in the medical admission unit and during ward liaison to improve the appropriateness of investigations, obtain early diagnosis and speed up discharge from hospital by facilitating appropriate follow-up, and, where possible, prevent admissions. There has to be close liaison with radiologists, intensive care physicians and neurophysiologists, and the involvement of neurosurgery and neurorehabilitation. Neurologists have an increasing role in stroke care together with stoke physicians and geriatricians. Neurologists also work with psychiatrists in dementia services.
Long-term condition services need neurologists, neurorehabilitationists, geriatricians and palliative medicine physicians.
Close liaison also exists between neurology and other specialties in the following areas:
- Parkinson’s disease (geriatrics)
- dementia (psychogeriatrics)
- higher function disorders (neuropsychology and neuropsychiatry)
- double vision and visual loss (ophthalmology)
- vertigo (ENT and audiovestibular services)
- peripheral nerve and root disease (orthopaedics)
- brain tumours and haemorrhages (neurosurgery)
- inherited neurological diseases (geneticists), and functional disorders (psychiatrists and neuropsychologists).
Working with GPs and hospital practitioners
Care for patients with long-term neurological conditions has traditionally been based in district general hospitals or regional neuroscience centre outpatient clinics that are mainly consultant delivered, and more recently have had nurse specialist input. Newer networks of care are developing with the involvement of primary care, and neurologists are key members of these networks. Better use needs to be made of combined meetings, educational seminars and clinical guidelines to underpin these networks.
Back to Overview of neurology services