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Delivering an advice and guidance service in neurology

Lookup NU author(s): Dr Kirstie Anderson, Dr Naomi Warren, Dr Duddy Duddy, Dr James Miller



This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).


© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. It is increasingly common for secondary care to provide advice to primary care without an outpatient appointment. Even before the increased telemedicine during COVID-19, many hospital services gave advice alone for some referrals, yet there are few published data about patient outcomes. Does advice and guidance alter outpatient numbers or simply mean that patients are seen later? Which neurological conditions can we manage at a distance? Do complaints increase from either primary care or patients? Do clinics become more complex and time consuming? Our department has developed an advice and guidance service embedded within the English electronic referral system since 2017, allowing detailed analysis of the outcome of 6500 patients over 2.5 years. We suggest ways to set up and run a neurology advice and guidance service, looking at the potential benefits and the barriers.

Publication metadata

Author(s): Anderson KN, Warren N, Duddy M, McKean P, Miller JAL

Publication type: Article

Publication status: Published

Journal: Practical neurology

Year: 2022

Volume: 22

Issue: 3

Pages: 209-212

Print publication date: 01/06/2022

Online publication date: 24/01/2022

Acceptance date: 22/11/2021

Date deposited: 06/06/2022

ISSN (print): 1474-7758

ISSN (electronic): 1474-7766

Publisher: BMJ Group


DOI: 10.1136/practneurol-2021-003100

PubMed id: 35074798


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