Bringing you highlights of neurology news items relevant to primary care

Welcome to the July/Aug news bulletin from the P-CNS

Welcome to this month’s P-CNS newsletter. Read on for the latest innovations helping to connect primary care to the neurology community. We at the P-CNS have some exciting developments on the horizon, so keep an eye out for news in September!

Study finds brain ageing affected by subjective notions of mental age
A study looking at the way the brain ages has found that those with a lower ‘subjective mental age’ have ‘younger brains’. The study, whose participants were Koreans aged between 59 and 84 years old, found that those who perceived themselves to be younger had higher grey matter volumes in key brain regions on average. The study also found that lower subjective age also correlated with a lower predicted brain age which, a figure ascertained by neuroimaging using MRI scans and Voxel-Based Morphometry (or VBM). Read more here.
Academy of Medical Royal Colleges guidelines on onward referrals
In 2016 a landmark decision was made to allow secondary care clinicians to refer patients onwards without referring back to their GPs. The Academy of Medical Royal Colleges has now released guidelines on onward referrals amid concerns that increases in onward referrals might lead to overburdening of much-needed outpatient appointment slots. The AMRC has included a framework for onward referral decision-making. Read the full report here [PDF]
Consultant geriatrician writes about managing multimorbidity using NICE guidelines
NICE updated their guidance on patients with multiple long-term illnesses (or multimorbidity) in September 2016. Here, Dr Deyo Okubadejo, a consultant geriatrician, writes about his experience of using the guidelines to treat patients with multimorbidity: “Designing healthcare around patients with a single illness does not always work. Multimorbidity is the new normal and we must adopt a different approach.” Read his full article here.

News from our corporate supporters

Complex Epilepsy in Children - A Quality of Life Survey
Nutricia in partnership with the P-CNS are seeking the views of both healthcare professionals and parents about quality of life in children with epilepsy. In exchange for your time and as a thank you, a donation is been made to epilepsy charities. To take part in the health professional survey click here.
UK Parkinson's Excellence Network appoints physio to clinical leadership team
A physiotherapist is taking on the newly created role as the therapy clinical lead for the UK Parkinson’s Excellence Network. The creation of a strong multidisciplinary leadership group to head the network reflects the quality standard to deliver the best clinical care as a team, comprising the main clinical areas that have importance for people affected by Parkinson’s. Read more about the network, the role of the leadership team and insights from team members here.

The Raphael Hospital - new name for the Raphael Medical Centre
The Raphael Hospital, which was previously the Raphael Medical Centre, is a unique, independent hospital specialising in the neurorehabilitation of adults. Featured in the BBC docimentary, 'My Amazing Brain' the Raphael Hospital launched it's new name and brand earlier in the year. It is the only anthroposophic hospital in the UK and serve the population nationally, in addition to providing services internationally with our expertise in neurological disorders and rehabilitation. To read more about the hospital click here.

News from the NICE
Multiple sclerosis multiple technology appraisal
The Final Guidance of the MTA for Beta interferon and glatiramer acetate for treating multiple sclerosis (review of TA32) [ID809]is now available from the NICE website.
Updated NICE guidance on dementia
Nice has released its latest guideline on dementia, titled ‘Dementia: assessment, management and support for people living with dementia and their carers’. New recommendations include the provision of a care plan to all dementia patients, reviewed annually - a recent Age UK study found that one in three people diagnosed with dementia did not have a care plan. Additional recommendations cover assessment and the provision of care at specialist and non-specialist units. This is the first time that NICE guidance on dementia has been significantly updated in ten years. Read the full document here​​
NICE guideline on brain tumours published
This final guideline has now been published on the NICE website. You can also find the supporting evidence, as well as all the stakeholder comments that were received during consultation and the responses to these comments. 
News from the NHS Networks

Improving Access to Psychological Therapies (IAPT) manual
The NHS has produced a manual for clinicians involved in delivery of the IAPT programme, with a key focus on delivery of evidence-based psychological treatments. 900,000 patients are now seen under the programme, with 550,000 of them going on to receive psychological treatment. The manual can be found here [PDF].

NHS Health Check to include dementia advice
The NHS Health Check will now include advice about how to reduce patients’ dementia risk, in addition to advice about stroke, kidney disease, heart disease and type 2 diabetes. The free Health Check, which targets people between the ages of 40-79, has been given to 7m people in the last five years. Read more from Public Health England here.

Education and training

Parkinson's, Dementia and Psychiatry
Thurs 19th July, London 

This event gives health and social care professionals who are treating people affected by Parkinson’s and Dementia an opportunity to come together and identify the optimal way to deliver care. Through a series of presentations and group discussions, this conference focuses on improving the care pathways for people affected by Parkinson's and Dementia. Focused sessions will cover: 
  • what causes variation and what can we do to reduce it? 
  • putting personal experience first (patient story) 
  • the future of Dementia care 
  • UK Parkinson's Excellence Network: what's next for 2018 
For further details including the agenda and how to book your free place go to
Managing Complex Neurological Disorders in the Community
Friday 23rd November, Birmingham
This is a new P-CNS event, which we are delighted to be working on with Advances in Clinical Neuroscience and Rehabilitation (ACNR) Journal. Further details of this education day, which will cover topics such as complex epilepsy, MND, Ataxia and other difficult to recognise and manage neurological disorders, including mental health related concerns will be made available in the coming weeks and will be available from and In meantime, you may wish to hold the 23rd of Nov in your dairy.

TOMs CONNECT: THE event to attend if you use or are thinking of using the Therapy Outcome Measure.
Tues 27th November, Birmingham
With over 150 teams now using the TOM and collecting data, this year's conference theme is 'Making Sense of the Data!'. Come and enjoy a day of speakers who have experience in presenting TOMs data along with experts on data analysis. Details including how to book can be found at
A full list of external events, including the MIMs ‘Learning Live’ events, can be found on the P-CNS website.
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