Multidisciplinary MS consultation

By Dr Nele Glibert, General Neurologist, AZ Groeninge Hospital

Advanced MasterClass 9, November 2020


To provide holistic MS care by ensuring people have access to a wide range of professionals through multidisciplinary team (MDT) consultations.


People with MS need access to neurologists, MS nurses, urologists, rehabilitation specialists, psychologists, social workers, and more to manage their condition. However, this doesn’t always happen.

To ensure this access, the team set up MDT consultations for those they believed would benefit from the approach.

During the monthly clinics:

  • The neurologist performed a thorough neurological exam, assessed EDSS and evaluated current management
  • The urologist, rehabilitation doctor, and psychologist examined the patient, gave advice, and proposed individualised treatment options
  • A social worker from the MS League gave advice on social issues

Key findings

Between January 2019 and March 2020, 68 patients took part in the monthly (excluding July and August) MDT consultations.

The approach resulted in quality of care improvements and patient satisfaction was high.

MDT consultations were paused in March, due to the COVID-19 pandemic.


  • To re-start the MDT consultations
  • To expand access to all MS patients
  • To include other relevant disciplines, including psychiatry, gastroenterology, physiotherapy, and nutrition/ dietitian

More MS Academy Service development Projects

Remote monitoring in people with Multiple Sclerosis during the COVID-19 pandemic
By Dr Andrea Stennett, Barts Health NHS Trust and Wolfson Institute of Preventative Medicine
Improving prompt access to Community MS nursing service
By Paula Cole, CNS Multiple Sclerosis, West London NHS Trust
MS service development at Epsom DGH
By Dr Jananee Sivagnanasundaram, Consultant Neurologist, Epsom and St Helier University Hospitals NHS Trust
Encouraging excellence, developing leaders, inspiring change

MS Academy was established six years ago and in that time has accomplished a huge amount. The six different levels of specialist MS training are dedicated to case-based learning and practical application of cutting edge research. Home to national programme Raising the Bar and the fantastic workstream content it is producing, this is an exciting Academy to belong to.