Taking over an MS service under pressure: 12-month review

By Dr Yasser Falah, Consultant Neurologist, Nottingham University Hospitals NHS Trust

All of our attendees carry out a piece of research in an area of MS clinical practice or treatment that interests them.

This snapshot gives you a quick idea of what they found and why. If you want to learn more, just click through to the full poster, or follow the links within the snapshot.

If you would like to contact the alumni who did the research, drop us a line and we’ll put you in touch where possible.


To create a service development plan for the University Hospitals of Leicester’s MS service (UHL)


  • The service has 1,870 registered MS patients, but has been without a consultant for some time
  • In September, it linked with the Nottingham centre to provide a weekly visit from a neighbouring consultant

Key findings

A review of the service found a number of challenges to the successful implementation of the new service model. These included:

  • Large cohort
  • Long waiting list
  • Duplicate appointments


The author recommended a seven-point action plan:

  1. Review database
  2. Review clinic structure
  3. Establish regional MDT link
  4. Establish Tysabri monitoring protocol
  5. Establish scan reports communication protocol
  6. Review timing of appointments
  7. Establish patient/HCP communication protocol

The outcomes include higher patient and registrar satisfaction, fewer complaints, and the faster delivery of high-efficacy disease modifying therapies (DMTs).

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.