Evidence map›Paper›PMID 39173716›Full record

ArticleClinical medicine (London, England)2024

An integrated approach to neuroscience care: An innovative model to support the new integrated care system.

Michelle S Balaratnam, Fergus J Rugg-Gunn, Rachel Okin, Freya Powell, Stephen Prior, Panayiota Petrochilos, Dhiren Shivji, Salman Haider, Ali Alim-Marvasti, Arvind Chandratheva and 38 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical medicine (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

48 authors.

Michelle S BalaratnamNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK. Electronic address: m.balaratnam@nhs.net.
Fergus J Rugg-GunnNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.
Rachel OkinCamden Neurological and Stroke Service, Central and North West London NHS Foundation Trust, London, UK.
Freya PowellCommunity Neurological Conditions Management Team, Royal Free London NHS Foundation Trust, London, UK.
Stephen PriorCamden Integrated Community Health Care (CICH), Central and North West London NHS Foundation Trust, London, UK.
Panayiota PetrochilosNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.
Dhiren ShivjiNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.
Salman HaiderNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.
Ali Alim-MarvastiNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.
Arvind ChandrathevaNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK; St Pancras Neurological Rehabilitation Unit, Central and North West London NHS Foundation Trust, London, UK.
Robert SimisterNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.
Charlie LaneNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.
Roberto MacarimbanNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.
Diego KaskiNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.
Bal AthwalNeurology Department, Royal Free Hospital, Royal Free London NHS Foundation Trust, London, UK.
Rebecca LiuNeurology Department, Royal Free Hospital, Royal Free London NHS Foundation Trust, London, UK.
Timothy YatesNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK; Neurology Department, North Middlesex Hospital, North Middlesex University Hospital NHS Trust, London, UK.
Sanjeev RajakulendranNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK; Neurology Department, North Middlesex Hospital, North Middlesex University Hospital NHS Trust, London, UK.
Gerry ChristofiNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.
Jeremy SandfordPrimary Care, NHS North Central London ICB, London, UK.
Alexis IngramPrimary Care, NHS North Central London ICB, London, UK.
Katherine BlustonPrimary Care, NHS North Central London ICB, London, UK.
Caroline WeaverNHS North Central London ICB, London, UK.
Oluwaseun OdejideNHS North Central London ICB, London, UK.
George GlodNHS North Central London ICB, London, UK.
Gulsen GungorNHS North Central London ICB, London, UK.
Edmund NkrumahNHS North Central London ICB, London, UK.
Donal MarkeyNHS North Central London ICB, London, UK.
Gary HottonNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK; Neurology Department, North Middlesex Hospital, North Middlesex University Hospital NHS Trust, London, UK.
Katie SidleNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK; Neurology Department, Whittington Hospital, Whittington Health NHS Trust, London, UK.
Jonathan KennedyNeurology Department, Royal Free Hospital, Royal Free London NHS Foundation Trust, London, UK.
Lisa PenniallIslington Community Neurological Rehabilitation Team, Whittington Health NHS Trust, London, UK.
Helen PlumEnfield Adult Community Therapies, North Middlesex University Hospital NHS Trust, London, UK.
Anthony AntoniouHaringey Integrated Community Therapy Team, Whittington Health NHS Trust, London, UK.
Rakhee PremaCommunity Neurological Conditions Management Team, Royal Free London NHS Foundation Trust, London, UK.
Nadia JeffriesNeurological Rehabilitation Centre, Royal Free London NHS Foundation Trust, London, UK.
Carole WaltersSt Pancras Neurological Rehabilitation Unit, Central and North West London NHS Foundation Trust, London, UK.
Valerie L StevensonNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.
Malini DrysdaleNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.
Sabiha TasnimNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.
Shahrima HussainNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.
Lily MackayNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.
Ryan BaulkNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.
Bianca IIiiPrimary Care, NHS North Central London ICB, London, UK; Age UK, Barnet, London, UK.
David EganNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.
Adrian CappNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.
Patricia TurnerNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.
Christopher TurnerNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Integrated care systems join up health and care services, so that people have the support they need, in the right place, at the right time. The aims include improving outcomes in healthcare, tackling inequalities in access and enhancing productivity and value for money. This is needed for neuroscience care as the traditional delivery of neuroscience care is inefficient, outdated and expensive, and can involve complex referral pathways and long waiting times. In preparation for the formation of the integrated care system (ICS), a novel innovative collaboration across multiple NHS trusts developed across North Central London in 2021. We developed a model where neuroscience specialists engage in collaborative care with clinicians outside the specialist hospital setting. Pivotal to the pathway is a multidisciplinary meeting, and collaborative working enables joint clinical reviews, diagnostics and medication initiation. This innovative collaboration has already significantly improved access, addressed inequalities due to borough variation and enhanced the delivery and quality of neuroscience care in our ICS. It is a translatable model that can be adapted to suit other regions in the UK. It fulfils many of the objectives of the integrated care system and these benefits are seen without the need for significantly more resource.

Indexed as

Delivery of Health Care, IntegratedHumansLondonNeurosciencesState MedicineUnited KingdomIntegrated CareIntegrated Care BoardIntegrated Care SystemNeuroscience

Identifiers

PMID39173716
PMCPMC11564059

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.