{"id":252721,"date":"2025-07-10T05:58:15","date_gmt":"2025-07-10T05:58:15","guid":{"rendered":"https:\/\/www.europesays.com\/uk\/252721\/"},"modified":"2025-07-10T05:58:15","modified_gmt":"2025-07-10T05:58:15","slug":"nhs-scotland-neurological-patients-falling-through-cracks","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/uk\/252721\/","title":{"rendered":"NHS Scotland: &#8216;neurological patients falling through cracks&#8217;"},"content":{"rendered":"<p>\n  Titled \u2018<a href=\"https:\/\/eur03.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fquantumcommunications.us20.list-manage.com%2Ftrack%2Fclick%3Fu%3Dc17c136fc126588cb51e5471d%26id%3D4a1cb23bbc%26e%3D8261ad778a&amp;data=05%7C02%7CHannah.Brown%40heraldandtimes.co.uk%7Cf0a8c161c53a45c83f9408ddbe02710b%7Cb0660fd33ef04a73b44ef93c297faf15%7C0%7C0%7C638875639866108615%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=mPQlkIEdV4hNXQJF3Bjwkh5UORkggzaz%2BIrOw%2FcV66g%3D&amp;reserved=0\" rel=\"nofollow noopener\" target=\"_blank\">Today\u2019s Challenge, Tomorrow\u2019s Hope<\/a>\u2019, the report included 1,013 responses in Scotland to a survey of adults, children and young people, and carers.\n<\/p>\n<p>\n  A total of over half of the respondents felt unsupported by the healthcare system, while four out of five of children with a neurological condition experience frustration and anger.\n<\/p>\n<p>\n  Authors have also warned that carers are at \u201cbreaking point\u201d, with the Carers\u2019 Trust describing people affected and those supporting them as \u201coften invisible\u201d.\n<\/p>\n<p>\n  The Neurological Alliance of Scotland has made a series of recommendations to the <a href=\"https:\/\/www.heraldscotland.com\/topics\/scottish-government\/\" target=\"_blank\" rel=\"noopener\">Scottish Government<\/a>, highlighting that greater investment is needed as an ageing population means that incidences of neurological conditions are expected\u00a0to rise.\n<\/p>\n<p>\n  READ MORE:\u00a0\n<\/p>\n<p>\n  <a href=\"https:\/\/www.heraldscotland.com\/news\/25109621.scotland-chronic-pain-scottish-patients-die-nhs-queues\/\" target=\"_blank\" rel=\"noopener\">Scotland and chronic pain: Scottish patients die in NHS queues<\/a>\n<\/p>\n<p>\n  <a href=\"https:\/\/www.heraldscotland.com\/news\/25298440.scotlands-public-service-reform-plan-falls-short\/\" target=\"_blank\" rel=\"noopener\">Why Scotland\u2019s public service reform plan falls short<\/a>\n<\/p>\n<p>\n  <a href=\"https:\/\/www.heraldscotland.com\/news\/25292831.nhs-scotland-nearly-2-billion-spent-temp-nurses-midwives\/\" target=\"_blank\" rel=\"noopener\">NHS Scotland: Nearly \u00a32 billion spent on temp nurses and midwives<\/a>\n<\/p>\n<p>\n  Alice Struthers, programme director with the Neurological Alliance of Scotland, said: \u201cOur findings show that health and social care services are not meeting peoples&#8217; needs.\n<\/p>\n<p>\n  \u201cMany find day-to-day life consistently challenging, with symptoms affecting all areas of their lives, from social and recreational activities to work, study, finances, and maintaining relationships.\n<\/p>\n<p>\n  \u201cMany people affected by neurological conditions, particularly those with conditions known as \u2018multi system disorders\u2019, still fall between the cracks and are having to cope while their needs go unmet.\n<\/p>\n<p>\n  \u201cWhile most neurological conditions cannot be prevented, a renewed focus on tackling some of these health inequalities in addition to healthy lifestyle choices, will have a positive impact on everyone in Scotland.\n<\/p>\n<p>\n  \u201cThe time has come to prioritise investment into building the neurological workforce and increasing service delivery. If not now, then when?\u201d\n<\/p>\n<p>\n  <img   alt=\"Alice Struthers, programme director with the Neurological Alliance of Scotland. \" style=\"width: 100%;\"\/>Alice Struthers, programme director with the Neurological Alliance of Scotland. (Image: supplied) According to the report findings, just over half (53 per cent) of adults feel they do not get enough support and 46 per cent said the health system does not meet their needs.\n<\/p>\n<p>\n  Among adults, 64 per cent said they are not coping well, and the number of respondents who said their condition impacts their mental health has increased from 80 per cent in 2022 to 87 per cent now.\n<\/p>\n<p>\n  An estimated one million people in Scotland live with a neurological condition like cerebral palsy, Parkinson\u2019s Disease, dementia and epilepsy.\n<\/p>\n<p>\n  There are around 600 different conditions, many of which are rare and complex.\n<\/p>\n<p>\n  Donald MacPhee, 65, has lived with dystonia, a rare and often misunderstood brain condition, for more than 40 years.\n<\/p>\n<p>\n  His type of dystonia, spasmodic torticollis (also known as cervical dystonia), causes the muscles in his neck to tighten and spasm without warning, forcing his head to twist painfully to one side.\n<\/p>\n<p>\n  <img   alt=\"Donald MacPhee aged 65 who lives with dystonia, a rare brain condition. \" style=\"width: 100%;\"\/>Donald MacPhee aged 65 who lives with dystonia, a rare brain condition. (Image: supplied) The married father of one from Bishopton\u00a0receives regular botulinum toxin injections, however, he\u00a0has found his condition has been worsening in recent years.\n<\/p>\n<p>\n  Although Mr MacPhee\u00a0has praised the care and professionalism of NHS staff, he has said the lack of\u00a0treatment options has been striking and more investment in neurology is needed.\u00a0\n<\/p>\n<p>\n  He said: \u201cPeople don\u2019t realise how much it affects you. It\u2019s not life-threatening but it is life changing.\n<\/p>\n<p>\n  &#8220;Things like eating or driving become hard, and you lose confidence to go out. Even simple tasks around the house are quite difficult.\n<\/p>\n<p>\n  \u201cFatigue, sleep problems, and the way you\u2019re breathing, and your throat area can be affected too, so that makes it awkward for me to speak sometimes.\n<\/p>\n<p>\n  \u201cThe lack of treatment options, even in neurological centres, is striking.\n<\/p>\n<p>\n  \u201cAll have been professional and caring but the lack of knowledge of dystonia, especially at GP level, was clear. It has improved now but that\u2019s because they\u2019ve learned it all from me.\n<\/p>\n<p>\n  \u201cThere\u2019s not enough investment in neurology. Neurological conditions affect more people than ever, yet funding and resources are limited.\n<\/p>\n<p>\n  \u201cIt\u2019s frustrating because better support could help people live healthier, more productive lives. It\u2019s like being stuck in purgatory.\n<\/p>\n<p>\n  &#8220;You want answers, but you know they\u2019re not there yet. It\u2019s tough, but you have to live with it day to day.\u201d\n<\/p>\n<p>\n  Nearly a third of respondents (29 per cent) to the new report say they are not managing &#8220;at all&#8221; financially, with the economic burden of neurological conditions estimated to cost the UK around \u00a396 billion annually.\n<\/p>\n<p>\n  An overwhelming 82 per cent of carers reported that children in their care regularly experience frustration and anger due to their symptoms.\n<\/p>\n<p>\n  Carers have said they are at \u201cbreaking point\u201d, according to the report \u2013 with over half (57 per cent) providing more than 50 hours of unpaid care every week, leading to significant levels of responsibility and exhaustion.\n<\/p>\n<p>\n  Becky Duff, Scotland director with the Carers\u2019 Trust, wrote in the report: \u201cWe are seeing an increase in both the numbers of people caring and the hours of unpaid care being provided.\n<\/p>\n<p>\n  \u201cWe need to act now to ensure that those living with neurological conditions and those caring are properly supported.\n<\/p>\n<p>\n  \u201cThe findings published in this report join a body of evidence that demonstrates that there is a huge gap between the rights of unpaid carers and their daily reality.\n<\/p>\n<p>\n  \u201cThose living with neurological conditions and those caring for them are often invisible, and this report today ensures that their voices and experiences are heard.\u201d\n<\/p>\n<p>\n  In March this year, the\u00a0Scottish Government\u2019s five-year investment into neurology services through the Neurological Care and Support (Scotland) Framework for Action ended.\u00a0\n<\/p>\n<p>\n  A \u00a33.2 million investment, down from an initial commitment of \u00a34.5 million, funded a series of collaborative projects between health boards and the third and private sectors across Scotland.\n<\/p>\n<p>\n  The three recommendations from the Neurological Alliance of Scotland are targeted investment to strengthen neurology services, access to a named care co-ordinator to provide consistent and specialist support, and training on the complexities of neurological conditions for social care workers.\n<\/p>\n<p>\n  The report states that such action will lead\u00a0to faster diagnoses, reducing the anxiety and mental health distress caused by long waiting times, as well as fewer emergency hospital admissions which will reduce pressure on the NHS.\n<\/p>\n<p>\n  It also outlines that this action\u00a0will lead to integrated care planning- a crucial factor at key care transition points such as moving from adult to child services.\u00a0\n<\/p>\n<p>\n  <a href=\"https:\/\/www.heraldscotland.com\/topics\/scottish-labour\/\" target=\"_blank\" rel=\"noopener\">Scottish Labour<\/a> said the report highlights &#8220;far too many people&#8221; failed under the <a href=\"https:\/\/www.heraldscotland.com\/topics\/snp\/\" target=\"_blank\" rel=\"noopener\">SNP<\/a> as they said they would work to make the system more integrated.\u00a0\n<\/p>\n<p>\n  Their health spokesperson Jackie Baillie said \u201cThis damning report shows far too many people with neurological disorders are being let down on the SNP\u2019s watch.\n<\/p>\n<p>\n  \u201cMinisters must listen to these warnings from people suffering the consequences of SNP failure and act to give them the standard of support they deserve.\n<\/p>\n<p>\n  \u201cScottish Labour will ensure there is a joined-up system of support across our health and social care system for people with neurological conditions so that no-one falls through the cracks.\u201d\n<\/p>\n<p>\n  The\u00a0<a href=\"https:\/\/www.heraldscotland.com\/topics\/scottish-liberal-democrats\/\" target=\"_blank\" rel=\"noopener\">Scottish Liberal Democrats<\/a> have called for an expansion in support for carer&#8217;s respite which they say would allow\u00a0them to take a well-deserved breaks to support\u00a0their wellbeing and drive\u00a0down inequalities.\u00a0\n<\/p>\n<p>\n  Wendy Chamberlain MP said: \u201cThis report sets out the heavy, human toll of the SNP\u2019s mismanagement of the health service.\n<\/p>\n<p>\n  \u201cIt is awful that so many vulnerable patients feel unsupported. The fact that those who look after them also feel \u2018invisible\u2019 is yet another sign of a government that fails to value care properly.\n<\/p>\n<p>\n  \u201cWe need to give unpaid carers the fair deal they deserve.&#8221;\u00a0\n<\/p>\n<p>\n  The Scottish Government has said the Care Reform Bill, passed in June, will establish a right to breaks from caring to support carers\u2019 health and wellbeing and sustain caring relationships.\n<\/p>\n<p>\n  Ministers have said they are investing \u00a313 million into providing\u00a0voluntary sector short breaks this year.\u00a0\n<\/p>\n<p>\n  A Scottish Government Spokesperson said: \u201cIt is vital that people with neurological conditions feel properly supported and involved in their care.\n<\/p>\n<p>\n  \u201cWe are actively exploring ways to improve mental health support for people affected by long term physical health conditions, and we have spent \u00a33.2 million on improving the quality and access to care for people with neurological conditions across the country.\n<\/p>\n<p>\n  \u201cWe also recognise the incredible contribution made by Scotland\u2019s unpaid carers, as well as the pressures many are under. We are continuing to invest \u00a388.4 million per year to support unpaid carers through local authority Carers Act funding.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"Titled \u2018Today\u2019s Challenge, Tomorrow\u2019s Hope\u2019, the report included 1,013 responses in Scotland to a survey of adults, children&hellip;\n","protected":false},"author":2,"featured_media":252722,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4316],"tags":[105,4348,16,15],"class_list":{"0":"post-252721","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-healthcare","8":"tag-health","9":"tag-healthcare","10":"tag-uk","11":"tag-united-kingdom"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@uk\/114827408376852271","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/posts\/252721","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/comments?post=252721"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/posts\/252721\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/media\/252722"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/media?parent=252721"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/categories?post=252721"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/tags?post=252721"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}