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Local Commissioning Advocates

       Commissioning in context
 Long-term and neurological conditions

       Supported by UCB Pharma through an educational grant.
       UCB has no editorial control on the contents.
       © Copyright Epilepsy Action 2012
Long-term conditions
• A condition that cannot be cured but can be
  managed through medication and/or therapy
• Long-term conditions are also called chronic
  conditions
• Approximately 15 million people in England with
  at least one long-term condition (DH)
• Includes arthritis, diabetes, asthma and coronary
  heart disease
• Many long-term conditions such as epilepsy are
  also neurological
Neurology
From Greek:

• Neuron – nerve
• Logia – study of

• Study of the brain and nervous system
Nervous system
• Central nervous system (CNS) is the brain
  and spinal cord
• Peripheral nervous system (PNS) is outside
  the brain and spinal cord
• PNS sub-divides into somatic nervous system
  (SoNS): voluntary control/movement eg lifting
  and autonomic nervous system (ANS):
  involuntary control/movement eg breathing
Neurons: nerve cells
• Neurons are highly specialised cells, elongated
  with branches (dendrites) at the end to connect
  with other neurons
• Bundles of neurons make a nerve
• Nerves connect to make circuits:
  - Sensory nerves contain neurons that receive
    information and transmit it back to the brain
  - Motor nerves contain neurons that receive
    information from the brain that causes them to
    move.
Special circuit: relay
Neurological disorders/conditions
May originate

• in the brain
• or anywhere in the nervous system
Neurological disorders/conditions
May be caused by
• Injury or trauma
• Infection or disease
• Genes
• Unknown?
Neurological disorders/conditions
May result in:
• Paralysis
• Muscle weakness
• Poor coordination
• Loss of sensation
• Seizures
• Confusion
• Pain
• Altered levels of consciousness
Funding category 207X
• Epilepsy
• Chronic fatigue syndrome/myalgic
  encephalomyelitis (ME)
• Meningococcal disease and meningitis
• Multiple sclerosis
• Parkinson's disease
Local Commissioning Advocates

        Commissioning in context
 Long-term and neurological conditions

       Supported by UCB Pharma through an educational grant.
       UCB has no editorial control on the contents.
       © Copyright Epilepsy Action 2012

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PP2.1

  • 1. Local Commissioning Advocates Commissioning in context Long-term and neurological conditions Supported by UCB Pharma through an educational grant. UCB has no editorial control on the contents. © Copyright Epilepsy Action 2012
  • 2. Long-term conditions • A condition that cannot be cured but can be managed through medication and/or therapy • Long-term conditions are also called chronic conditions • Approximately 15 million people in England with at least one long-term condition (DH) • Includes arthritis, diabetes, asthma and coronary heart disease • Many long-term conditions such as epilepsy are also neurological
  • 3. Neurology From Greek: • Neuron – nerve • Logia – study of • Study of the brain and nervous system
  • 4. Nervous system • Central nervous system (CNS) is the brain and spinal cord • Peripheral nervous system (PNS) is outside the brain and spinal cord • PNS sub-divides into somatic nervous system (SoNS): voluntary control/movement eg lifting and autonomic nervous system (ANS): involuntary control/movement eg breathing
  • 5.
  • 6.
  • 7. Neurons: nerve cells • Neurons are highly specialised cells, elongated with branches (dendrites) at the end to connect with other neurons • Bundles of neurons make a nerve • Nerves connect to make circuits: - Sensory nerves contain neurons that receive information and transmit it back to the brain - Motor nerves contain neurons that receive information from the brain that causes them to move.
  • 9. Neurological disorders/conditions May originate • in the brain • or anywhere in the nervous system
  • 10. Neurological disorders/conditions May be caused by • Injury or trauma • Infection or disease • Genes • Unknown?
  • 11. Neurological disorders/conditions May result in: • Paralysis • Muscle weakness • Poor coordination • Loss of sensation • Seizures • Confusion • Pain • Altered levels of consciousness
  • 12. Funding category 207X • Epilepsy • Chronic fatigue syndrome/myalgic encephalomyelitis (ME) • Meningococcal disease and meningitis • Multiple sclerosis • Parkinson's disease
  • 13. Local Commissioning Advocates Commissioning in context Long-term and neurological conditions Supported by UCB Pharma through an educational grant. UCB has no editorial control on the contents. © Copyright Epilepsy Action 2012