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  • 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. NeurologyFrom 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. 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.
  • 6. Special circuit: relay
  • 7. Neurological disorders/conditionsMay originate• in the brain• or anywhere in the nervous system
  • 8. Neurological disorders/conditionsMay be caused by• Injury or trauma• Infection or disease• Genes• Unknown?
  • 9. Neurological disorders/conditionsMay result in:• Paralysis• Muscle weakness• Poor coordination• Loss of sensation• Seizures• Confusion• Pain• Altered levels of consciousness
  • 10. Funding category 207X• Epilepsy• Chronic fatigue syndrome/myalgic encephalomyelitis (ME)• Meningococcal disease and meningitis• Multiple sclerosis• Parkinsons disease
  • 11. 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