MS Nurse Team, Royal Wolverhampton Trust

This MS nurse team has worked collaboratively with other services to expand their capabilities and substantially improve their service structure, clearly mapping out both relapse management and dysphagia treatment pathways in the process. By establishing links with a rapid intervention team and minor injury walk-in centre, potential relapse patients can now receive urine infection test results much faster. The team has also worked with speech and language therapists, and enteral specialist nurses, to improve early decision making around PEG insertion for dysphagia. The new dysphagia pathway dictates that patients with altered swallowing capacity are immediately referred to a joint clinic, where the enteral clinical nurse specialist can talk to them about PEG feeding. This process aims to document patient wishes for later in disease progression. Redesigning these pathways has ensured provision of equitable, timely care for MS patients, across the spectrum of disease, and with limited resources.

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