Abstract
A survey of consultant physicians in palliative medicine, rehabilitation medicine and neurology in England was performed in order to assess the current involvement of their services with the care of people with long-term neurological conditions. Response rates were achieved of 49 per cent for palliative physicians, 46 per cent for rehabilitation physicians, but only 17 per cent for neurologists; however, at least 90 per cent of all those who responded were involved with this area of care. The principal themes to emerge from the survey were a degree of overlap between the perceived areas of responsibility of the three specialities, particularly in regard to symptom control; a lack of coordinated care for people with long-term neurological conditions; and a requirement for better support for this patient group in the community. A model for service interaction, termed neuropalliative rehabilitation, is described, with the aim of encouraging clinicians from the three specialities to seek out opportunities for collaborative working in order to improve the care of this patient group.
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