Abstract
Studies have demonstrated that many people with long-term conditions do not take medications as prescribed. Not only does this compromise the health of the patient but also becomes a financial burden for the NHS. The National Service Framework for Long-Term Conditions cites research which shows that about 50% of medicines for long-term conditions are not taken as prescribed, which may compromise the health of the patient and become a cost pressure for the NHS. This paper reflects reasons why non-concordance may occur in a particular group of patients who have multiple sclerosis and the role of the specialist nurse in promoting concordance. The terms compliance, adherence and concordance are reflected upon and defined and critiqued. The authors report on the findings of a telephone survey which analysed the extent of concordance in the authors′ area of work. Finally, the article demonstrates how the MS nurse specialist is a key factor in promoting concordance with prescribed medications.
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