Neurological problems NICE would like to hear your views on these questions: 1. Which areas will have the biggest impact on practice and be challenging to implement? Please say for whom and why. 2. What would help users overcome any challenges? (For example, existing practical resources or national initiatives, or examples of good practice.) 3. The current title of this guideline is Neurological problems: Assessment, diagnosis and referral. There is a need for guidance that helps non-specialists recognise the symptoms that may indicate a neurological problem, and guides them in assessing people and making decisions about whether referral to specialist care is appropriate. The diagnosis of neurological conditions should be carried out or confirmed by neurological specialists, following referral, so including diagnosis within the remit of this guideline is considered to be of limited practical value. Given the suggested focus of this guideline, the following revised title has been proposed - Suspected neurological conditions: Recognition and referral. Do you agree with the proposed change to the guideline title? 4. We are planning to construct our literature searches around these condition groups to identify features, signs and symptoms of concern - are any important condition groups missing from this list? Please provide a rationale for your response. 4.1 Adults Movement disorders including tremors, dystonia and gait apraxia Neuromuscular conditions including myopathies, myasthenia and muscular dystrophies Functional disorders including non-epileptic dissociative seizures Neuropathies including entrapment neuropathies and Guillain-Barre syndrome Radiculopathies 4.2 Children and young people Movement disorders including dystonia Neuromuscular conditions including myopathies, myasthenia and muscular dystrophies Brain tumours Guillain-Barre syndrome Neurodegenerative conditions See section 3.9 of Developing NICE guidance: how to get involved for suggestions of general points to think about when commenting. Comment number Document Example 1 Example 2 Full Full Page number Or ‘general’ for comments on the whole document 16 16 Example 3 Full 16 (full version, short version or the appendices 1 2 3 4 5 Line number Or ‘general’ for comments on the whole document 45 45 45 Comments Insert each comment in a new row. Do not paste other tables into this table, because your comments could get lost – type directly into this table. We are concerned that this recommendation may imply that ………….. Question 1: This recommendation will be a challenging change in practice because …… Question 2: Our trust has had experience of implementing this approach and would be willing to submit its experiences to the NICE shared learning database. Contact………………. Neurological problems 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Insert extra rows as needed Checklist for submitting comments • Include page and line number (not section number) of the text each comment is about. • Do not paste other tables into this table – type directly into the table. • Underline and highlight any confidential information or other material that you do not wish to be made public. • Do not include medical information about yourself or another person from which you or the person could be identified. • Spell out any abbreviations you use You can see any guidance that NICE has produced on topics related to this guideline by checking NICE Pathways.