Wales has published a new national pathway for Functional Neurological Disorder (FND), outlining how services should be delivered for adults across the country.
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The document sets out expectations for diagnosis, treatment, and coordination of care, with the aim of improving consistency and access to services.
The pathway focuses on:
Timely diagnosis based on positive clinical signs.
A neurology-led approach to diagnosis and care.
Coordinated multi-disciplinary support.
Improved access to services across Wales.
Greater involvement of lived experience in service design.
Some notable elements include:
A clear emphasis on neurologist-led diagnosis.
Recognition of the need for positive diagnostic features.
Introduction of a navigator role to help people access services.
Acknowledgement of current gaps, fragmentation, and patient experience challenges.
This pathway is an important step forward, meaning Wales now joins England and Scotland in setting out what FND care should look like at a national level.
Having a clear structure in place helps create a shared understanding across services and provides a foundation to improve access, coordination, and support over time.
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