Exeter Headache Clinic

Support for NHS Commissioners

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Information for Prescribing Doctors for Prescribing Flunarizine
30% of neurology referrals are for headache and many of these cases are inappropriate for the secondary care setting.   This section gives background information and documentation that NHS Commissioners can draw upon. 

1Five steps to successful Headache Service Commissioning.

Broad overview for developing headache services

2.  Reports from PCTs who have set up Headache Services giving useful information, guidance and governance frameworks.

Report from Scarborough PCT

Report from Salford PCT

Lambeth headache business case

3.  Support for setting up a GPwSI Service.

Support for NHS commissioners

4.  A paper from the Association of British Neurologists arguing that headache is well suited to the development of general practitioner with a special interest services.

Neurology services

5.  A document that outlines potential headache pathways that can be modified in response to local circumstances. 

Referral pathways for headache in adults

6.  Headache Services in England, Scotland, Wales and Northern Ireland.

Headache services in England

Headache services in Northern Ireland

Headache services in Scotland

Headache services in Wales

7.  Appraisal and accreditation frameworks for GPwSI in Headache developed by the British Association for the study of Headache GPwSI Group.

For use in Annual GP appraisal

For use with newly accredited GPwSI

For use for five-year annual reaccreditation