The last day of operation for Hertfordshire and West Essex ICB was 31 March 2026. The information on this website has not been updated since 31 March 2026. The legacy policies, prescribing recommendations and pathways can be accessed on this website. Find out more

RAG rating
n/a
Document type
Clinical pathways
Place
Hertfordshire and West Essex ICB
Output type
Clinical Pathways
Pathway
Motor Neurone Disease (MND) Suspected Pathway

Motor Neurone Disease (MND)

A diagnosis of MND should be made by a neurologist - If you suspect MND make an urgent referral to neurology and specify the possible diagnosis of MND.

Possible features of MND: (see pathway)

  • Respiratory symptoms;
  • Limb features;
  • Cognitive features (rare at presentation);
  • Bulbar features.

Consider referral to Local HCT therapy services including SLT for symptom management (the patient can be referred whilst awaiting investigations and a possible diagnosis of MND)

Include in referral:

  • Detailed clinical history;
  • Neurological Examination findings (eye and neck where appropriate);
  • Details of any communication with neurology team to date 
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