This Portal is designed to engage people living with Multiple Sclerosis (MS) and their families.


The first cohort at the Royal Free Hospital comprises approximately 500 patients living in the London Borough of Barnet. Within the cohort there are a number of patients that frequently attend A&E with symptoms such as UTI that may have been able to be treated in the community.


To prevent this the NHS 111 service is being adapted to provide a specialist response to these patients. To support this a summary care plan is agreed with the patients. This care plan will be co- completed by patients and clinicians on the online Neuro Patient Response Form, part of the Portal.


Patients access the partially completed form, make comments and commit if they are happy with it. The information is then incorporated into the Adastra system for use by the NHS 111 service.




  • Patients are sent an email or text providing login details
  • Patients can securely access their individual care plan
  • Patients can self-report and self-manage
  • Service facilitates management of patients
  • Manages telephone and physical appointments
  • Patient reminders and alerts are included
  • Care plan can be tailored to specific requirements
  • Automatic rescheduling to tests based on care plan requirements




  • Patient access through any web browser from their own device
  • Patients more likely to understand and adhere to recommended treatment
  • Patient self-management reduces footfall on clinics and hospitals
  • Clinician intervention at any point to alter the care plan
  • Mutual collaboration can foster patient satisfaction and improve healthcare outcomes
  • Sharing access with third parties ensures details are not mis-interpreted
  • Evidences decisions, clinical findings, progress and investigations
  • Evidences dates, results, consent, and referrals
  • Patient administration automated with dashboards for nurses and clinicians
  • Cost effective

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