The GPs guide to Parkinsons
It is estimated that 1 in 500 people in the UK have Parkinson's, this equates to 127,000 people living with this condition.
A definite diagnosis of Parkinson's is difficult. If the condition is suspected, a patient should quickly be referred—untreated—to a neurologist or a geriatrician with a special interest in Parkinson's.
Unless the GP has a special interest in the condition, treatment is best initiated by a Parkinson's specialist in liaison with the Parkinson's disease nurse specialist (PDNS), using a local shared care protocol that the GP can refer to. The GP can then prescribe Parkinson's medication, but only if a robust local shared guideline is available. Ideally the monitoring will be carried out by a PDNS.
This Guidelines summary covers diagnosis, follow-up, and treatment.