Progress on the Department of Health's plan to improve services for people with neurological conditions has stalled as other policies take precedence and NHS cuts bite.
Campaigners say the long-term (neurological) conditions national service framework has been given a low priority by NHS and social care managers and has been overshadowed by the health and social care white paper, with its long-term conditions focus.
The framework, launched in March 2005, has 11 "quality requirements" for services for people with conditions such as epilepsy.