Managing symptoms


  1. Bone health
  2. Disease modifying drugs
  3. Eyes
  4. Fatigue
  5. Mood
  6. Cognition
  7. Pain
  8. Respiratory
  9. Speech including AAC
  10. Swallow including videofluoroscopy and enteral feeding
  11. Urology and Bowel management
  12. Vestibular


1. Bone health

The Bone Boost Programme

Integrated falls and bone health

2. Disease modifying treatments

Referral to DMT clinic is via a SGH Neurologist only – contact the SGH MS nurses for more detail add link to the SGH nurses

MS Society Disease modifying drugs booklet

MS Trust Disease modifying drug page

3. Vision and the Eye clinic

For formalised assessment of impairment, refer to optician, neurologist or ophthalmologist.

For support with management of visual impairment in everyday life, consider referral to WCNT OT Service

MS Society Factsheet

MS Trust – Visual Problems

4. Fatigue

For those suffering from fatigue, several sessions with an Occupational Therapist to discuss education and management is often very helpful.

For 1:1 advice about fatigue management, please refer to Wandsworth Community Neuro Team OT Service0208 812 4060

MS Society Factsheet

MS Trust booklet

5. Mood: IAPTS Wandsworth ‘Increasing Access to Psychological Services’

South West London and St Georges NHS Mental Health Trust

Wandsworth IAPT service is part of a national initiative to help people with common mental health problems, such as anxiety and depression, gain timely access to effective psychological therapies.

Multiple Sclerosis Society – Emotional support

MS Trust – Depression

6. Cognition:

1:1 input: Within the Wandsworth Community Neuro Team, neuro-psychology assessment is available for formalised assessment. Occupational Therapy is available to support with how this can be managed in everyday life. Please contact the team to discuss referrals 020 8812 4060

Group therapy: Wolfson Cognitive Assessment Program (WCAP)

Tel: 020 8266 6505

MS Trust Cognition PDF

7. Pain clinic:

Click here for more information on the Chronic pain service

8. Respiratory:

Wandsworth Community Respiratory nurses

Tel: 020 8812 5000

Wandsworth Community Respiratory Physiotherapist

Tel: 020 8725 3016

Neuro-Physiotherapy, Wandsworth Community Neuro Team

9. Speech change and Communication aids:

Speech and Language Therapy

Assistive and Augmentative Technology Assessment (AAC) Hub

10. Swallow change and Videofluoroscopy (VF):

Refer to Speech and Language Therapy for swallow assessment

VF clinic

Information for Health Professionals (Videofluoroscopy Clinic at Queen Mary’s Hospital leaflet)

Speech and Language Videoflouroscopy referral form

For information on Enteral feeding – Nutrition and Dietetics service

11. Urology

Click here to visit the Urology service page

Discuss with MS nurse specialist

Wandsworth Community Neuro Team clinical nurse specialist in neurology

Women’s and men’s health and continence

MS Trust managing your bladder

People with multiple sclerosis with bowel dysfunction: The patient should be referred to the MS clinical nurse specialist for assessment of constipation and faecal incontinence. Assessment will be completed and referral will be made to other services as appropriate such as community nursing, dietician, and hospital bowel clinics.

12. Vestibular, balance and dizziness clinic

Click here to visit the Vestibular, balance and dizziness clinic service page