Managing symptoms


  1. Bone health
  2. Disease modifying treatments
  3. Eyes / Vision / Sight
  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 service

2. Disease modifying treatments

Referral to DMT clinic is via a St George’s Hospital Neurologist only – contact the St George’s Hospital MS nurses for more detail

MS Society Disease Modifying Drugs Booklet

MS Trust Disease modifying drug page

MS Society – DMTS page

3. Eyes / Vision / Sight

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

Visual Impairment Team

For support with management of visual impairment in everyday life, consider referral to the Vision Impairment Team

Referrals can be made to the Visual Impairment Team via the council access team.

Wandsworth Access Team

Tel: 0208 8717707 email:

Richmond Access Team Tel: 020 8891 7971

MS Society – Visual Impairment

MS Trust – Visual Problems

See section: Wandsworth services, support and other organisations for advice and assistance available from other organisations for people with visual impairment

4. Fatigue:

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

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

Fatigue management poster

MS Society – Fatigue

MS Trust – fatigue

5. Mood:

Talk Wandsworth

South West London and St Georges NHS Mental Health Trust

Talk Wandsworth 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)

Contact details (for all programmes): Vocational Rehabilitation Team, Wolfson Neurorehabilitation Centre: 020 8487 6358

MS Society – Cognitive problems in MS

MS Trust – Memory and thinking

7. Pain clinic:

Click here for more information on the Chronic pain service

8. Respiratory:

Community Respiratory nurses

Wandsworth Adult Hub Contact details: Tel: 0333 300 2350 (lines are manned Monday to Friday from 8am to 8pm and Saturday, Sunday and Bank Holidays from 8am to 5pm)


Post: P O Box 130, Morden, SM4 9EF

Patient Telephone Line: 0330 300 0950

Wandsworth Community Respiratory Physiotherapist

Tel: 020 8725 3016


Referral Form

Neuro-Physiotherapy, Wandsworth Community Neuro Team

9. Speech change and Communication aids

Speech and Language Therapy

Assistive and Augmentative Technology Assessment (AAC) Hub

Tel: 02087804500


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

Patient Consent Form VFS

Enteral Feeding

Tube Feeding

11. Urology

Click here to visit the St George’s Hospital Urology service page

Continence nurse There is a single point of access for referrals to all of our Wandsworth services: Phone: 0333 300 2350 Email:

SPOC Referral Form (Word)

Discuss with MS nurse specialist

Wandsworth Community Neuro Team clinical nurse specialist in neurology

Women and men’s health physiotherapy

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