Table 5

Calculations of number of new and old out-patient units required by patients with the top 16 diagnoses for a population of 100 000. Column A gives references concerning epidemiology. Column B gives the basis for the calculated number of new visits. Column C gives the same for follow-up visits

Condition	Notes A	New patients	New unit	Notes B	Follow up units	Notes C	Total units
Epilepsy	^12,16,17	32	64	a	300	a	364
Stroke	^18,19,22,23	100	200	22i	100	12	300
Migraine	11	50	100	^11,c	30	11 c	130
Headache	11	50	100	^11,c	30	11 c	130
TIAs	^11,22	35	70	^11,22	75	11	145
Dementia	11	50	100	a	50	a	150
Multiple sclerosis	21	15	30	a	100	a	130
Parkinson’s disease	11	20	40	20	80	a	120
Dizziness	d	29	58	20 e	10	b	68
Blackouts - not epilepsy	d	33	66	20	10	b	76
Cervical spine disease	11	15	30	20e	15	a	45
Peripheral nerve palsies	11	20	40	a,f	10	a	50
Lumbosacral disease	11	25	50	20g	10		60
Cranial nerve palsies	d	20	40	h	20	h	60
Facial pain	d	20	40	b	20	b	60
Peripheral neuropathy	11	20	40	a,f	10	a,f	50
Totals		534	1068		870		1938

Notes for Table 5:
(a) Estimated from prevalence data.
(b) A reasonable assumption.
(c) 25% of Kurtzke’s¹¹ figure of the number that should see a Neurologist.
(d) Figure unknown.
(e) 50% of all referrals made by General Practitioners20could go to Neurologists.
(f) 50% of Kurtzke’s¹¹ figure for referral to Neurologists.
(g) 20% of referrals made by General Practitioners20 could go to Neurologists.
(h) Guesses based on : Bell’s palsy = 25/100 000.
(i) Derived from data provided by Brown22 on the number of patients with stroke seen at a cerebrovascular disease clinic and Fuller23 on the number of patients with stroke presenting to a District Hospital. An assumption has been made that all stroke patients under 65 years and a third of those over that age will be seen by the Neurologist.