MS Nurse Mapping

Since 2014, the MS Trust has regularly surveyed multiple sclerosis (MS) nurses. Our last nurse project, published in 2021, surveyed 133 services and 176 MS health professionals in order to find out more about MS services across the UK. 

• Over 130,000* people live with MS in the UK
• 8 in 10 people with MS live in areas with unsustainable caseloads
• 50% more MS nurses are needed to make caseloads sustainable across the UK
• Only 1 in 3 teams provide home visits
• 1 in 5 MS nurse teams have no administrative support
• 1 in 3 MS nurses are planning to retire in the next 5 years

*Figures correct at the time of publication. New prevalence figures have since been published.

This report maps the provision of MS specialist nurses across the UK. It's based on a survey of UK MS services originally undertaken in 2014 and updates similar work carried out between 2014 - 2018. The report examines the number of people with MS in the UK and establishes the number of MS nurses working across the UK and their associated caseloads. This data is used to identify how adequate provision is compared to the MS Trust's sustainable caseload of 315* people with MS for each Whole Time Equivalent (WTE) MS specialist nurse.

*The sustainable caseload figure was reduced from 358 due to increased demand on MS specialist nurse time (primarily due to increases in monitoring disease modifying drugs (DMDs)).

• The total number of people with MS on MS specialist nurse caseloads across the UK is estimated to be 140,633 using self-reported caseloads. This is higher than Public Health England (2020) estimates.
• Despite increases in the number of MS specialist nurses, caseloads across the UK have significantly increased from previous surveys. The mean caseload is 472 people with MS per WTE
• Most people in the UK live in areas where caseloads are unsustainable with 79% of people with MS living in areas where MS specialist nurses have caseloads in excess of 315.
• For every MS nurse in the UK to have a sustainable caseload we would need a 50% increase in the current MS nurse workforce, equivalent to an extra 149 WTE MS specialist nurses.

The MS Trust continues to run the Advanced MS Champions programme to ensure that every person, no matter how their MS presents itself, has expert care and support. In addition, we provide training and trusted information to ensure that everyone living with MS can access the expert support they need. We place people with MS at the heart of everything we do. 

• Read 2021 nurse mapping report (PDF, 310KB)
• Read 2021 plain language summary (PDF, 216KB)
• The key facts referenced on this page are available to download in our MS nurse mapping 2021 infographic (PDF, 200kb)

Our nurse mapping reports present findings from our national survey of UK multiple sclerosis specialist nurses.

• 2018 MS Specialist Nursing in the UK report (PDF, 244KB)
• 2016 MS Specialist Nursing in the UK report (PDF, 372KB)
• 2014 MS Specialist Nursing in the UK report (PDF, 492KB)