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Peripheral neuropathy pathway

Patient is under neurology follow-up at UHB

If the patient has Motor Neurone Disease (MND), you or the patient can contact the MND team.

If the patient has inflammatory (vasculitis or GBS-CIDP) or hereditary neuropathy, you or the patient can contact the Neuromuscular team.

Patient is under active follow-up with another neurology service

Please try to contact the patient’s usual neurologist/neurology team first.

If the patient has recently moved to the West Midlands or is transitioning from children’s services, you can refer the patient to UHB via the A+R system.

Include the following in your referral:

  • The diagnosis
  • Any correspondence from the patient’s previous neurologist, or
  • If unavailable, the neurologist's name, hospital or place they were treated
  • previously
  • Some indication of the patient's functional status

Patient has been discharged or is not under active local follow-up

Please try to contact the patient’s usual neurologist/neurology team. If they are at UHB, you can seek advice via the A+R system.

Please make sure you include:

  • The name of the patient’s previous neurologist
  • The question that you are asking in the dialogue box

If the patient has recently moved to the West Midlands or is transitioning from children’s services, you can refer the patient to UHB via the A+R system.

Include the following in your referral:

  • The diagnosis
  • Any correspondence from the patient’s previous neurologist, or
  • If unavailable, the neurologist's name, hospital or place they were treated
  • previously
  • Some indication of the patient's functional status (e.g. can they walk, how far, with or without support)

Patient has suspected peripheral neuropathy

You can seek advice through the A+R system:

All patients suspected of having a neuropathy should be tested (and treated where relevant) for:

  • Diabetes or glucose intolerance: HBA1c
  • B12 deficiency: B12 and FBC (ideally homocysteine and methylmalonic acid levels)
  • Paraprotein: immunoglobulin levels SPE and immunofixation
  • LFT and gamma GT: looking for evidence of alcohol excess

These are the most common identifiable causes of neuropathy and can complicate/exacerbate idiopathic neuropathies. Blood tests should be repeated annually.

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Last reviewed: 26 January 2026