All relapsing multiple sclerosis patients should be managed at a specialist clinic - YES.

http://msj.sagepub.com 1 Past generations of neurologists frequently took the approach of ‘diagnose and adios’ to managing patients with multiple sclerosis (MS). It is now generally accepted that MS is a chronic but treatable illness that requires long-term care from a neurologist. A recent study examining healthcare utilization in the United States found that although routine neurological care for MS was more expensive than primary care alone, there was a decrease in hospital admissions and emergency department visits.1 The role of neurologists in managing MS is reflected in recent National Institute of Health and Care Excellence (NICE) guidelines in the United Kingdom that recommend annual neurological review for all people with MS.2