{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T09:55:51Z","timestamp":1783331751882,"version":"3.54.6"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T00:00:00Z","timestamp":1775865600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T00:00:00Z","timestamp":1775865600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Epilepsia Open"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      Epilepsy is recognized to be a significant cause of premature mortality, socio\u2010economic distress and poor quality of life in economically developed countries. Despite clear clinical guidelines, epilepsy care is marked by delayed diagnosis, fragmented management, high emergency admission rates, and pronounced health inequalities affecting rural populations, ethnic minority groups, and people with intellectual disabilities. Diagnostic pathways remain inefficient, with prolonged waits for electroencephalography (EEG), low sensitivity of routine investigations, and repeated inconclusive testing. Long\u2010term management continues to depend on infrequent hospital visits and unreliable patient recall, contributing to suboptimal seizure control, avoidable morbidity, and preventable mortality. In the United Kingdom, epilepsy affects over 630\u2009000 people, accounts for approximately \u00a32 billion in annual healthcare costs and exemplifies these systemic failures. Current hospital\u2010centric care models are failing to meet their complex, often lifelong, needs. In its recent 2025 \u201cFit for the Future\u201d 10\u2010year plan, the UK government mandates three fundamental shifts in healthcare:\n                      <jats:italic>from hospital to community<\/jats:italic>\n                      ,\n                      <jats:italic>analogue to digital<\/jats:italic>\n                      , and\n                      <jats:italic>sickness to prevention<\/jats:italic>\n                      . Epilepsy diagnosis and care exemplify the potential for this comprehensive triumvirate transformation, with emerging technologies including point\u2010of\u2010care EEG systems, AI\u2010powered diagnostics, wearable devices, and digital therapeutics offering unprecedented opportunities to deliver specialist\u2010level care in community settings and reduce illness burden. However, successful implementation requires addressing digital exclusion risks for vulnerable populations. We propose that technology\u2010enabled community epilepsy care can serve as a blueprint for the UK's National Health Service (NHS) transformation while delivering immediate benefits for patients, families, and healthcare systems. The convergence of clinical need, technological capability, and policy imperative creates a unique opportunity to move beyond incremental improvements to fundamental system redesign that ensures equitable access to high\u2010quality epilepsy care across all communities. Such a model, if delivered, could be an exemplar for other chronic conditions both in the United Kingdom and globally.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Plain Language Summary<\/jats:title>\n                    <jats:p>Current epilepsy care in the United Kingdom often involves long waits and relies on infrequent hospital visits, which is not ideal for a lifelong condition. New technologies, such as wearable devices and AI\u2010powered tools, offer a chance to change this. By moving care from hospitals into the community, we can provide faster diagnosis, continuous monitoring, and more personalised support. This will help improve the lives of the 630\u2009000 people with epilepsy in the UK, ensuring they receive better, more accessible, and more equitable care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/epi4.70262","type":"journal-article","created":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T13:15:25Z","timestamp":1775913325000},"page":"727-739","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The future of epilepsy care in the United Kingdom: A roadmap for technology\u2010enabled transformation"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6829-5736","authenticated-orcid":false,"given":"John R.","family":"Terry","sequence":"first","affiliation":[{"name":"Peninsula Medical School University of Plymouth  Plymouth UK"},{"name":"Neuronostics Ltd  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1183-6933","authenticated-orcid":false,"given":"Rohit","family":"Shankar","sequence":"additional","affiliation":[{"name":"Peninsula Medical School University of Plymouth  Plymouth UK"},{"name":"Cornwall Partnership NHS Foundation Trust  Truro UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,11]]},"reference":[{"key":"e_1_2_15_2_1","unstructured":"Independent Investigation of the National Health Service in England.https:\/\/assets.publishing.service.gov.uk\/media\/66f42ae630536cb92748271f\/Lord\u2010Darzi\u2010Independent\u2010Investigation\u2010of\u2010the\u2010National\u2010Health\u2010Service\u2010in\u2010England\u2010Updated\u201025\u2010September.pdf. 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