This report examines the implementation of the National Service Framework for Long-term Conditions. It found that spending on neurological conditions increased by 38% in real terms, from £2.1 billion in 2006-07 to £2.9 billion in 2009-10. Spending on social services for people with neurological conditions was an estimated £2.4 billion in 2009-10, and has remained flat since 2005-06. However, while there have been some improvements, such as reduced waiting times, services remain well below the quality requirements set out in the Framework.