David Nicholl argues that even with the tremendous advances in diagnostic neuroimaging that the clinical skills involved in clinical neurology remain key. In a recent JNNP review he writes that recent audits suggest that large numbers of patients are failing to be assessed properly with a risk of patient harm, costly, unnecessary or inappropriate investigations, or delayed diagnosis.

In this podcast Matthew Kiernan asks Dr Nicholl, Department of Neurology, City Hospital, Birmingham, why patients are not being assessed properly neurologically, and what a solution could look like.

Read the full review (for free): http://jnnp.bmj.com/content/86/2/229.full