• Epilepsy is common; 25% of this population have it.
• It is often complex, with multiple seizure types.
• Although it can be harder to control, active management is important to reduce seizure frequency as far as possible and improve quality of life for the patient and for carers.
• Input from secondary care is usually required
• Is it sub-optimally managed? e.g. a "stable" pattern of seizures over a long time such as one or two tonic-clonic seizures every couple of months, with no attempt to change medication to improve this, may well mean seizure control could be improved and quality of life enhanced. Have any of the newer anti-epileptic drugs been tried? Consider referral to improve seizure control.
• Has the person had an epilepsy risk assessment to consider their environment?
• Would a referral for one be helpful? If so refer to the local learning disabilities team.