The SIGN Guidelines on the diagnosisand management of epilepsy in adults (Guideline 70) and in children and young people(Guideline 81) set out the best evidence relating to the management of epilepsy.NHS boards are expected to implement these Guidelines through local protocols.Epilepsy is one of the conditionscovered in the Quality & Outcomes Framework of the new GMS contract, and thisincentivises general practices to maintain a register of people with epilepsy andto review their management on a regular basis.In conjunction with EpilepsyScotland, we have encouraged the development of epilepsy Managed Clinical Networksas a way of promoting the integration of services across primary, secondary andtertiary care.