Neurology practice requires structures that provide access and fulfil the needs of people with neurological diseases. Structures need to be embedded within settings that facilitate diagnostics, therapy, and care, including long-term and palliative care, in multidisciplinary and multiprofessional environments. Worldwide, there are large disparities between availability of neurologists, ranging from 13 neurologists per 100,000 population in Europe to only 0.12 in Africa, with no availability in some countries. In addition to differences in manpower, there are many other issues, such as availability of resources, structures, equity, and access to healthcare. Globally, the World Health Organization, through the Intersectoral Global Action Plan, has a ten-year plan to implement neurology and health services in all WHO member countries, which substantiates the need for neurology and neurological structures. This chapter describes the proposed structures of neurological services based on three large template models, consultant services, comprehensive services, and primary-care-based neurological care services. All described systems exist in many countries and overlap to various extents, influenced by the health system, legislative classifications, the content of neurology in relation to other medical and surgical fields, and resource availability in the health system and financing models. Access and equity are important aspects that depend on the local structures, health politics, and, above all, finances.