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Through our main areas - Wards A3, A4, A5, Neurosciences Clinics and Neurophysiology - neurosciences serves a huge population within the East Anglia region and beyond.
Over 900 patients are treated each year on the NCCU. Of these approximately 75% have a neurological or neurosurgically related illness. About a hundred of these patients have severe head injuries requiring intensive care. Other patients admitted as emergencies have diagnoses including uncontrolled epilepsy, stroke, and respiratory failure as a result of diseases of nerves or muscles, or are admitted following neurosurgery. Most of these patients are from East Anglia, but others are referred from other parts of the UK or the rest of the world.
A major £2.1 million expansion of the Neurosciences Critical Care Unit (NCCU) at Addenbrooke's was completed in December 2000. The new, purpose-built Unit consists of 20 critical-care beds. These are being used in a flexible way with other critical-care units within the Trust, with an anticipated initial allocation of 13 beds for intensive care and 8 for the high-dependency unit.
Ward A3 is part of a regional Neurosciences Unit. We specialise in caring for patients who require surgery or treatment for conditions relating to the brain and spine.
A4 is a 26 bedded neuromedical and neurosurgical ward. It cares for patients who have undergone neurosurgery.
The Lewin Stroke and Rehabilitation Unit offers:
Doctors: We diagnose, treat and manage your medical condition
Nursing: Safe, kind and excellent care
Physiotherapy: Improving your movement
Occupational Therapy: Improving your independence in everyday tasks Speech and Language Therapy: Helping you with talking, understanding and swallowing
Neuropsychology: Assessment and advice about thinking skills
such as memory and problem solving
Publicly funded
- free at point of access
This Service was mapped by Eastern Region ABI. See HERE for more information
Patient description
Medically stable, requiring 24-48hrs observation prior to communityrehabilitation, (as necessary in a smallminority) with low probability of acute neurological deterioration requiring neurosurgical advice/transfer
Sites
Acute A&E observation ward
Description of rehabilitation input
Assessment and observation –education, emotional and social support.Planned discharge home, sometimeswith outpatient follow up or moves tocode 30 at 48 hours
Patient description
Identifying and addressing early rehab goals before medically stable and transfer of care to rehab team
Sites
Major Trauma Centre/ Trauma Unit
Description of rehabilitation input
Identifying and addressing early rehab goals before medically stable and transfer of care to rehab team
Patient description
Medically unstable – requires general but not neurosurgical critical care.
Sites
Major Trauma Centre/ Trauma Unit/Acute Hospital
Description of rehabilitation input
Identifying and addressing early rehab goals before medically stable and transfer of care to rehab team
Patient description
Potentially medically unstable, but does not require critical care - unable to actively participate due to PTA, confusion, rejection, agitation, or low awareness state.
Sites
Major Trauma Centre/ Trauma Unit/Acute Hospital
Description of rehabilitation input
Needs inpatient care and treatment, and environmental and behavioural management, for physical dependency and confusion, and continuous clinical assessment (nursing, medical, therapy) to detect deterioration and prevent avoidable complications, and to facilitate optimal timing of rehab input and referral to next rehab programme.
Patient description
Needs in-patient care due to physical dependency, or the need for specialist therapy equipment, a safe environment, supervision, or intensity of therapy, in a unit with the expertise and experience in rehabilitation of a condition (Level 1)which cannot be provided in a local specialist centre or in the community (Level 2) which cannot be provided in the community.
Sites
Level 1: Regional specialized centre Level 2: Local specialist centre, Acute or community hospital
Description of rehabilitation input
Needs inpatient care due to physical dependency, or need for specialist therapy equipment, safe environment, supervision or intensity of therapy which cannot be provided in community
Patient description
Medically stable, living in community, aiming to enter/return to employment
Sites
Outpatient clinic – acute or community hospital or other community location
Description of rehabilitation input
Multidisciplinary diagnostic and triage clinic, including expert medical input, with specialist brain injury nurse and/or neuropsychological assessment and support and follow-along available. Education, emotional and social support, both for patient and family. Liaison with/advice to GP and employer.
Level 1 (highly specialised rehabilitation services): Treat patients with Category A needs and is led by a consultant trained and accredited in rehabilitation medicine or neuropsychiatry
Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust
Location and Contact detailsCambridge Biomedical Campus Hills Road Cambridge Cambridgeshire CB2 0QQ Telephone: 01223 245151 Email: pals@addenbrookes.nhs.uk http://www.cuh.org.uk/addenbrookes/services/c... |
Type of organisation
Descripton of organisation
miles (straight line)miles (approximate road distance) Entry last updatedMar 5, 2013 |
Further Details
The Neurosciences department provides comprehensive, specialised services based on integrating research and best practice.Through our main areas - Wards A3, A4, A5, Neurosciences Clinics and Neurophysiology - neurosciences serves a huge population within the East Anglia region and beyond.
Over 900 patients are treated each year on the NCCU. Of these approximately 75% have a neurological or neurosurgically related illness. About a hundred of these patients have severe head injuries requiring intensive care. Other patients admitted as emergencies have diagnoses including uncontrolled epilepsy, stroke, and respiratory failure as a result of diseases of nerves or muscles, or are admitted following neurosurgery. Most of these patients are from East Anglia, but others are referred from other parts of the UK or the rest of the world.
A major £2.1 million expansion of the Neurosciences Critical Care Unit (NCCU) at Addenbrooke's was completed in December 2000. The new, purpose-built Unit consists of 20 critical-care beds. These are being used in a flexible way with other critical-care units within the Trust, with an anticipated initial allocation of 13 beds for intensive care and 8 for the high-dependency unit.
Ward A3 is part of a regional Neurosciences Unit. We specialise in caring for patients who require surgery or treatment for conditions relating to the brain and spine.
A4 is a 26 bedded neuromedical and neurosurgical ward. It cares for patients who have undergone neurosurgery.
The Lewin Stroke and Rehabilitation Unit offers:
Doctors: We diagnose, treat and manage your medical condition
Nursing: Safe, kind and excellent care
Physiotherapy: Improving your movement
Occupational Therapy: Improving your independence in everyday tasks Speech and Language Therapy: Helping you with talking, understanding and swallowing
Neuropsychology: Assessment and advice about thinking skills
such as memory and problem solving
Services available
| ABI Specialist | National | Regional | Local | |
|---|---|---|---|---|
| Acute Medical Care |
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| Advice |
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| Clinical psychology |
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| Neuropsychiatry |
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| Neuropsychology |
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| Neurosurgical Care |
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| Nursing |
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| Occupational Therapy |
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| Physiotherapy |
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| Psychiatry |
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| Psychology |
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| Speech & Language Therapy |
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National = country wide, Regional = offering a
service within 150 miles, Local = offering a service within 50
miles
This service adheres to the following Regulatory Frameworks / is affiliated to the following bodies:
CQC Inspection passed 25 December 2012Referrals can be made by
| GP |
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| Consultant |
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| Healthcare Professional |
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| Self/Advocate/Family |
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| Other professional eg Social Care/Case Manager |
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How are services paid for?
Publicly funded
- free at point of access
| Regularly | Sometimes | Never | |
|---|---|---|---|
| NHS | | | |
| Social Care Services | | | |
| Jointly funded by NHS & Social Care Services | | | |
Typical duration that a service is offered
No DataThis Service was mapped by Eastern Region ABI. See HERE for more information
Services available are defined by the following EHIG Rehabilitation Codes
For an explanation of the codings please click hereFOLLOW UP FOR A MILD HEAD INJURY
[Code 05]Patient description
Medically stable, requiring 24-48hrs observation prior to communityrehabilitation, (as necessary in a smallminority) with low probability of acute neurological deterioration requiring neurosurgical advice/transfer
Sites
Acute A&E observation ward
Description of rehabilitation input
Assessment and observation –education, emotional and social support.Planned discharge home, sometimeswith outpatient follow up or moves tocode 30 at 48 hours
NEURO-SURGERY
[Code 10]Patient description
Identifying and addressing early rehab goals before medically stable and transfer of care to rehab team
Sites
Major Trauma Centre/ Trauma Unit
Description of rehabilitation input
Identifying and addressing early rehab goals before medically stable and transfer of care to rehab team
MEDICAL TREATMENT IN HOSPITAL
[Code 20]Patient description
Medically unstable – requires general but not neurosurgical critical care.
Sites
Major Trauma Centre/ Trauma Unit/Acute Hospital
Description of rehabilitation input
Identifying and addressing early rehab goals before medically stable and transfer of care to rehab team
SPECIALIST REHAB IN HOSPITAL
[Code 30]Patient description
Potentially medically unstable, but does not require critical care - unable to actively participate due to PTA, confusion, rejection, agitation, or low awareness state.
Sites
Major Trauma Centre/ Trauma Unit/Acute Hospital
Description of rehabilitation input
Needs inpatient care and treatment, and environmental and behavioural management, for physical dependency and confusion, and continuous clinical assessment (nursing, medical, therapy) to detect deterioration and prevent avoidable complications, and to facilitate optimal timing of rehab input and referral to next rehab programme.
REHAB IN HOSPITAL
[Code 40]Patient description
Needs in-patient care due to physical dependency, or the need for specialist therapy equipment, a safe environment, supervision, or intensity of therapy, in a unit with the expertise and experience in rehabilitation of a condition (Level 1)which cannot be provided in a local specialist centre or in the community (Level 2) which cannot be provided in the community.
Sites
Level 1: Regional specialized centre Level 2: Local specialist centre, Acute or community hospital
Description of rehabilitation input
Needs inpatient care due to physical dependency, or need for specialist therapy equipment, safe environment, supervision or intensity of therapy which cannot be provided in community
BRAIN INJURY CLINIC
[Code 85]Patient description
Medically stable, living in community, aiming to enter/return to employment
Sites
Outpatient clinic – acute or community hospital or other community location
Description of rehabilitation input
Multidisciplinary diagnostic and triage clinic, including expert medical input, with specialist brain injury nurse and/or neuropsychological assessment and support and follow-along available. Education, emotional and social support, both for patient and family. Liaison with/advice to GP and employer.
This service is defined by the NMDS (National Minimum Data Set) codes as:
For an explanation of the NMDS, please click hereLevel 1 (highly specialised rehabilitation services): Treat patients with Category A needs and is led by a consultant trained and accredited in rehabilitation medicine or neuropsychiatry
