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This provides organised acute inpatient treatment, care and rehabilitation followed by structured referral and follow-up for patients who have suffered stroke or a brain injury due to stroke, subarachnoid haemorrhage or head injury.
Inpatient activity is complemented by a Nurse Specialist-led outreach service to each of the hospitals in the Trust and a follow-up outpatient service for recently discharged inpatients. This service includes a one-stop stroke clinic and a two-stop brain injury clinic, when outpatients have imaging and a neuropsychological assessment on the same day (stroke) or two weeks previously (brain injury), followed by consultant-led clinical assessment. The Service has close clinical links with the Hyperacute Stroke Unit at UCH, and the Neurorehabilitation Unit (see http://www.uclh.nhs.uk/OurServices/ServiceA-Z/Neuro/NTHER/Pages/Home.aspx) and the Department of Neuropsychology at NHNN, and the Cardiac Department at the Heart Hospital.
There is also an outpatient brain injury clinic providing neurology, neuropsychology, imaging, endocrinology. 2-stop assessment and triage clinic, followed by referral and other specialist input as needed, including outpatient cognitive feedback and rehabilitation (Tel: 020 3448 3416; Fax 020 3448 3796). Access via faxed GP referral.
Publicly funded
- individually commissioned
This Service was mapped by ABI London. See HERE for more information
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
The National Hospital for Neurology & Neurosurgery (NHNN)
Location and Contact details33 Queen Square London Greater London WC1N 3BG Telephone: 020 3448 3416 http://www.uclh.nhs.uk/OurServices/ServiceA-Z... |
Type of organisation
Descripton of organisation
miles (straight line)miles (approximate road distance) Entry last updatedMar 7, 2013 |
Further Details
The 17-bed Stroke/Acute Brain Injury Unit is part of Healthcare for London's redesign of specialist stroke services across London. The Unit is the next step of care for stroke patients who come to the HyperAcute Stroke Unit at UCLH. This unit aims to maximise functional recovery by exploring all means of neural protection and restoration after single incident brain injurys.This provides organised acute inpatient treatment, care and rehabilitation followed by structured referral and follow-up for patients who have suffered stroke or a brain injury due to stroke, subarachnoid haemorrhage or head injury.
Inpatient activity is complemented by a Nurse Specialist-led outreach service to each of the hospitals in the Trust and a follow-up outpatient service for recently discharged inpatients. This service includes a one-stop stroke clinic and a two-stop brain injury clinic, when outpatients have imaging and a neuropsychological assessment on the same day (stroke) or two weeks previously (brain injury), followed by consultant-led clinical assessment. The Service has close clinical links with the Hyperacute Stroke Unit at UCH, and the Neurorehabilitation Unit (see http://www.uclh.nhs.uk/OurServices/ServiceA-Z/Neuro/NTHER/Pages/Home.aspx) and the Department of Neuropsychology at NHNN, and the Cardiac Department at the Heart Hospital.
There is also an outpatient brain injury clinic providing neurology, neuropsychology, imaging, endocrinology. 2-stop assessment and triage clinic, followed by referral and other specialist input as needed, including outpatient cognitive feedback and rehabilitation (Tel: 020 3448 3416; Fax 020 3448 3796). Access via faxed GP referral.
Services available
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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 pass - 20 December 2012Referrals can be made by
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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
- individually commissioned
| Regularly | Sometimes | Never | |
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| NHS | | | |
| Social Care Services | | | |
| Jointly funded by NHS & Social Care Services | | | |
Typical duration that a service is offered
No DataThis Service was mapped by ABI London. See HERE for more information
Services available are defined by the following EHIG Rehabilitation Codes
For an explanation of the codings please click hereNEURO-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
