Directory of Rehabilitation Services

Transcription

1 Northern Trauma Network Northern Trauma Network Directory of Rehabilitation Services Version History: Date 17/02/2015 Version: 1.1 Review Date: July 2015 Date 06/03/2015 Version 1.2 Date 15/03/2015 Version 1.3 Date Version 2 Review Date Feb 2016

2 The administration of this service lies with the Northern Trauma Network. Our contact details are as below: Northern Trauma Network Waterfront 4 Newburn Riverside Newcastle Upon Tyne NE15 8NY Tel: : Network Trauma RehabClinical Lead: Network Manager: Network Administrator: Dr Laura Graham (Laura.Graham@ntw.nhs.uk) Karen Portas (karen.portas@nhs.net) Seema Srihari (Seemasrihari@nhs.net) 2

3 Contents Network Configuration... 4 Template for Providers... 7 Sunderland Royal Hospital... 8 Sunderland Royal Hospital... 9 Northumberland Head Injuries Service ISIS East GABIT Gateshead Northumbria Healthcare NHS Foundation Trust -outpatients and community Walkergate Walkergate Park Neurorehabilitation Inpatients Walkergate Park Neuropsychiatry inpatients Walkergate Park Outpatients Neurorehabilitation Assessment Walkergate Park Outpatients Community Neurorehabilitation Momentum Regional Environmental Control Systems Service Regional Communication Aid Service North East Drive Mobility Headway the brain injury association Cumberland Infirmary Chester-Le-Street Community Hospital Shotley Bridge Community Hospital Community Rehabilitation Team Derwentside Community Rehabilitation Team Durham and Chester Le Street Darlington Hawthorns (Private Provider) Hartlepool, Stockton, Peterlee and South Easington Bishop Auckland Hospital RIACT Darlington Redcar, East Cleveland and Guisborough General Weardale Community Hospital Stanhope Sedgefield Community Hospital Middlesbrough Intermediate Care Centre Community Neuro Occupational Therapy Middlesbrough Intermediate Care Centre Adult Middlesbrough Redcar & Cleveland James Cook University Hospital Prosthetic Rehabilitation James Cook University Hospital MSK Out-patients James Cook University Hospital Neuro-Oncology AHP James Cook University Hospital Acute In-patient Neuro-Rehab James Cook University Hospital Regional Spinal Cord Injuries Centre Rosedale Rehabilitation and Assessment Centre Whitby Hospital Whitby Community Therapy Team, Whitby Virtual Ward The Friarage Hospital Hollyhurst Road Gateway (Private Provider) Index

4 Network Configuration The Northern Trauma Network was established in April 2008 and became fully operational in April 2012 with two Major Trauma Centres supported by nine Trauma Units across the North East and North Cumbria covering a population of 3.08 million 1. Pre Hospital Services Ambulance Services: North East Ambulance Service North West Ambulance Service Yorkshire Ambulance Service Air Ambulance Services: Great North Air Ambulance (doctor-paramedic delivered) Yorkshire Air Ambulance (paramedic delivered with occasional doctor crew) North West Air Ambulance (paramedic delivered) Hospitals 4

5 Major Trauma Centres: James Cook University Hospital, South Tees Hospitals NHS Trust Royal Victoria Infirmary, Newcastle upon Tyne Hospitals NHS Foundation Trust Trauma Units: Carlisle Cumberland Infirmary, North Cumbria University Hospitals NHS Trust Darlington Memorial Hospital, County Durham and Darlington NHS Foundation Trust North Tyneside District General Hospital, Northumbria Healthcare NHS Foundation Trust Queen Elizabeth Hospital, Gateshead Health NHS Foundation Trust South Tyneside District Hospital, South Tyneside NHS Foundation Trust Sunderland Royal Hospital, City Hospitals Sunderland NHS Foundation Trust University Hospital of North Durham, County Durham and Darlington NHS Foundation Trust University Hospital of North Tees, North Tees and Hartlepool NHS Foundation Trust Wansbeck General Hospital, Northumbria Healthcare NHS Foundation Trust Rehabilitation Services Tertiary specialised rehabilitation services (Level 1): Regional Level 1 facilities are based at Walkergate Park Centre for Neurorehabilitation and Neuropsychiatry, Newcastle upon Tyne. Regional Level 1 facilities for Spinal Cord Injury are based at The Golden Jubilee Regional Spinal Cord injuries Centre at The James Cook University Hospital, Middlesbrough.High cost / low volume services, which provide for patients with highly complex rehabilitation needs that are beyond the scope of their local and district specialist services. Local (district) specialist rehabilitation services (Level 2): Level 2 facilities are currently available at Sunderland, South Tees and Carlisle. Typically planned over a district-level population of K, and are led or supported by a consultant trained and accredited in Rehabilitation Medicine (RM), working both in hospital and the community setting. The specialist multidisciplinary rehabilitation team provides advice and support for local general rehabilitation teams. Local non-specialist rehabilitation teams (Level 3): Each locality provide general multi-professional rehabilitation and therapy support for a range of conditions within the context of acute services (including stroke units), intermediate care or community services. The rehabilitation pathway is not complete until the patient has re-joined society having reached optimum functional potential e.g. employment and leisure. Level 3 services include community based rehabilitation teams which are significantly under resourced. Therefore there needs to be a much stronger focus on AHP led rehabilitation and reablement when re-designing services. 5

6 Directory of Rehabilitation Services and On-Going Care Providers Northern Trauma Network does not necessarily endorse or recommend any service listed and no liability for accuracy of information can be accepted. This Directory is not exhaustive, and is correct (based on returns from services) as of February Additional information will continue to be collected and added to future editions. Services are commissioned either by the NHS or private funding arrangements, and referrers should contact the service to clarify their individual funding mechanism. Note to Providers The Trauma network office will contact the services every 6 months to prompt them to complete the template, however if it is not returned the service will not feature in the updated edition of the. Please contact seemasrihari@nhs.net for any queries. Next Review Date: Feb

7 Template for Providers Please can all providers complete this form to be included in the MSK Amputee Brain Injury Physical disability Cognitive/behavioural Spinal cord injury Ventilator/tracheostomy care Telephone contact number Date of information review Please complete and return to 7

8 Sunderland Royal Hospital Rehabilitation Medicine Adult All of the following: MSK, Brain Injury, Physical disability, Cognitive/behavioural, Ventilator/tracheostomy care (will take spinal cord injury referrals from Spinal unit in JCUH) Wearside, South Tyneside and North Durham Sunderland Royal Hospital, Kayll Road, Sunderland SR4 7TP Telephone contact number Drs D Mitchell and N Sattar naweed.sattar@chsft.nhs.uk, duncan.mitchell@chsft.nhs.uk NHS Both, including domicillary CHS Sunderland CCG Rehabilitation potential- able to engage with therapies. Medically stable. Nil. Will consider all cases. Fax/letter 15/12/2014 8

9 Sunderland Royal Hospital Ward D41, City Hospitals Sunderland Adult Brain Injury; Physical disability; Cognitive/behavioural (not aggression or habitual absconders); Spinal cord injury (if regional SCI centre not appropriate); tracheostomy care (but not ventilated) Sunderland, S Tyneside, N. Durham, Gateshead Ward D41, City Hospitals Sunderland, Kayll Rd Sunderland SR4 7TP Telephone contact number ext Dr Duncan Mitchell Duncan.mitchell@chsft.nhs.uk NHS Both 19 inpatient neurological rehabilitation beds (providing for trauma, stroke, other neuro conditions); 1.5 consultants in Rehabilitation Medicine; full inpatient therapy MDT; medical outpatient clinics City Hospitals Sunderland Sunderland CCG Over 16, neurological condition, potential to benefit from MDT Rehabilitation Aggression/severe behavioural problems Fax to consultant or ward 23/12/14 9

10 Northumberland Head Injuries Service Northumberland Head Injuries Service Adult Brain Injury Northumberland Northumberland Head Injuries Service, Northgate Hospital, Morpeth, NE61 3BP Telephone contact number Neil Brownlee NHS Community Community based neuro rehabilitation and care management service for adults with traumatic brain injury Northumberland Tyne and wear NHS Foundation Trust Northumberland CCG Northumberland Adult Residents up to 65 years who sustain a traumatic brain injury Over 65 s (however we can provide a specialist assessment for this group) Non-traumatic brain injury Self referral or referral from medical or social care professionals 17/12/14 10

11 ISIS East Telephone contact number ISIS East (Integrated Short Term Intervention Service) Adult Intermediate Care Easington (Blackhall, Hesleden, Wingate, Thornley, Wheatley Hill, Shotton, Murton, Easington, Seaham) Spectrum 8, Spectrum Business Park, Seaham, Co Durham, SR7 7TT (For enquiries, NOT for referring) Judith Chapman, Intermediate service Manager) NHS + Durham County Council Intermediate care Integrated service for Easington locality, providing health and social care professionals access to a range of short term intervention services enabling recovery and rehabilitation to take place in an appropriate community setting. Short term needs 0 to 6 weeks maximum to regain usual level of function. Sudden change in physical functioning Result of accident, or acute exacerbation of long term condition. Clinically stable Able to be managed by a GP in community setting. 11

12 An anticipated and ongoing deterioration in an individual s long term condition. When other, appropriate services, are unavailable or not able to respond The ISIS team is unable to respond to support gaps or pressures within other services. End of life care. People experiencing a current mental health crisis should be referred to the Mental Health crisis team. Short term needs where substance misuse is the primary cause of need. Carer breakdown/respite care (Refer instead to Social Care Direct) SPA (Single Point of Access) - Tel Or cddatr.contactcentreccth@nhs.net

13 GABIT Gateshead GABIT: Sunderland and Gateshead Community acquired brain injury (ABI) team Adults (16 years and above) Brain Injury Cognitive/behavioural vocational rehabilitation Gateshead locality (with a Gateshead GP) Gateshead Community ABI Team The Health Centre Prince Consort Road Gateshead NE8 1NB Telephone contact number Dr Philippa Griffiths Philippa.griffiths@ghnt.nhs.uk NHS Community based service with in-reach into the local hospital Goal directed rehabilitation for adults experiencing physical, cognitive, emotional or behavioural difficulties following ABI NTW NHS Foundation Trust Gateshead CCG ABI Stroke Referral form/letter from a professional involved (including GP, hospitals and other services) Telephone referrals accepted from patients and family/friends 10 th December

14 Northumbria Healthcare NHS Foundation Trust -outpatients and community Adult or Paediatric service Main speciality area Physiotherapy out patient rehabilitation and community physiotherapy Adult Paediatric Amputee rehabilitation, MSK paediatrics and neuro developmental Musculoskeletal rehabilitation including final rehab Pulmonary rehabilitation Neurological rehabilitation Community physiotherapy Northumberland & North Tyneside Wansbeck General Hospital (WGH) Woodhorn Lane, Ashington Northumberland NE63 9JJ North Tyneside Hospital Rake Lane,North Shields, Tyne and Wear NE29 8NH Hexham General Hospital Corbridge, Rd Hexham NE46 1QJ Telephone contact and ask for specific department/site number Service lead Karen Renforth (head of service) Sylvia Tingate (paediatrics) Lynn Henderson (neuro rehab) Dawn Mckenner (pulmonary rehab) Jonathon Kelly (MSKNorth Tyneside) Liz Beattie (MSK Wansbeck) Lesley Black (MSK Hexham) NHS or private NHS organisation Inpatient or outpatient service? Out patient and community 14

15 Date info provided for 3 main hospital sites providing all services below. Several smaller community hospitals providing some services. Referrals to main sites will be triaged to appropriate site. General MSK out patients and chronic pain service. Final MSK rehabilitation at WGH in the Hartford unit-gym and fitness room. Pulmonary rehabilitation 7 week programme Neurological out patients, Amputee rehabilitation. Community physiotherapy service for Northumberland hospital discharges only Northumbria Healthcare Foundation Trust Lives within catchment area Fax referrals to:- Wansbeck North Tyneside Hexham Or e mail to WGHphysioadmin@nhct.nhs.uk 20/3/15 15

16 Walkergate Walkergate Park Neuro-behavioural Unit Adult Acquired Brain Injury; Cognitive/behavioural problems main focus of rehabilitation(not aggression or habitual absconders); Regionwide Wards 1, Walkergate Park, Benfield Road, Newcastle upon Tyne NE6 4QD Telephone contact number Mrs Elaine Fletcher, Service manager Dr Jas Singh Consultant Neuropsychiatrist NHS Inpatient 14 bedded Level 1 Specialist Rehabilitation Unit providing care for patients with behavioural problems secondary to neurological disability Northumberland Tyne and Wear Foundation Trust NHS England Specialised Commissioning Adults of working age, neurological condition, behaviours have potential to benefit from MDT Rehabilitation. Medically stable. Extremely severe behavioural or psychiatric problems requiring higher level of psychiatric care Tracheostomy or catheterised patients Via Walkergate Park single point of access tel:

17 Walkergate Park Neurorehabilitation Inpatients Walkergate Park Neurorehabilitation Inpatients Adult Brain Injury; Physical disability; Cognitive/behavioural (not aggression or habitual absconders); non-traumatic spinal cord injury (if regional SCI centre not appropriate); tracheostomy care (but not ventilated) Regionwide Wards 3 and 4, Walkergate Park, Benfield Road, Newcastle upon Tyne NE6 4QD Telephone contact number Mrs Elaine Fletcher, Service manager Ms Sandra Stark, Consultant Therapist Sandra.stark@ntw.nhs.uk NHS Inpatient 35 bedded Level 1 Specialist Rehabilitation Unit providing care for patients with complex specialised neurological disability Northumberland Tyne and Wear Foundation Trust NHS England Specialised Commissioning Adults of working age, neurological condition, potential to benefit from MDT Rehabilitation Aggression/severe behavioural problems Via Walkergate Park single point of access tel:

18 Walkergate Park Neuropsychiatry inpatients Walkergate Park Neuropsychiatry inpatients Unit Adult Acquired Brain Injury; psychiatric problems main focus of rehabilitation including aggression Regionwide Ward 2, Walkergate Park, Benfield Road, Newcastle upon Tyne NE6 4QD Telephone contact number Mrs Elaine Fletcher, Service manager Dr Jas Singh Consultant Neuropsychiatrist NHS Inpatient 16 bedded unit providing psychiatric care for patients with neurological injury or illness Northumberland Tyne and Wear Foundation Trust NHS England Specialised Commissioning Adults of working age, neurological condition, behaviours have potential to benefit from MDT Rehabilitation. Medically stable. Extremely severe behavioural or psychiatric problems requiring higher level of psychiatric care Tracheostomy or catheterised patients Via Walkergate Park single point of access tel:

19 Walkergate Park Outpatients Neurorehabilitation Assessment Walkergate Park Outpatients Neurorehabilitation Assessment Clinic Adult Acquired Brain Injury physical and/or cognitive/behavioural problems after traumatic brain injury Regionwide Walkergate Park, Benfield Road, Newcastle upon Tyne NE6 4QD Telephone contact number Mrs Elaine Fletcher, Service manager Dr Laura Graham, Consultant in Rehabilitation Medicine NHS Outpatient The clinic provides initial screening assessment for rehabilitation needs of patients discharged from hospital following brain injury or polytrauma, with a view to accessing appropriate therapies in a goalbased rehabilitation programme Northumberland Tyne and Wear Foundation Trust Adults of working age, neurological condition and potential to benefit from MDT Rehabilitation. Extremely severe behavioural or psychiatric problems requiring higher level of psychiatric care. Via Walkergate Park single point of access tel:

20 Walkergate Park Outpatients Community Neurorehabilitation Walkergate Park Outpatients Community Neurorehabilitation Service Adult Acquired Brain Injury physical and/or cognitive/behavioural problems after traumatic brain injury Regionwide Walkergate Park, Benfield Road, Newcastle upon Tyne NE6 4QD Telephone contact number Mrs Elaine Fletcher, Service manager Mr Simon Easton, Clinical Lead NHS Outpatient Specialised community based multidisciplinary rehabilitation team for adults with long- term complex neurological conditions. The service provides assessment, treatment, information, advice and support to individuals and their families and carers. Northumberland Tyne and Wear Foundation Trust Adults of working age, neurological condition and potential to benefit from MDT Rehabilitation. Extremely severe behavioural or psychiatric problems requiring higher level of psychiatric care. Via Walkergate Park single point of access tel:

21 Momentum Momentum Adult Brain Injury Cognitive/behavioural Neurological Conditions North East England Floors 1&2 Forth Banks House Skinnerburn Road Newcastle upon Tyne NE1 3RH Telephone contact number Gemma Armstrong Private N/A 21

22 Momentum provides a structured pathway of care, community integration and rehabilitation as well as vocational rehabilitation support to individuals throughout the North East of England. Support packages are tailored to individual requirements following structured psychological assessment of needs. Care Services; Individualised goal-directed rehabilitation increasing independence in social, domestic and community activities. Psychological intervention to manage cognitive, emotional and behavioural effects is also available. Community Integration; Providing access to an array of social interest groups, 1:1 support including psychological and promotion of independence within the local community, sessions available to support with self-management of conditions, specifically around confidence building and reduction of anxiety and adjustment to injury and or diagnosis of condition. Vocational Rehabiliation; A centre based rehabilitation service tailored to meet individual needs in order to support service users in improving or acquiring social skills, cognitive retraining and strategies both within the home and workplace as well as support with vocational strategies and behaviours appropriate for the work place. Extensive group and 1:1 psychological input is provided to support individuals with their adjustment to life following injury or diagnosis of condition. Work placements form a vital part of the programme with individuals working 1:1 with assigned job coaches to establish appropriate areas of vocational interest, skills and retained knowledge. Commissioned by all local authorities and CCG s across the North East. 22

23 Adults with an acquired brain injury/ and or neurological condition. 16 years+ Adults who have substantially completed their medical rehabilitation and require support within the home, community and or vocational rehabilitation. Adults who are not seen as a threat to themselves or others (i.e. don t have substantial aggression, drugs/alcohol dependencies) All enquiries made directly to Momentum via or telephone , following receipt of enquiry an application form will be sent for completion or support provided to complete over the telephone. Initial assessment will then be arranged and completed in order to establish individuals history, future goals and appropriate supports via Momentum. 8/7/15 Date of information review 23

24 Regional Environmental Control Systems Service Regional Environmental Control Systems Service Adult and paediatric Specialist electronic assistive devices for people with disability Regionwide Walkergate Park, Benfield Road, Newcastle upon Tyne NE6 4QD Telephone contact number Mrs Elaine Fletcher, Service manager Mr Graeme Marsh, Clinical Lead NHS Outpatient Specialised service providing equipment and appliances to enable users to maintain or gain independence. Including security, communication, comfort, entertainment and home control. The service provides assessment, demonstration, trial, life long loan, review, maintenance/service and system installation to those deemed eligible. Northumberland Tyne and Wear Foundation Trust Adults and children with disability and potential to benefit from MDT Rehabilitation. Please call to discuss referral Regional Communication Aid Service Regional Communication Aid Service 24

25 Adult and paediatric Specialist electronic assistive devices for people with speech or communication difficulties Regionwide Walkergate Park, Benfield Road, Newcastle upon Tyne NE6 4QD Telephone contact number Mrs Elaine Fletcher, Service manager Mr Graeme Marsh, Clinical Lead NHS Outpatient Specialised service providing equipment and appliances to enable users to maintain or gain independence in communication Northumberland Tyne and Wear Foundation Trust Adults and children with disability and potential to benefit from use of communication devices. Please call to discuss referral 25

26 North East Drive Mobility North East Drive Mobility Adult Driving and passenger assessment for people with disabilities Region wide Walkergate Park, Benfield Road, Newcastle upon Tyne NE6 4QD Telephone contact number Mrs Elaine Fletcher, Service manager Ms Sandra Hoggins, Clinical Lead NHS Outpatient Specialised service providing assessment of all aspects of driving including medical fitness, vision, awareness, reactions and decision making as well as physical ability to operate adapted vehicles, including test track and on road assessment Northumberland Tyne and Wear Foundation Trust Adults and children with disability and potential to benefit from use of communication devices. Clients may self refer directly or be referred by their doctor, therapist, DVLA, Motability or other agencies. 26

27 Headway the brain injury association Headway the brain injury association Adult Brain Injury UK Wide North East : c/o Blaydon Primary Care Centre Shibdon Road, Blaydon, Tyne & Wear NE21 5NW Telephone contact number Alastair White Alastair.White@headway.org.uk Voluntary Sector 18 65yrs Acquired Brain Injury/Traumatic Brain Injury 6 th July 2015 Date of information review 27

28 Neural Pathways Neural Pathways Adults and children Neurodisability. MSK in conjunction with a neurological condition. Amputee in conjunction with a neurological condition. Brain Injury. Cognitive/behavioural as a result of a neurological condition. Spinal cord injury. Scotland, Northumberland, Tyne and Wear, Tees Valley, Yorkshire Design Works, William Street, Felling, Gateshead. NE10 0JP Telephone contact number Jill Kings (Clinical Director) info@neural-pathways.co.uk Private Community Based 28

29 We are an independent, family grown business providing life changing rehabilitation for people of all ages with complex neurological needs. The rehabilitation we provide is underpinned by our ability to identify an individual s potential to change at any stage of their rehabilitation journey. We pride ourselves on delivering flexible and integrated therapy, building bespoke and sustainable rehabilitation around each individual according to their needs. Our teams are community based, providing meaningful therapy wherever the person lives. We aim to work seamlessly across boundaries, working alongside the family, carers and the wider rehabilitation team, to ensure each person s goals are realistic and solutions focused. N/A We are able to provide services to individuals funded by NHS Continuing Healthcare, Social Care personal budgets, medico legal funding, self funding. Clients affected by a neurological condition children and adults. Clients affected by non neurological conditions Contact / info@neuralpathways.co.uk to make an enquiry. 28 th July 2015 Date of information review Please complete and return to seemasrihari@nhs.net 29

30 Cumberland Infirmary Cumberland Infirmary, North Cumbria University Hospitals NHS Trust Adult Neuro-rehabilitation/MSK / Murrison s centre for Amputee/ Brain Injury Physical disability Cognitive/behavioural/tracheostomy care North Cumbria Cumberland Infirmary Newtown Road, Carlisle CA2 7HY Telephone contact number Mr Yogendra Jagatsinh-Consultant in Rehabilitation medicine Ms Jill Li-Specialist Physiotherapist Mr Jimmy Steele-Specialist Physiotherapist Yogendrasinh.jagatsinh@ncuh.nhs.uk Jill.Li@ncuh.nhs.uk Jimmy.steele@nuch.nhs.uk NHS Inpatient and outpatient services We are Level 2b services for Neurotrauma. NCUHT Cumbria CCG Rehabilitation potential- able to engage with therapies. Also we take patients with tracheostomies and disorders of conscious state Neurobehavioural and Neuropsychatric states. Contact Jane Gill-secretary to Mr Jagatsinh Phone Fax /3/

31 Date of information review August

32 Chester-Le-Street Community Hospital Chester-Le-Street Community Hospital Adult MSK Chester-Le- Street, Great Lumley, Ouston, Pelton, Waldridge Chester-Le-Street Community Hospital Front Street Chester-Le-Street Co. Durham DH3 3AT Telephone contact number Rob Goddard- Head of Physiotherapy CDDFT Anthony Etheridge Clinical Team Lead CLS/SBH Clinical Team Lead Head of Service Deputy manager NHS Outpatient Community based Musculoskeletal Outpatient Physiotherapy Service. Gymnasium facilities (Hydrotherapy access at UHND Hospital) County Durham and Darlington NHS Trust North Durham Clinical Commissioning Group All MSK conditions Non NSK related disorders GP/Consultant/Choose & Book/Self-referral 1 July 2015 Date of information review 32

33 Shotley Bridge Community Hospital Shotley Bridge Community Hospital Adult MSK Shotley Bridge, Consett, Leadgate,Annfield Plain, Stanley. Shotley Bridge Community Hospital Consett County Durham DH8 0NB Telephone contact number Rob Goddard- Head of Physiotherapy CDDFT Anthony Etheridge Clinical Team Lead CLS/SBH Clinical Team Lead Head of Service Deputy manager NHS Outpatient Community based Musculoskeletal Outpatient Physiotherapy Service. Gymnasium facilities (Hydrotherapy access at UHND Hospital) County Durham and Darlington NHS Trust North Durham Clinical Commissioning Group All MSK conditions Non NSK related disorders GP/Consultant/Choose & Book/Self-referral 1 July 2015 Date of information review 33

34 Community Rehabilitation Team Derwentside Community Rehabilitation Team Derwentside Adult Community Rehab Physiotherapist, Occupational Therapists Neuro Rehab, Stroke, MS, PD Falls Service Amputees In-patient rehab Derwentside 5th Floor Shotley Bridge Community Hospital Shotley Bridge Consett Co. Durham DH8 0NB Telephone contact number Helen Watson NHS Outpatient Service We work with people aged 18 years and over who have a wide variety of physical illness and / or disability eg stroke, mobility problems, Parkinson's Disease, falls, amputation, orthopaedic conditions etc. We also offer an in-patient service on ward 2 within the hospital. County Durham and Darlington Foundation Trust Care Closer to Home Aged 18 or over and registered with a GP in the Durham and Chester Le Street area Health professional referral. 26th June 2015 Date of information review Community Rehabilitation Team Durham and Chester Le Street Community Rehabilitation Team Durham and Chester Le Street 34

35 Adult Community Rehab Physiotherapist, Occupational Therapists Neuro Rehab, Stroke, MS, PD Falls Service Amputees In-patient rehab Durham Chester Le Street 1 st Floor Chester Le Street Community Hospital Front Street Chester Le Street Durham DH3 3AT Telephone contact number Helen Watson h.watson2@nhs.net NHS Outpatient Service We work with people aged 18 years and over who have a wide variety of physical illness and / or disability eg stroke, mobility problems, Parkinson's Disease, falls, amputation, orthopaedic conditions etc. We also offer an in-patient service on ward 1 within the hospital. County Durham and Darlington Foundation Trust Care Closer to Home Aged 18 or over and registered with a GP in the Durham and Chester Le Street area Health professional referral. 26 th June 2015 Date of information review 35

36 Darlington Physiotherapy MSK Outpatients Adults MSK Amputee Darlington Hollyhurst Rd Darlington, DL3 6HX Telephone contact number Robert Goddard NHS Out-patient All MSK conditions /Rheumatology/ Gynae/Amputees CDDFT All MSK conditions/amputees Non MSK- Neuro conditions No U16s other than Consultant referral Referral form via Cons/GP/Choose and Book. Self referral 15/12/

37 Hawthorns (Private Provider) The Hawthorns-Neuro Rehabilitation Centre Adult MSK (Yes- if related to an underlying Neurological condition Amputee(Yes- if related to Neurological condition) Brain Injury (Yes) Physical disability (Yes) Cognitive (Yes) behavioural (No) Spinal cord injury (Yes) Ventilator/tracheostomy care (Yes) Looking after people needing Specialist and Complex Neurological and Respiratory Care and Rehabilitation Anywhere in the North East Region from Hull to Berwick. We have even had admissions from even further South. The Hawthorns Care Centre O Neill Drive Peterlee, County Durham SR8 5UP Telephone contact number or Simon Richell Head Of Neuro Rehabilitation simon.richell@barchester.com Private Inpatient 37

38 Hawthorns on behalf of Barchester Health Care provide a specialist service looking after people needing Specialist and Complex Neurological and Respiratory Care and Rehabilitation- for those recovering from traumatic or non traumatic brain &/or spinal injury. This also includes support, assessment and enablement for those living with a spectrum of Neurological conditions including progressive conditions. We are (Headway) accredited as an approved provider by the Brain Injury Association. Individual funding agreement with the support of CHC/CCG/Social Care Services We are not a unit that s primary focus is behaviour that challenges. We would not accept anyone who is not deemed medically fit for transfer to a community unit. An assessment is required before any admission into the unit Phone call or to Simon Richell or a referral though the Hawthorns web page 9/12/14 38

39 Hartlepool, Stockton, Peterlee and South Easington Core Out Patient Physiotherapy Adult MSK Hartlepool, Stockton (including Billingham, Thornaby, Eaglescliffe & Yarm), Peterlee and South Easington North Tees & Hartlepool NHS Foundation Trust Physiotherapy Dept, The Tatchell Centre, University Hospital of North Tees, Hardwick, Stockton. Physiotherapy Dept, University Hospital of Hartlepool, Holdforth Road, Hartlepool Physiotherapy Dept, Peterlee Community Hospital, O Neill Drive, Peterlee Telephone contact number Fiona Hardie ( Clinical Team Lead), Matthew Wynne ( Clinical Physiotherapy Service Lead) Fiona.hardie@nth.nhs.uk Matthew.wynne@nth.nhs.uk NHS Core Out patient Physiotherapy Core Out patient Physiotherapy service North Tees & Hartlepool North Of Tees & County Durham & Exclusion Criteria referral information core O-P physio and M 39

40 Should be sent either by post to Physiotherapy Department, University Hospital of Hartlepool, Holdforth Road, Hartlepool TS 24 9AH Or fax to Or to generic NHS web mail to

41 Bishop Auckland Hospital Physiotherapy outpatients and Day Unit Rehabilitation Wards Neuro and general Community service-links Bishop Auckland Hospital Both MSK Amputee Brain Injury Physical disability Bishop Auckland, Spennymoor, Shildon,Newton Aycliffe, Heighington, Barnard castle, Stanhope, Weardale Willington, Crook, St. Johns Chapel, Stanhope, Hamsterly, Tow Law, Butterknowle, Wearhead, Middleton in Teesdale, Staindrop Bishop Auckland Hospital Cockton Hill, Bishop Auckland, DL14 6AD Telephone contact number Fax County Durham and Darlington NHS Foundation Trust Leonie Greaves -Outpatients MSK Team Leader Bishop Auckland Sue Smith- In patients Team Leader Andrea Martin- Community services Senior nurse- Day Unit Gill Gemmell Rob Goddard- Head of Physiotherapy CDDFT NHS Both available Physiotherapy outpatients -general dept. with gym facilities Day Unit MDT. Good gym facilities and OT/SL assessment rooms and clinic rooms Able to access hydrotherapy at Darlington Memorial Hospital County Durham and Darlington NHS Foundation Trust 41

42 Durham, Dales, Easington and Sedgefield CCG No restrictions, but discuss referrals on individual basis for appropriate pathway. Under 16 must be under umbrella of Consultant Consultant team, GP and self -referral for +16s 17/12/14 42

43 RIACT Darlington RIACT Darlington Adult Intermediate care - Physical disability Darlington and local area see inclusion criteria Hundens B, Hundens Lane Darlington DL1 1JE Telephone contact number H Blease Lead Therapist hilaryblease@nhs.net NHS Outpatient predominately though have some short stay community rehab beds Intermediate Care service offering short term rehab interventions, also including stroke and neuro, falls and community Physio CDDFT Darlington CCG Have a Darlington GP +/or pay council tax to Darlington Borough council. Telephone triage on /06/15 Date of information review 43

44 Redcar, East Cleveland and Guisborough General Community Outpatient Physiotherapy Adult (age 16 years and above some children where appropriate) MSK Middlesbrough Redcar & Cleveland Redcar Primary Care Hospital West Dyke Road Redcar TS10 4NW East Cleveland Primary Care Hospital Alford Road Brotton TS12 2FF Guisborough General Hospital Northgate Guisborough TS14 6HZ Telephone contact number or Julie Irwin NHS Outpatient Community- based Musculoskeletal Outpatient Physiotherapy Service, including a Hydrotherapy service at Redcar. Accepts GP and Consultant referrals. South Tees Hospitals NHS Foundation Trust South Tees CCG All patients aged 16 or over with a musculoskeletal condition/injury. Some younger patients where applicable. 44

45 Patients requiring neuro rehab. Consultant letter or GP referral form 8/12/14 45

46 Weardale Community Hospital Stanhope Weardale Community Hospital Stanhope Adult MSK Amputee Brain Injury Physical disability Cognitive/behavioural Spinal cord injury Falls, rehab, elderly care, dementia, MS, Parkinsons, CVA, #NOF/NOH Anywhere in county Durham and Darlington. May also include Richmond. STANHOPE, COUNTY DURHAM. DL15 8NA Telephone contact number County Durham and Darlington Foundation Trust Rob Goddard Head of physiotherapy CDDFT Foundation Trust Andrea Martin - In patient and community lead robert.goddard@cddft.nhs.uk andrea.martin@cddft.nhs.uk NHS Inpatient with limited outpatient neuro rehab, falls, palliative, and hosp discharges. Inpatient rehab, complex discharges from acute hospitals and all of above. cddft cddft Suitable for GP/nurse led hosp >2litres 02/min, some IV treatments, acutely ill with EWS >5 Discharge management from acute hosps/ CREST/ISIS/ GP s from home/ MS nurse/ McMillan teams etc/ 15/12/

47 Sedgefield Community Hospital Telephone contact number Physiotherapy Sedgefield Community Hospital Adult (Children s orthopaedics, not neurological- for neuro contact Physio. Darlington Memorial Hospital) MSK Amputee Brain Injury Physical disability Sedgefield CCG (includes West Cornforth, Coxhoe, Ferryhill etc. Salters Lane Sedgefield Stockton on Tees TS21 3EE reception physio workstation Day Unit County Durham and Darlington NHS Foundation Trust Rob Goddard- Head of Physiotherapy CDDFT NHS Trust Leonie Greaves- Team Leader Sedgefield Outpatients MSK and Day Unit Andrea Martin- Sedgefield Inpatients and Community Charge nurse -Day Unit Andrew Darnton leonie.greaves@cddft.nhs.uk andrea.martin@cddft.nhs.uk andrew.darnton@cddft.nhs.uk robert.goddard@cddft.nhs.uk NHS Both One Rehab ward. MDT facilities in Day Unit (charge nurse Andrew Darnton) General MSK outpatient dept, with gym. Hydrotherapy access at UHND or DMH County Durham and Darlington NHS Trust Durham, Dales Easington and Sedgefield CCG 47

48 All, but discuss on individual basis to agree appropriate pathway < 16s must be under umbrella of Consultant. Consultant team, GP and self- referral for +16s 17/12/14 48

49 Middlesbrough Intermediate Care Centre Community Neuro Occupational Therapy Community Neurological Occupational Therapy Service Working age, from 16 years upwards Brain Injury, Physical Disability Cognitive/Behavioural Middlesbrough, Redcar and Cleveland Middlesbrough Intermediate Care Centre, Homerton Road Pallister Park Middlesbrough TS3 8PN Telephone contact number /9 southtees.nhs.uk Sarah Heathcote Fiona Fletcher NHS Community The service aims to increase a client s functional performance in areas of self-care, productivity and leisure. The 6 streams of intervention offered are: Activities of daily living Vocational rehabilitation Community integration Transitions Cognitive rehabilitation Postural management South Tees Hospitals NHS Foundation Trust Middlesbrough CCG 49

50 Neurological condition (acquired, progressive or life-long) Client willing to engage in rehabilitation Out of catchment area Equipment only referrals Neuro oncology Open referral system; self, health, social care or educational professional 10/12/14 50

51 Middlesbrough Intermediate Care Centre Adult Middlesbrough Intermediate Care Centre Adult To provide a non-medical residential setting for people to receive short-term rehabilitation. Middlesbrough Middlesbrough Intermediate Care Centre, Homerton Road, Middlesbrough TS3 8PN Telephone contact number Mhairi Kotch Physiotherapy Karen Crabtree Occupational Therapy karen.crabtree@nhs.net mhairi.kotch@nhs.net NHS In-patient Domiciliary Occupational Therapy and Physiotherapy service, promoting independence and prevention of unnecessary hospital admissions South Tees NHS Foundation Trust The person has undergone a recent change in circumstances causing a reduction in function with the potential to improve within 6 weeks. The person is unable to remain at or to return home without rehab Via SPOR December

52 Middlesbrough Redcar & Cleveland Community Outpatient Physiotherapy Adult (age 16 years and above some children where appropriate) MSK Middlesbrough Redcar & Cleveland Onelife Centre Linthorpe Road Middlesbrough TS1 3QY Redcar Primary Care Hospital West Dyke Road Redcar TS10 4NW East Cleveland Primary Care Hospital Alford Road Brotton TS12 2FF Guisborough General Hospital Northgate Guisborough TS14 6HZ Telephone contact number or Julie Irwin NHS Outpatient Community- based Musculoskeletal Outpatient Physiotherapy Service, including a Hydrotherapy service at Redcar. Accepts GP and Consultant referrals. South Tees Hospitals NHS Foundation Trust South Tees CCG 52

53 All patients aged 16 or over with a musculoskeletal condition/injury. Some younger patients where applicable. Patients requiring neuro rehab. Consultant letter or GP referral form 8/12/14 Updated 22/6/15 53

54 James Cook University Hospital Prosthetic Rehabilitation Sub Regional Prosthetic Service Both and pre-natal limb absence / deformity Congenital limb absence / deformity Amputation rehabilitation Prosthetic rehabilitation Sub Regional Disablement Services Centre The James Cook University Hospital Marton Road Middlesbrough TS4 3BW Telephone contact number DSC Rehabilitation Centre Trust - Neurorehabilitation s Jane Cumming Consultant Physiotherapist Dr Khalid Anwar Consultant in Neurorehabilitation Walking Rehabilitation Sally Smith Senior Specialist Physiotherapist Jane.cumming@stees.nhs.uk NHS with prosthetics contract held by Otto Bock Healthcare Both Amputee rehabilitation Prosthetic Rehabilitation Congenital limb absence counselling and rehabilitation Assessment for prosthetic rehabilitation Pre-amputation assessment and counselling Provision, manufacture and maintenance of prosthetics Gait re-education with prosthetics South Tees NHS England People with amputation or contemplating amputation. Congenital limb loss. 54

55 People requiring orthotic intervention only. People unable to benefit from rehabilitation Standard referral to Prosthetic Centre, Consultant (or team), GP or Healthcare professional referral letter. Telephone referral to Rehabilitation Centre for new patients. Fax in patient request for consultation Pre-amputation referral to DSC clinical lead Date of information review Feb

56 James Cook University Hospital MSK Out-patients MSK Out-patients JCUH Adult MSK Middlesbrough James Cook University Hospital Marton Road, TS4 3BW Telephone contact number Ben Cole NHS Out-patient Secondary Care MSK out-patient service South Tees Hospitals NHS Trust Consultant referral for patients living in the Middlesbrough area. Patients not resident within area. Consultant referral 8/12/

57 James Cook University Hospital Neuro-Oncology AHP Neuro-oncology AHP service Adult Brain Injury Southern region of the North East Cancer network. Neuro-oncology Office Murray Building The James Cook University Hospital Marton Road Middlesbrough TS4 3BW Telephone contact number n/a Serena Hartley / Jenny Collins physio Caroline Barber-Miller OT Katherine Dawson/Karen Baldwin - SALT NHS Both Provides Neuro-oncology AHP input across the whole patient pathway for patients under the care of the South Tees Brain and CNS tumours MDT. South Tees NHS Foundation Trust Patients under the care of South Tees Brain and CNS tumours MDT. Referral through Neuro-oncology MDT

58 James Cook University Hospital Acute In-patient Neuro-Rehab Acute inpatient Neuro-rehabilitation (ward 26) Adult Brain Injury Physical disability Cognitive/behavioural Middlesbrough, Redcar and Cleveland, Hartlepool, South Durham and Darlington, Hambleton and Richmond Neuro Rehab Gym Rehabilitation Centre James Cook University Hospital Marton Road Middlesbrough TS4 3BW Telephone contact number Links through South Tees website Helen Birtwistle (acting lead) NHS Inpatient Assessment and treatment of patients with long term and new onset neurological conditions. South Tees Hospitals NHS Foundation Trust Aged 18 or over, medically stable with a Neurological condition and active rehabilitation goals Under 18 or no active rehabilitation goals Faxed or written referral to Dr Anwar (Consultant Neurorehabilitation) 10/12/

59 James Cook University Hospital Regional Spinal Cord Injuries Centre Regional Spinal Cord Injuries Centre Adult and Paediatric Acute SCI Management and SCI Rehabilitation Scottish Borders to North Yorkshire and North Lakes Golden Jubilee Regional Spinal Cord Injuries Centre JCUH, Marton Road, Middlesbrough TS4 3BW Telephone contact number Pam Marley - Physiotherapist Clare Nixon - Occupational Therapist Mr M. Mecci, Consultant in SCI therapy.spinal@stees.nhs.uk Munawar.Mecci@stees.nhs.uk NHS Inpatient, outpatient, outreach and domiciliary Level 1 SCI Centre. 4 HDU beds, of which 2 are ventilated. 20 Rehabilitation beds. Integrated Urology, plastic surgery, hand surgery and spasticity management South Tees Hospitals NHS Foundation Trust Specialised Commissioning, NHS England Any traumatic or non-progressive non-traumatic SCI resulting in neurological deficit 59

60 Metastatic Spinal Cord Compression, Progressive primary tumours. Significant cognitive deficit. Severe behavioural or psychiatric disorder. Inability to benefit from rehabilitation. Electronic referral system or directly to Consultant to Consultant nd June 2015 Rosedale Rehabilitation and Assessment Centre Rosedale Rehabilitation and Assessment Centre Adult Generic Borough of Stockton on Tees Rosedale Rehabilitation and Assessment Centre, Marske Road, Bishopsgarth, Stockton on Tees Telephone contact number Jean Spedding NHS In patient Residential assessment and rehabilitation by a multidisciplinary team that provides therapy based rehabilitation Stockton Borough Council 60

61 Age 18+, Medically fit, resident of Stockton on Tees, assistance of ½ to transfer, compliance with rehab, identified rehab goals Respite/convalescent, no social worker, preexisting mental health condition, patients requiring 24 hour nursing care notification form 19/12/14 61

62 Whitby Hospital Whitby out-patient Physiotherapy service Adult MSK Whitby and surrounding locality Physiotherapy Department Whitby hospital Spring hill Whitby North Yorks.YO21 1 DP Telephone contact number Debbie Welton Debbie.welton@york.nhs.uk NHS Out-patient Physiotherapy The out-patient Physiotherapy service is primarily based within Whitby hospital and also provides Physiotherapy clinic sessions at Egton, Danby and Staithes GP practices. The service provides Physiotherapy assessment and treatment of adults with Musculo-skeletal pain or problems. These problems include: soft tissue injuries, joint pain, and rehabilitation after trauma or surgery. Patients receive an assessment and then an individually tailored treatment regime. The service is a separate service from the MSK Orthopaedic triage service which provides a diagnostic service referring for investigations, surgical opinion or directly for out-patient Physiotherapy. The service provides individual and group treatment sessions and includes a well-equipped gym facility. York teaching hospital 62

63 Hambleton Richmond and Whitby CCG Adults with Musculoskeletal disorders Community rehabilitation, Neurology, respiratory, spinal injury, Paediatric patients Paper referral/letter 19/06/15 63

64 Whitby Community Therapy Team, Whitby Virtual Ward Whitby Community Therapy Team, Whitby Virtual Ward Adult Community rehabilitation over a wide range of conditions, including, Neuro, COPD, Rheumatology elective surgery, trauma, elderly care etc Whitby and surrounding locality and the inpatient wards at Whitby Hospital Whitby Community Therapy Team Whitby Virtual Ward Whitby hospital Spring hill Whitby North Yorks.YO21 1 DP Telephone contact number Phil Harrison philipneilharrison@york.nhs.uk NHS please note Whitby services are due to TUPE across to Virgin Care in the next few months In-reach out-reach model seeing patients on the wards, in the community, in the Day rehab unit, and on an outpatient basis Current Range of Therapy Services delivered by the multidisciplinary team of OTs and PTs are: Generalist OT & PT Service with Specialist Support Palliative Care Therapy Service Led by Advanced Practitioner OT Neuro-rehabilitation Therapy Service - Led by Advanced Practitioner PT & OT Rheumatology, Hand Therapy and Splinting Service Led by Advanced Practitioner OT Pulmonary Rehab Therapy Service - Led by Specialist PT Fast Response Service. Therapy Input is Monday to Friday on a rota basis and is integrated into District Nursing and Therapy Team 64

65 York teaching hospital Hambleton Richmond and Whitby CCG All adults (18yrs +) needing physical and related cognitive assessment and rehabilitation as a result of illness, disease or injury, where that would be most effectively delivered by Occupational Therapists and Physiotherapist. Adults must be resident within the designated locality and registered with local GP surgeries. Patients who do not meet criteria above Paper referral/letter 30/06/