A GUIDE TO REHABILITATION SERVICES FOR THE PAN BIRMINGHAM CANCER NETWORK

Transcription

1 A GUIDE TO REHABILITATION SERVICES FOR THE PAN BIRMINGHAM CANCER NETWORK 1

2 Development of this directory complies with the requirements of both the NICE Guidelines for Supportive and Palliative Care, and the Improving Outcomes Guidance for Brain and CNS Tumours, and will aid in planning discharge and ongoing treatment as close to the patients home as possible. We aim to provide details of rehabilitation services appropriate particularly for patients with Brain and CNS Tumours, patients at all stages of the cancer pathway, and those with palliative care needs. The contents are therefore a mixture of generalist services which provide domiciliary or day patient intervention and more specialist treatment with in an in-patient facility. The guide is written to facilitate referral to appropriate rehabilitation following acute care, or from within the community at any stage of the patient s illness, in accordance with agreed cancer rehabilitation pathways. Disclaimer: The information contained in this document was accurate in August We cannot be responsible for any changes to services or personnel after that date. We would ask clinicians using the directory to notify kay.harries@westmidlands.nhs.uk of any changes they encounter, and a formal review will be carried out yearly. Thanks to Alex Ball and Lynn Humphries who started the process, and all the Allied Health Professionals who contributed to this document. 2

3 Contents Details of the rehabilitation services available across the Pan Birmingham Cancer Network are divided into the following areas Page 4 Herefordshire 12 Shropshire 17 Staffordshire 37 Warwickshire 40 Worcestershire 45 Birmingham and District 3

4 HEREFORDSHIRE NAME Bromyard Community Hospital Inpatient beds Tower Hill Bromyard Herefordshire HR7 4QN CONTACT NUMBERS: Dr Scott, General & Rehabilitation Practitioner Medically Stable Bromyard GP Some Nightwick GP patients excepted Generally over 60 years of age have accepted younger Letter to Dr Scott visits ward once a day to review referrals. Direct Fax:

5 Hillside Centre Inpatient stroke and general rehab Pentwyn Avenue, Hereford HR2 7LB CONTACT NUMBERS: Ms Margy Fowler Head OT Jo Macdonald Lead Physio Medically Stable Herefordshire GP excluding Worcester or Powys GP. 16 years onwards Stroke Rehabilitation General Medicine Written referral with clinical details or copy of referral form attached overleaf. MDT meets once a week generally on a Tuesday to discuss referrals. Direct Fax: INFORMATION 5

6 Ledbury Community Health and Care Centre Inpatient rehabilitation 14 beds Market Street, Ledbury, Herefordshire HR8 2AQ CONTACT NUMBERS: Medically Stable Ledbury GP but other surrounding areas considered. 16 years onwards Patients that would benefit from rehabilitation. Fax referral letter with clinical details. Fax letter direct to ward : INFORMATION 6

7 Leominster Community Hospital Inpatient rehabilitation beds South Street, Leominster, Herefordshire HR6 8JH CONTACT NUMBERS: Matron/Sister in Charge Medically Stable Generally accepted within the Hereford area Generally elderly but will accept younger. Patients that would benefit from rehabilitation. Fax referral letter with clinical details to Sister/Matron Fax letter direct to ward :

8 Gaol Street Clinic CONTACT NUMBERS: Outpatient clinics Gaol Street Hereford HR1 2HU Lymphoedema: Jackie Jones and Jan Osbaldison Occupational Therapy; Ms Margy Fowler Head OT Physiotherapy: Jo Macdonald Lead Physio Hereford Adults with rehabilitation needs By telephone in first instance 8

9 Hereford County Hospital Inpatient beds Union Walk Hereford Herefordshire HR1 2ER CONTACT NUMBERS: Julie Mountford Artificial Nutrition Dietitian Sue Moody Head of Physiotherapy Hereford Adults By telephone in first instance 9

10 St Michaels Hospice Specialist Palliative Care CONTACT NUMBERS: Bartestree Hereford HR1 4HA Herefordshire and bordering areas. Patients for admission must be known to the hospice Palliative care needs By telephone in first instance OT, Physio and Lymphoedema specialist services available. Referrals made to hospital or community S&LT and Dietetics as required 10

11 SHROPSHIRE NAME Bridgnorth Community Hospital In patient rehabilitation ADDRESS Bridgnorth Hospital Northgate Bridgnorth Shropshire WV15 4EU CONTACT NUMBER Anne Wenlock ( bed manager and discharge liaison) WEB ADDRESS CRITERIA AGE DIAGNOSIS/CLINICAL Bridgnorth area GP Medically stable Adults General rehabilitation and discharge planning REFERRAL PROCESS Telephone call to Anne Wenlock or faxed written referral 2 GP led wards 11

12 Royal Shrewsbury Hospital Inpatient beds Mytton Oak Road Copthorne Shrewsbury SY3 8XQ CONTACT NUMBERS: Dr Sinha, Consultant Physician Not known Fax referral letter to: Secretary to Dr Sinha 12

13 Shropshire Enablement Team Community based, domicillary visits 15 Deercote, Hollinswood, Telford TF3 2BH CONTACT NUMBERS: Shropshire Enablement Team Head Injury Stroke Fax to Enablement Team: Written referral form 13

14 Midlands Centre for Spinal Injuries, Oswestry Inpatient rehabilitation beds The Robert Jones & Agnes Hunt Orthopaedic Hospital, Oswestry, Shropshire, SY10 7AG CONTACT NUMBERS: Consultants: Mr El Masry, Mr A Osman, Mr J Roy Chowdhoury, Dr D Short, Alison Lamb (Consultant Nurse) Acquired spinal cord injury > 16 Telephone Doctor on call for spinal injuries via hospital switchboard or Alison Lamb 14

15 Bishops Castle Community Hospital In patient and out patient facilities ADDRESS Stone House Union Street Bishop s Castle Shropshire SY7 5AJ CONTACT NUMBERS Geoff Field physiotherapy team leader WEB ADDRESS CRITERIA AGE DIAGNOSIS/CLINICAL All patients living within the area, occasional out of area patients if beds available. Adults and adolescents General rehabilitation, neuro rehab and palliative care REFERRAL PROCESS Telephone Geoff Field as above INFORMATION 15

16 STAFFORDSHIRE NAME Burton Hospital NHS Foundation Trust Inpatient beds Queen s Hospital Belvedere Road Burton upon Trent Staffordshire DE13 0RB CONTACT NUMBERS: Tel: Clinical Specialist Physiotherapist : Susan Preston ex 5462 Clinical specialist OT : Leah Elliott asp GP within area. >18 Neuro-oncology General oncology diagnoses Palliative Care Via consultants, ward sister, with request for rehabilitation Specialist rehabilitation interventions 16

17 Dudley Integrated Living Team Outpatients Corbett Outpatients Centre Vicarage Road Stourbridge DY8 4JB CONTACT NUMBERS: Tel: Fax: Lucy Devlin (Social Services) Residents of Dudley borough Acquired brain injury Telephone or Dr Mandal and Dr Stellman, Consultant Physicians (Elderly Medicine)- Long Term Conditions project outpatient department Michelle Kerslake (Occupational Therapy)- via dept of Occupational Therapy at Russells Hall Hospital

18 Kidderminster Hospital Cookley Ward Inpatient rehabilitation Kidderminster Hospital and Treatment Centre, Bewdley Road, Kidderminster, DY11 6RJ CONTACT NUMBERS: Tel: Dr Ashton, Consultant in Elderly Care Rehabilitation Potential Kidderminster GP >16 Requirement for general rehabilitation Medically stable Fax clinical details to Dr Ashton secretary MDTeam assess referral 18

19 Lichfield Samuel Johnson Community Hospital GP led inpatient rehabilitation beds Trent Valley Road, Lichfield, Staffordshire, WS13 6EF CONTACT NUMBERS: Tel: Fax: Lichfield GP Medically stable > 18 years General rehabilitation, discharge planning Written referral to nurse in charge of ward 19

20 North Staffordshire Rehabilitation Centre - Haywood Hospital 25 bed inpatient rehabilitation Haywood Hospital High Lane Burslem Stoke-on-Trent ST6 7AG CONTACT NUMBERS: / Professor A B Ward, Consultant in Rehabilitation Medicine > 16 years Complex disability- brain injury and other acquired neurological disorders Telephone call then fax referral form Spasticity and Intrathecal baclofen service Musculoskeletal rehabilitation 20

21 Staffordshire Neurobehavioral Unit, Harplands Hospital Inpatient rehabilitation beds Harplands Hospital, Hilton Road, Harpfields, Stoke-on-Trent ST4 6TH CONTACT NUMBERS: Tel Ward 6: Deputy Ward Manager Senior Nurse/Matron Dr El-Nimir, Consultant Neuropsychiatrist Neurobehavioral / Neuropsychiatry Please see overleaf ABI Letter to Dr El-Nimir based at Bucknall Hospital Tel: Fax: inpatient wards 21

22 Tamworth Sir Robert Peel Community Hospital Inpatient rehabilitation beds Plantation Lane, Mile Oak, Tamworth, Staffordshire, B78 3NG CONTACT NUMBERS: Ward: Dr Cutting, General & Rehabilitation Practitioner Ward manager, Andrew Ward Dr Soryal, Rehabilitation consultant. Medically Stable Tamworth GP Generally over 60 years of age have accepted younger General rehabilitation Letter to Dr Cutting or Nurse in Charge Direct Fax: Some input from Consultant Neurologist 22

23 Walsall Community Rehabilitation Team TYPE SERVICE Outpatient and domicillary assessments Dartmouth House Rehabilitation Centre Ryecroft Pl, Walsall, WS3 1SW CONTACT NUMBERS: Dr PJ Alexander Debbie Shaw service manager Resident in Walsall area, with Walsall GP > 16 unless in full time education Neurological disorders, benign tumours Via GPs, healthcare professionals and acute trusts. Written discharge summary and/or therapy summary. SAP if appropriate 23

24 West Park Hospital Neurorehabilitation Unit 10 Inpatient rehabilitation beds West Park Rehabilitation Hospital, Park Road West Wolverhampton WV1 4PW CONTACT NUMBERS: Dr T S Aung (Wolverhampton patients) Dr J P Alexander (Walsall patients) N/A Wolverhampton or Walsall GP years Acquired brain injury Neurological disability Written referral with clinical details accepted ffrom any member of MDT Fax: Planned developments: continued involvement in Productive Community Hospitals Programme, development of PROMS Service review against NSF and NICE guidance 24

25 Wolverhampton Community Neurological Rehab Team Multi-disciplinary, multi-agency rehabilitation Outpatients seen in various locations: at home, health clinics, outpatients depts. and workplace West Park Rehabilitation Hospital, Park Road West Wolverhampton WV1 4PW CONTACT NUMBERS: Fax Nicky Matheson Anna McGeoch Wolverhampton GP or resident in Wolverhampton Under 65 yrs Long term neurological condition REFERRAL PROCESS: Telephone, letter or fax Initial referral into service is by healthcare professional, once registered clients can self-refer. 25

26 Woden Resource Centre Wednesfield Outpatient Inpatient respite 12 bed rehabilitation unit ADDRESS Woden Community Resource Centre Vicarage Road Wednesfield WV11 1SF CONTACT NUMBERS Tel: Fax: ( IF APPLICABLE) WEB ADDRESS CRITERIA AGE DIAGNOSIS/CLINICAL North east Wolverhampton residents Older adults General Rehabilitation services REFERRAL PROCESS Any healthcare professional via single point of access for Wolverhampton joint services: INFORMATION 26

27 Warstones Resource Centre Wolverhampton Outpatient Inpatient respite 12 bed rehabilitation unit ADDRESS Warstones Drive Penn Wolverhampton WV4 4PG CONTACT NUMBERS: Tel: Fax: (IF APPLICABLE) DIAGNOSIS/CLINICAL Residents of South West Wolverhampton Older Adults General rehabilitation services, REFERRAL PROCESS Any healthcare professional via single point of access for Wolverhampton joint services INFFORMATION 27

28 Bradley Community Resource Centre Bilston Outpatients In patient respite 14 Bed rehabilitation unit Lord Street, Bradley Bilston CONTACT NUMBERS: Tel: Fax: ( IF APPLICABLE) WEB ADDRESS Residents of South East Wolverhampton Older Adults General rehabilitation services, 6 week inpatient rehab programme. Respite for physically frail older adults Any healthcare professional via single point of access for Wolverhampton joint services

29 Dudley community Macmillan Team Domicillary visits ADDRESS Macmillan Offices Kingswinford Health Centre Sandhills Road Kingswinford DY6 8DN CONTACT NUMBERS ( IF APPLICABLE) WEB ADDRESS Lesley Connor Clinical Lead OT Link from Dudley PCT website CRITERIA AGE DIAGNOSIS/CLINICAL Dudley G.P ( some out of area on case by case basis) 18 years and over Life limiting conditions. Malignant and non-malignant Palliative care rehab. REFERRAL PROCESS Written, verbal, self referral to specialist team of nurses, OTs and Physio s. From any healthcare professional INFORMATION In-reach by OT to Mary Stevens Hospice, 10 bed inpatient unit. 16 place day unit 29

30 Walsall Macmillan Community Palliative Care Team Domicillary assessment and treatment ADRESS Little Bloxwich Day Hospice Stoney Lane Walsall West Mids WS3 3DW CONTACT NUMBERS Tel: Fax Cindy Dhallu WEB ADDRESS REFERRAL CRITERIA AGE RANGE DIAGNOSIS/CLINICAL Residents within Walsall and 3 miles outside border Walsall GP >18yrs Neuro-oncology, non-malignant conditions REFERRAL PROCESS Via faxed written referral INFORMATION 30

31 Willenhall Specialist Palliative Care Therapies Team Community (at present, see comments in other) ADDRESS Specialist Palliative Care Therapies Team The Allens Centre Hilton Road Willenhall WV12 5XB CONTACT NUMBERS (if applicable) WEB ADDRESS REFERRAL CRITERIA (e.g. residential area/gp) AGE RANGE DIAGNOSIS/CLINICAL (e.g. Gen rehab, specialist neuro-rehab, palliative care included) REFERRAL PROCESS INFORMATION (e.g. beds/gp led wards/outpatient rehab. 6 wk duration) Adults living in or having Walsall GP Adults Palliative care diagnosis requiring Specialist input, community based assessment of functional needs Multiple complex problems, minor coping difficulties and maintaining well-being SAP documentation. Please indicate on paperwork if you wish to discuss the referral. Individuals may refer themselves in first instance via phone Diversional bed scheme in operation, building works in progress for new Palliative Care centre for Walsall, with inpatient and day hospice.team to be based there providing input across all settings 31

32 Walsall Community Rehab Team Community based rehabilitation with access to inpatient services if required ADDRESS Community Rehab Team Dartmouth House Rehabilitation Unit Ryecroft Place Goscote Walsall West Mids WS3 1SW CONTACT NUMBERS (If applicable) WEB ADDRESS Debbie Shaw Operational Manager, neuro rehab REFERRAL (e.g residential area, GP) AGE RANGE DIAGNOSIS /CLINICAL Walsall GP and/or Walsall resident 18yrs and over Long-term neurological condition REFERRAL PROCESS Self referral available, plus healthcare professionals preferably on SAP form INFORMATION Team consists of Consultant in Rehabilitation, Occupational Therapist, Physiotherapist, Specialist nurses, Speech and Language Therapist, Neuropsychologist, generic workers 32

33 Macmillan Specialist Occupational Therapy Service Wolverhampton Specialist OT based assessment of functional needs in order to prevent deterioration and maximise independence in their chosen environment ADDRESS Deansley Centre New Cross Hospital Wednesfield Rd Wolverhampton WV1 OQP CONTACT NUMBERS Sue Brassington Macmillan Specialist OT WEB ADDRESS REFERRAL CRITERIA AGE RANGE Adults with cancer diagnosis or complex palliative care needs DIAGNOSIS/CLINICAL REFERRAL PROCESS Referrals received from all healthcare professionals in local trusts e.g. RWH Acute Trust, but also other therapy/ahp teams via telephone, fax or letter INFORMATION Planned future developments include a new end of life post 33

34 Wolverhampton Community elderly care/intermediate care team Rehabilitation and long term management of chronic conditions ADDRESS West Park Park Road West Wolverhampton WV1 4PW CONTACT NUMBERS WEB ADDRESS REFERRAL CRITERIA AGE RANGE Wolverhampton residents or those with Wolverhampton GP Elderly Care Service age 60+ CICT 18+ DIAGNOSIS/CLINICAL REFERRAL PROCESS Elderly care referrals from healthcare professionals, patients, relatives and carers CICT referrals via SPAR INFORMATION 34

35 Mary Stevens Hospice Specialist Palliative care services 10 inpatient beds 15 day places 221 Hagley Road Oldswinford Stourbridge DY8 2JR CONTACT NUMBERS: Residents of Dudley borough, parts of Staffs, Wyre Forest, Hereford and Worcs and Sandwell Adults Patients with cancer, MND, end stage renal or cardiac failure, HIV, deteriorating neurological conditions. Generic West Midlands palliative care referral form from any healthcare professional with knowledge and consent of a doctor. 35

36 WARWICKSHIRE NAME Coventry Neurological Rehabilitation Team 12 inpatient beds and outpatient service University Hospital (Walsgrave site) Clifford Bridge Road Coventry CV2 2DX CONTACT NUMBERS: Telephone: or fax: Dr E Okirie Dr R Khurana Consultants in rehabilitation medicine We can accept referrals locally, nationally and internationally >16 Patients who have complex neurological problems beyond the scope of local services either into our young people's neuro rehabilitation service or main adult area Can accept initial referrals and enquiries over the phone, but referrers are required to make a formal referral in writing. Following receipt of a referral, a specialist clinician will assess the patient in their referral location within 5 working days. Full range of outpatient specialist assessments, including; Physiotherapy, Occupational Therapy, Speech and Language Therapy, Neuropsychology and dietetics 36

37 Royal Leamington Spa Rehabilitation Hospital 30 bed inpatient neuro rehab, outpatient rehab Heathcote Lane Heathcote, Warwick CV34 6SR CONTACT NUMBERS: Mr D A Badwan, Dr E Okirie, Consultants in Rehabilitation Medicine N/A Medically stable Goals for specialist inpatient neurorehabilitation Warwickshire GP > 16 Acquire brain injury Neurological disorders Low awareness states Clinical referral to Consultant in Rehabilitation medicine 30 Inpatient beds Outpatients services inc. specialist brain injury 37

38 Myton Hospice Specialist palliative care services Myton Lane Warks CV34 6PX CONTACT NUMBERS: Adults with palliative care needs 38

39 WORCESTERSHIRE NAME Bromsgrove Princess of Wales Community Hospital Inpatient rehabilitation beds Stourbridge Road Bromsgrove B61 OBB CONTACT NUMBERS: Fax: Dr Asokan, Consultant Physician vices/hospitals Predominantly for Redditch patients > 18 years Stroke Other rehabilitation need Medically stable Written referral to consultant with clinical details Fax to Lickey Ward Lickey Ward - 24 beds 12 consultant-led rehabilitation beds and 12 stroke care beds 39

40 Evesham Community Hospital CONTACT NUMBERS: Inpatient beds Evesham Community Hospital, Waterside, Evesham, Worcestershire, WR11 1JT Main hospital switchboard Dr C Koko, Consultant in Rehabilitation Medicine Rosie Groves, Nurse consultant, Complex Physical Disability Medically stable Appropriate goals for inpatient rehabilitation Resident Evesham area Worcestershire GP Adults: Rehabilitation potential Dr Koko Secretary: Rosie Groves: Telephone Fax to Specialist physiotherapy available for Macmillan Unit 40

41 Worcester Community Rehabilitation Team Domiciliary assessment and treatment The Reablement Team, South 1 Timberdine Close, Worcester, WR5 2DD CONTACT NUMBERS: Tel: Fax: Clients must be medically stable, safe to be at home between visits and in agreement to a referral being made. Adult Not specified Referrals accepted from therapists, social workers, GPs and district nurses Service available seven days a week from 7 am to 10 pm.to facilitate hospital discharge, prevent admission, provide a period of assessment of client s needs or a period of rehabilitation in their own home. Maximum eight - week period. 41

42 Pershore Hospital 18 GP beds Inpatient and outpatient services Queen Elizabeth Drive Station Road Pershore Worcester WR10 1PS CONTACT NUMBERS: Christine Jefferson Lymphoedema: Kathy Brown Worcestershire GP Adults Small operations General rehabilitation needs By telephone in first instance 42

43 St Richards Hospice Specialist Palliative Care Services Wildwood Drive Worcester WR5 2QT CONTACT NUMBERS: Adults with specialist palliative care needs Generic hospice referral form Specialist rehabilitation and lymphoedema services available 43

44 BIRMINGHAM AND DISTRICT NAME South Birmingham Community Health Integrated Multidisciplinary Teams Domicillary intervention: case management, rehabilitation, nursing support West Heath Hospital Rednal Road, Birmingham, West Midlands, B38 8HR CONTACT NUMBERS: Tel: Fax: South Birmingham GP Patients who are predominantly housebound or it is more relevant for care to be provided in their residential setting For whom recovery and rehabilitation can be maximised Over 17 One or more long term condition/s Acute confusion and /or dementia A health problem or condition which requires intervention to ensure effective treatment and care at their residential address Palliative/end of life needs Via single point of access or faxed referral form, from any healthcare professional INFORMATION 44

45 Head and Neck Cancer Unit Inpatients, outpatients, clinics City Hospital Sandwell and West Birmingham NHS Trust Dudley Road Birmingham B18 7QH CONTACT NUMBERS: Dr Kaye Radford Chief Speech and Language Therapist All head and neck patients under the care of SWBH Consultants Adults Head and neck cancer patients at all stages of the pathway As above All curative surgery takes place at UHB. Patients are seen at City pre and post-treatment. Pre, recurrent and post treatment AHP/CNS led clinics. Joint MDT meetings at both City and UHB Individual SLT clinics 45

46 Moor Green Out-Patient Brain Injury Service Outpatient brain injury rehabilitation Moor Green Unit Moseley Hall Hospital Alcester Road Moseley Birmingham B13 8JL CONTACT NUMBERS: Tel: (0121) Fax: (0121) een.htm Any adult who lives in the West Midlands Over the age of 16 Acquired brain injury such as a traumatic brain injury (e.g. car accident, fall or assault) stroke or infection in the brain Referral to Moor Green comes from three sources only: Brain Injury Specialist Clinic (based at Moor Green) Birmingham Neuro Rehabilitation Team (BNRT based in Moseley Hall Hospital) In-Patient Neuro Rehabilitation Unit (INRU based in Moseley Hall Hospital) Clients will be offered a place at Moor Green when there is a need for them to be seen by at least two of these professions who will have to work in an integrated manner in order to assist with progress. Clients may be working on managing their behaviour, community integration, independent living skills, vocational exploration or returning to work. 46

47 Moseley Hall Inpatient Neurorehabilitation Unit Inpatient rehabilitation beds INRU Moseley Hall Hospital Alcester Road Moseley Birmingham B13 8JL CONTACT NUMBERS: / Dr Z Falope and Dr M Walsh Acquired neurological condition >16 The majority of patients admitted have suffered head injuries, subarachnoid haemorrhages, stroke or other forms of brain injury. Patients with progressive neurological conditions are also seen. REFERRAL PROCESS: Telephone to obtain referral form, fax completed form to number above Any health professional can refer. Commissioned for patients from Birmingham, Black Country, Herefordshire, Worcestershire and occasionally other regions 47

48 Stroke Unit Solihull Hospital Inpatient rehabilitation beds Ward 8 Solihull Hospital Lode Lane Solihull B91 2JL CONTACT NUMBERS: Tel: Dr K El-Fandi, Consultant Physician Solihull GP Stroke- acute care all ages Rehabilitation elderly patients >18 Stroke Occasionally other neurological conditions Telephone consultant secretary or ward manager Mainly acute stroke care, some provision of rehabilitation- limited for younger patients 48

49 Brain Injury Rehabilitation Trust 25 bed residential rehabilitation ADDRESS West Heath House 54 Ivyhouse Road West Heath Birmingham B38 8JW CONTACT NUMBERS Brian Warr Service Manger WEB ADDRESS CRITERIA Adults from anywhere in the country, either straight from hospital or from community AGE DIAGNOSIS/CLINICAL Acquired brain injury REFERRAL PROCESS Referrals from medical consultants, social workers, solicitors, case managers, preferably in writing. Telephone enquiries welcomed INFORMATION Registered charity, placements funded by NHS, Social Services, charities, insurance payments. Comprehensive residential assessment approx 12 weeks. 49

50 Norman Power Centre Aston Inpatient assessment, rehabilitation, respite and interim care ADDRESS Skipton Road Aston Birmingham B16 8JJ CONTACT NUMBERS Team: Fax Team lead Mike Dumat or co-ordinator WEB ADDRESS CRITERIA AGE DIAGNOSIS/CLINICAL All patients with rehab goals Over 65 yrs, although younger patients are accepted on an individual basis Medically stable REFERRAL PROCESS Telephone referral to Ladywood IC Team on above number who triage referrals Referral forms to fax available on request Referrals accepted from healthcare professionals and social workers INFORMATION 32 beds 50

51 Riverside Lodge Rehabilitation Service Small Heath Inpatient and day rehabilitation ADDRESS 160 Hobmoor Rd Small Heath Birmingham B10 9JH CONTACT NUMBERS Team: Fax: WEB ADDRESS CRITERIA AGE DIAGNOSIS/CLINICAL All patients with rehab goals Over 65 yrs, younger patients accepted on individual basis Medically stable REFERRAL PROCESS Telephone referral to Ladywood IC Team on above number who triage referrals Referral forms to fax available on request Referrals accepted from healthcare professionals and social workers OTHER INFORMATION 12 beds inpatient rehab max stay 6 weeks Day rehab 10 places 51

52 West Midlands Rehabilitation Service ADDRESS Specialist Outpatient Rehabilitation Clinics: Amputee Rehab and orthotics Access to Communication and Technology Posture and mobility District Wheelchair service WMRC 91 Oaktree Lane, Selly Oak B ham B29 6JA Also The Maltings Wolverhampton. CONTACT NUMBERS WEB ADDRESS REFERRAL CRITERIA AGE RANGE DIAGNOSIS/CLINICAL People who live in West Midlands Region. Adults ( transition clinic for young people) Patients requiring ongoing rehabilitation following amputation, brain surgery or cancer treatment REFERRAL PROCESS INFORMATION WMRS also supports specialist rehabilitation at several hospital locations: see Moseley Hall, Moor Green, 52

53 Marie Curie Hospice Solihull ADDRESS In patient/day hospice/outpatients/community/clinics Specialist palliative care services Warwick Road Solihull B91 3ER CONTACT NUMBERS WEB ADDRESS mariecurie.org.uk REFERRAL CRITERIA AGE RANGE DIAGNOSIS/CLINICAL Resident or GP In Solihull hospice catchment area generally east Birmingham and Solihull Palliative care needs Age 18 upwards Palliative rehab/end of life REFERRAL PROCESS Pan Birmingham referral form if not already know to hospice. If already known, form any senior HCP In patient/respite bed enquiries to bed manager INFORMATION OT/Physiotherapy. Family support team social work chaplain, pre- and postbereavement workers. Child bereavement SW,specialist palliative care nurses and doctors 53

54 Birmingham St Mary s Hospice In patient/outpatient/day hospice/community /clinics Specialist palliative care services 176 Raddlebarn Road Selly Park Birmingham B29 7DA CONTACT NUMBERS: Fax: Patients from Birmingham and parts of Sandwell with specialist palliative care needs Adults Palliative rehab/end of life needs Generic west midlands palliative care referral form 54

55 John Taylor Hospice Inpatient/outpatient/day hospice/community 76 Grange Road Erdington B24 0DF CONTACT NUMBERS Patients from Birmingham East and North with palliative care needs Adults Palliative rehab/end of life needs Generic west midlands palliative care referral form 55

56 University Hospital Birmingham NHS Foundation Trust Regional Cancer Centre, Teenage Cancer Centre Metchley Lane Edgbaston Birmingham B15 2TH CONTACT NUMBERS Adults 17yrs+ referred for treatment from within the regional or supra regional catchment, or outside by agreement. Patients with a cancer/haematology diagnosis Appropriate inpatients referred as part of discharge planning Therapists attend outpatient clinics where applicable to assess/treat/refer on. Specialist Physiotherapy, Occupational Therapy, Speech and Language and Dietetic input available. Assessment, rehabilitation and discharge planning, referral on for rehabilitation as appropriate. 56

57 Organisations Included Bishop s Castle Community Hospital Shropshire Birmingham St Mary s Hospice, Birmingham Bradley Community Resource Centre Bilston Bridgnorth Community Hospital Shropshire Bromsgrove Princess of Wales Community Hospital Bromyard Community Hospital Herefordshire Burton Hospital Stroke Ward Coventry Neurological Rehabilitation Team CRIS Team South Birmingham Rehabilitation (Community Rapid Intervention Service) Dudley Community Macmillan Team Dudley Integrated Living Team Evesham Community Hospital Gaol Street Clinic Hereford Hereford County Hospital Herefordshire Stroke Community Rehab Team Hillside Centre Hereford Kidderminster Community Rehabilitation Team Kidderminster Hospital Cookley Ward Ledbury Community Health and Care Centre Herefordshire Leominster Community Hospital Herefordshire Lichfield Samuel Johnson Community Hospital Marie Curie Hospice Solihull Mary Stevens Hospice, Stourbridge Midlands Centre for Spinal Injuries, Oswestry Moor Green Out-Patient Brain Injury Service Birmingham Moseley Hall Inpatient Neuro-rehabilitation Unit Birmingham Myton Hospice, Warwick Norman Power Centre Aston Birmingham North Staffordshire Rehabilitation Centre - Haywood Hospital Riverside Lodge Royal Leamington Spa Rehabilitation Hospital Royal Shrewsbury Hospital Shropshire Enablement Team South Birmingham Community Health South Birmingham Stroke Rehabilitation Specialist Palliative Care Therapies Team Willenhall St Michaels Hospice Hereford 57

58 St Richards Hospice, Worcester Staffordshire Neuro-behavioural Unit, Harplands Hospital Stroke Unit Solihull Hospital Tamworth Sir Robert Peel Community Hospital University Hospital Birmingham NHS FT Walsall Community Rehabilitation Team Walsall Macmillan Community Team Warstones Resource Centre Wolverhampton West Park Hospital Neurorehabilitation Unit West Park Hospital Stroke Unit Woden Resource Centre Wednesfield Wolverhampton Community Rehab Team Worcester Community Rehabilitation Team 58

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