Rehabilitation Pathways MCCN Allied Health Professionals Cross Cutting Group (CCG) Author: Allied Health Professionals CCG Date Approved: 15 November 2010 Version: 1.1 Supersedes : N/A Review Date: November 2011 MCCN Rehabilitation Pathways Page 1 of 29
INDEX PAGE 1.0 Introduction 3 2.0 Section One: Site Specific Rehabilitation Pathways Brain/CNS 6 Breast 7 Colorectal 8 Gynaecology 9 Head & Neck 10 Haematology 11 Lung 12 Skin 13 Upper GI 14 Urology 15 Sarcoma.to follow 2.0 Section Two: Locality Rehabilitation Directory Eastern Sector 17 Liverpool 21 Sefton 23 Western Cheshire 25 Wirral 27 MCCN Rehabilitation Pathways Page 2 of 29
1.0 Introduction The development of tumour site specific Allied Health Professional (AHP) Cancer Rehabilitation care pathways is a requirement for Peer Review as part of the implementation of the Rehabilitation measures (2008). The aim of these pathways is to guide best practice and ensure appropriate service provision. Each care pathway should: cover all stages of the patient s journey from diagnosis through active treatment to survivorship and on to palliative/end of life care. specify particular clinical indications for referral to each relevant rehabilitation service - describe the relevant intervention / procedure /therapy required from any or all of the four relevant AHP professional groups, i.e. Dietetics Occupational link to the National AHP care pathways - the nine site specific pathways are: - Breast - Head & Neck - Upper GI - oesophago-gastric - Upper GI - hepatobiliary pancreas - Colorectal - Urology - Lung - Brain CNS Each of these has a drop down menu of appropriate common symptom pathways: - breathlessness - Pain - Lymphoedema - Spinal Cord Compression - Continence - Fatique and energy management - Anorexia/cachexia/weight loss - Dysphagia - Communication difficulies NB: for further information visit the National Cancer Action Team website or follow this link http://www.ncat.nhs.uk/our-work/living-with-beyond-cancer/cancer-rehabilitation MCCN Rehabilitation Pathways Page 3 of 29
When a rehabilitation need is identified - consider the level of intervention required: Is the symptom of little concern or already self adapted? YES NO Encourage self management & offer supportive written information Is the symptom impacting on function or quality of life? NO YES Is the symptom likely to impact treatment options or become more debilitating over time? YES NO Refer to Specialist Cancer AHP services who can offer expert advice, an integrated care plan and ongoing support for future potential problems Refer to symptom care pathway & consider referral to generic AHP services for assessment and advice To make a referral to an AHP: Please see your Local Cancer Rehabilitation Directory (see Section 2.0) MCCN Rehabilitation Pathways Page 4 of 29
Section One: Site Specific Rehabilitation Pathways - Brain & CNS - Breast - Colorectal - Head & Neck - Haematology - Lung - Skin - Upper GI - Urology - Sarcoma.to follow MCCN Rehabilitation Pathways Page 5 of 29
Merseyside and Cheshire Cancer Network Clinical Indicators for Referral to Brain and CNS Tumour Rehabilitation Pathway: http://www.cancer.nhs.uk/rehabilitation/documents/pathways/care_pathways/ncat_rehab_brain CNS.pdf Patients are at risk of developing or experiencing the following clinical indicators and should be assessed for referral to rehabilitation pathway interventions at all stages in the cancer care pathway as described below: Diagnosis & Planning Post Monitoring/ Survivorship Palliative Consider level of intervention required: Information support General rehabilitation services Specialist oncology, neurology and palliative rehabilitation. Provision of information to support timely future access to rehabilitation services (see local cancer services directory: rehabilitation services). End of life Difficulties with function, movement and symptom control: Difficulty with walking and getting around Upper and Lower Limb/Trunk weakness Changes with muscle tone, movement patterns and advice regarding positioning Breathing difficulties/cough Pain Sensory changes Impaired balance and manual handling risk assessment Occupational Difficulties with activities of daily living (work productivity & leisure): Functional impact of physical symptoms Functional impact of sensory changes Weakness upper / lower limb or trunk Difficulty with functional mobility Functional impact of anxiety and behavioural changes Cognitive and perceptual impairment Dietitian Nutrition and diet: Altered appetite Nausea and vomiting Weight loss/weight management Difficulties swallowing Information needs Speech & Language Therapist Communication & Eating/Drinking: Food sticking in the throat Aspiration related chest infections Weak or hoarse voice/loss of volume Weak cough Difficulty understanding or speaking Dry mouth MCCN Rehabilitation Pathways Page 6 of 29
Merseyside and Cheshire Cancer Network Clinical Indicators for Referral to Breast Cancer Rehabilitation Pathway: http://www.cancer.nhs.uk/rehabilitation/documents/pathways/care_pathways/ncat_rehab_ Breast.pdf Patients are at risk of developing or experiencing the following clinical indicators and should be assessed for referral to rehabilitation pathway interventions at all stages in the cancer care pathway as described below: Diagnosis & Planning Post Monitoring/ Survivorship Palliative End of life Consider level of intervention required: Information support General rehabilitation services Specialist oncology/palliative rehabilitation. Ensure patient has contact details for timely future access to rehabilitation services (see local cancer services directory-rehabilitation services). Physiotherap y Difficulties with function, movement and symptom control: Upper Limb/Trunk movement disorder (especially post surgery/pre radiotherapy) Difficulty walking and getting around Pain Breathing difficulties/cough Sensory changes Body image concerns Weakness (focal or generalized) Impaired Balance Lymphoedema Specialist Lymphoedema: of upper limb, trunk or neck Occupational Difficulties with activities of daily living, leisure and work resulting from: Physical symptoms and changes in sensation Upper limb functional impairment Fatigue or tiredness Difficulty walking and getting around Impaired balance Weakness Anxiety Role and function change Body image concerns Cognitive impairment Dietician Nutrition and diet: Reduced appetite Weight loss/weight management/weight gain Fatigue/tiredness Difficulties swallowing Nausea and vomiting Information needs Speech & Language Therapist Impaired communication, eating and drinking: Coughing/choking on eating or drinking Aspiration related chest infections Food sticking in the throat Weak or hoarse voice/loss of volume Difficulty understanding or speaking Dry mouth MCCN Rehabilitation Pathways Page 7 of 29
Merseyside and Cheshire Cancer Network Clinical Indicators for Referral to Colo-Rectal Cancer Rehabilitation Pathway: http://www.cancer.nhs.uk/rehabilitation/documents/pathways/care_pathways/ncat_rehab_c olorectal.pdf Patients are at risk of developing or experiencing the following clinical indicators and should be assessed for referral to rehabilitation pathway interventions at all stages in the cancer care pathway as described below: Diagnosis & Planning Post Monitoring/ Survivorship Palliative End of life Consider level of intervention required: Information support General rehabilitation services Specialist oncology/palliative rehabilitation. Ensure patient has contact details for timely future access to rehabilitation services (see local cancer services directory-rehabilitation services). Difficulties with function, movement and symptom control: Trunk movement disorder (especially post surgery/pre radiotherapy) Difficulty walking and getting around Breathing difficulties/cough Pain Sensory changes Body image concerns Weakness (focal or generalized) Impaired Balance Occupational Difficulties with activities of daily living, leisure and work resulting from: Physical symptoms and changes in sensation Functional impairment, (especially post surgery) Fatigue Impaired balance Weakness Difficulty walking and getting around Anxiety Adjustment to role and function change Body image concerns Cognitive impairment Dietician Impaired or risk of impaired communication, eating and drinking: Food sticking in the throat Recurrent chest infections? Aspiration relate Weight loss/weight management/weight gain Difficulties swallowing Information needs Therapist Nutrition and diet: Reduced appetite Nausea and vomiting Weak cough Weak or hoarse voice/loss of volume Difficulty understanding or speaking Dry mouth MCCN Rehabilitation Pathways Page 8 of 29
Merseyside and Cheshire Cancer Network Clinical Indicators for Referral to Gynae Cancer Rehabilitation Pathway: http://www.cancer.nhs.uk/rehabilitation/documents/pathways/care_pathways/ncat_rehab_g ynae.pdf Patients are at risk of developing or experiencing the following clinical indicators and should be assessed for referral to rehabilitation pathway interventions at all stages in the cancer care pathway as described below: Diagnosis & Planning Post Monitoring/ Survivorship Palliative End of life Consider level of intervention required: Information support General rehabilitation services Specialist oncology/palliative rehabilitation. Ensure patient has contact details for timely future access to rehabilitation services (see local cancer services directory-rehabilitation services). Difficulties with function, movement and symptom control: Lower Limb/Trunk movement impairment (especially post surgery/pre radiotherapy) Difficulty walking and getting around Incontinence Breathing difficulties/cough Pain Body image concerns Incontinence Weakness (focal or generalized) Impaired Balance Sensory changes Lymphoedema Specialist Lymphoedema: of lower limb or trunk Occupational Difficulties with activities of daily living, leisure and work resulting from: Physical symptoms/ sensory changes Lower limb functional impairment Difficulty walking or getting around Impaired balance or weakness Incontinence Adjustment to role and function change Concerns re: body image Anxiety or cognitive impairment Dietician Nutrition and diet: Reduced appetite Nausea and vomiting Weight loss/weight management/weight gain Difficulties swallowing Information needs Speech & Language Therapist Impaired or risk of impaired communication, eating and drinking: Food sticking in the throat Aspiration related chest infections Weak or hoarse voice/loss of volume Weak cough Difficulty understanding or speaking Dry mouth MCCN Rehabilitation Pathways Page 9 of 29
Merseyside and Cheshire Cancer Network Clinical Indicators for Referral to Head and Neck Cancer Rehabilitation Pathway http://www.cancer.nhs.uk/rehabilitation/documents/pathways/care_pathways/ncat_rehab_h eadandneck.pdf Patients are at risk of developing or experiencing the following clinical indicators and should be assessed for referral to rehabilitation pathway interventions at all stages in the cancer care pathway as described below: Diagnosis & Planning Post Monitoring/ Survivorship Palliative End of life Consider level of intervention required: Information support General rehabilitation services Specialist oncology/palliative rehabilitation. Ensure patient has contact details for timely future access to rehabilitation services (see local cancer services directory-rehabilitation services). Occupational Difficulties with function, movement and symptom control: Difficulty walking and getting around Breathing difficulties/cough Tingling in hands and feet Weakness and loss of muscle strength (focal or generalized) Difficulties with functional activities of daily living, leisure and work: Difficulty walking and getting around Breathing difficulties Fatigue/Tiredness Impaired balance/weakness Pain Sensory changes Body image concerns Impaired Balance Painful / stiff shoulder post op Management of secretions/tracheostomy e.g. post laryngectomy Recurrent chest infection Anxiety/Depression/loss of motivation/isolation Adjustment to role and function change Body image/ Facial disfigurement Cognitive impairment Tingling in hands and feet Pain management Dietician Nutrition and diet: Reduced appetite (anorexia) Malnutrition Weight loss/weight management (cachexia) Nausea and vomiting Difficulties swallowing Information needs Speech & Language Therapist Impaired communication, eating and drinking: Coughing/choking on eating or drinking Food sticking in the throat Aspiration related chest infections Weak or hoarse voice/loss of volume Weak cough Difficulty understanding or speaking Poor intelligibility/sounding nasal Stridor related to vocal cord problems Dry mouth Laryngectomy care including surgical voice restoration, stoma care, heat moisture exchangers, use of or maintenance of artificial larynx MCCN Rehabilitation Pathways Page 10 of 29
MCCN Rehabilitation Pathways Page 11 of 29
Merseyside and Cheshire Cancer Network Clinical Indicators for Referral to Lung Cancer Rehabilitation Pathway http://www.cancer.nhs.uk/rehabilitation/documents/pathways/care_pathways/ncat_rehab_l ung.pdf Patients are at risk of developing or experiencing the following clinical indicators and should be assessed for referral to rehabilitation pathway interventions at all stages in the cancer care pathway as described below: Diagnosis & Planning Post Monitoring/ Survivorship Palliative End of life Consider level of intervention required: Information support General rehabilitation services Specialist oncology/palliative rehabilitation. Ensure patient has contact details for timely future access to rehabilitation services (see local cancer services directory-rehabilitation services). Difficulties with function, movement and symptom control: Difficulty walking and getting around Breathing difficulties/cough Weakness and loss of muscle strength (focal or generalized) Pain Impaired Balance Sensory changes Body image concerns Occupational Difficulties with functional activities of daily living, leisure and work resulting from: Difficulty walking and getting around Breathing difficulties Fatigue/Tiredness Impaired balance/weakness Anxiety Adjustment to role and function change Body image concerns Cognitive impairment Equipment/environmental/information needs Dietician Nutrition and diet: Reduced appetite (anorexia) Malnutrition Weight loss/weight management (cachexia) Nausea and vomiting Difficulties swallowing Information needs Speech & Language Therapist Impaired communication, eating and drinking: Coughing/choking on eating or drinking Weak cough Aspiration related chest infections Food sticking in the throat Weak or hoarse voice/loss of volume Difficulty understanding or speaking Dry mouth MCCN Rehabilitation Pathways Page 12 of 29
Merseyside and Cheshire Cancer Network Clinical Indicators for Referral to Skin Cancer Rehabilitation Pathway: (web address will be the MCCN location where the pathway is uploaded) Patients are at risk of developing or experiencing the following clinical indicators and should be assessed for referral to rehabilitation pathway interventions at all stages in the cancer care pathway as described below: Diagnosis & Planning Post Monitoring/ Survivorship Palliative End of life Consider level of intervention required. Information support General rehabilitation services Specialist oncology/palliative rehabilitation. Ensure patient has contact details for timely future access to rehabilitation services (see local cancer services directory: rehabilitation services). Difficulties with function, movement and symptom control: Limb/Trunk/Neck movement disorder (especially post surgery/pre radiotherapy/consequent to scarring) Difficulty walking and getting around Breathing difficulties/cough Pain/sensory changes Weakness (specific focal or generalized) Impaired Balance Occupational Difficulties with activities of daily living, leisure and work resulting from: Physical symptoms and changes in sensation Limb/Trunk/Neck functional impairment Visual impairment /impaired balance Weakness (focal or generalized) Difficulty walking and getting around Anxiety/Cognitive impairment Adjustment to role and function change Dietician Nutrition and diet: Reduced appetite Nausea and vomiting Weight loss/weight management Difficulties swallowing Information needs Speech & Language Therapist Communication & Eating/Drinking: Food sticking in the throat Aspiration related chest infections Weak or hoarse voice/loss of volume Weak cough Difficulty understanding or speaking Dry mouth Lymphoedema Specialist Lymphoedema of limb / trunk / head / neck MCCN Rehabilitation Pathways Page 13 of 29
Merseyside and Cheshire Cancer Network Clinical Indicators for Referral to Upper GI Cancer Rehabilitation Pathway: http://www.cancer.nhs.uk/rehabilitation/documents/pathways/care_pathways/ncat_rehab_oesophgastric.pdf http://www.cancer.nhs.uk/rehabilitation/documents/pathways/care_pathways/ncat_rehab_hepatopancreas.pdf Patients are at risk of developing or experiencing the following clinical indicators and should be assessed for referral to rehabilitation pathway interventions at all stages in the cancer care pathway as described below: Diagnosis & Planning Post Monitoring/ Survivorship Palliative End of life Consider level of intervention required: Information support General rehabilitation services Specialist oncology/palliative rehabilitation. Ensure patient has contact details for timely future access to rehabilitation services (see local cancer services directory-rehabilitation services). Difficulties with function, movement and symptom control: Upper Limb/Trunk movement Breathing difficulties/cough Disorder (especially post surgery/pre radiotherapy) Difficulty walking and getting around Pain Weakness (focal or generalized) Impaired Balance Sensory changes Body Image Concerns Equipment Information needs Occupational Difficulties with activities of daily living, leisure and work: Physical Symptoms Sensory Changes Upper limb/trunk functional impairment, (especially post surgery) Impaired balance Weakness Difficulty walking and getting around Anxiety Role and function change Body image concerns Cognitive impairment Equipment needs Information needs Dietician Impaired Nutrition & Diet: Reduced appetite Nausea and vomiting Weight loss Weight management/weight gain Difficulties swallowing Information needs Therapist Impaired communication, eating and drinking: Impaired communication, eating and drinking: Coughing/choking on eating or drinking Weak cough Aspiration related chest infections Food sticking in the throat Weak or hoarse voice/loss of volume Difficulty understanding or speaking Dry mouth MCCN Rehabilitation Pathways Page 14 of 29
Merseyside and Cheshire Cancer Network Clinical Indicators for Referral to Urological Cancer Rehabilitation Pathway http://www.cancer.nhs.uk/rehabilitation/documents/pathways/care_pathways/ncat_rehab_uro logical.pdf Patients are at risk of developing or experiencing the following clinical indicators and should be assessed for referral to rehabilitation pathway interventions at all stages in the cancer care pathway as described below: Diagnosis & Planning Post Monitoring/ Survivorship Palliative End of life Consider level of intervention required: Information support General rehabilitation services Specialist oncology/palliative rehabilitation. Ensure patient has contact details for timely future access to rehabilitation services (see local cancer services directory-rehabilitation services). Lymphoedema Specialist Lymphoedema: of lower limb or trunk Difficulties with function, movement and symptom control: Occupational Difficulties with functional activities of daily living, leisure and work: Difficulty walking and getting around Impaired Balance Breathing difficulties/cough Movement impairment/loss of function Pain Difficulty walking and getting around Breathing difficulties Fatigue/Tiredness Impaired balance/weakness Adjustment to role and function change Pain management Weakness and loss of muscle strength (focal or generalized) Incontinence Tingling in hands and feet Sensory changes Body image concerns Anxiety/Depression/loss of motivation/isolation Body image/ Facial disfigurement Cognitive impairment Tingling in hands and feet Incontinence Dietician: Nutrition and diet: Reduced appetite (anorexia) Malnutrition Weight loss/weight management (cachexia) Nausea and vomiting Difficulties swallowing Information needs Speech & Language Therapist: Impaired communication, eating and drinking: Coughing/choking on eating or drinking Aspiration related chest infections Food sticking in the throat Weak or hoarse voice/loss of volume Weak cough Difficulty understanding or speaking Dry mouth MCCN Rehabilitation Pathways Page 15 of 29
Section Two: Locality Rehabilitation Directory - Eastern Sector - Liverpool - Sefton - Western Cheshire - Wirral Locality PCT Acute Trust/s Hospices Eastern Sector o Halton & St Helens o Warrington o Knowsley o St Helens & Knowsley o Warrington & o Halton Haven o ST Rocco s o Willowbrook Halton Liverpool o Liverpool o Royal Liverpool & Broadgreen o Alder Hey* o Liverpool Womens o Liverpool Heart & Chest o Marie Curie Sefton o Sefton o Aintree o The Walton Centre o Southport & Ormskirk Western Cheshire o Western Cheshire o Countess of Chester Wirral o Wirral o Wirral Hospital o Clatterbridge * Paediatric s not included in this Directory o Woodlands o Queenscourt o Hospice of the Good Shepherd o St Johns o Claire House* MCCN Rehabilitation Pathways Page 16 of 29
EASTERN SECTOR LOCALITY NHS Halton & St Helens (Halton ) Clinic Patients Telephone Fax appointments available Yes Yes 01928 753467 01928 753887 Occupational Halton Haven Yes 01928 753571 01928 753264 & visits Nutrition & Dietetics Yes Yes 01928 753202 01928 753411 Yes 01928 753424 01928 753313 Rapid Response In & Out patients 01928 753165 01928 753888 Respiratory Team and home visits Social s OT Yes 01928 704463 01928 704547 NHS Knowsley (Knowsley & St Helens s) Clinic Patients Telephone Fax appointments available - No Yes 0151 244 3379 0151 244 3392 mobility: Knowsley - No Yes 01744 621 724 01744 621728 mobility: St Helens Occupational : No Yes 0151 244 3379 0151 244 3392 Knowsley Occupational : St Helens Musculo- skeletal Knowsley and St Helens No Yes- rapid reponse & reenablement 01744 621724 01744 621728 Yes No 0151 430 1277 Nutrition & Dietetics Yes Yes 0151 290 4327 0151 290 4328 Yes Yes 0151 244 3385 0151 244 3392 Social s OT No Yes 0151 443 4173 NHS Warrington Orthopaedic Clinical Assessment and service Community Falls & Rehabilitation Community neuro team (physio & OT) Clinic appointments available Patients Telephone Fax Yes No 01925 251407 01925 251565 Yes (falls clinic) Yes 01925 867719 01925 251 560 No Yes 01925 867708 01925 251569 Nutrition & Dietetics Yes No 01925 662459 01925 662923 MCCN Rehabilitation Pathways Page 17 of 29
01928 753202 01928 753411 Yes Yes 01925 662062 01925 662923 Social s OT Yes 01925 444239 St Helens & Knowsley NHS Trust: Whiston Hospital In-patient service available Telephone Occupational Nutrition & Dietetics: Southport NHS Foundation Trust. YES for admitted patients. St Helens & Knowsley NHS Trust: St Helens Hospital This is a DTC Facility only Out-patient Occupational service available No No Fax 0151 290 4133 0151 676 5860 Telephone Fax Nutrition & Dietetics: No No * St Helens and Knowsley NHS Trust Contracts In Patient services only (from NHS Knowlsey). Out Patient services are provided by NHS Knowsley for Knowsley and St Helens patients see NHS Knowsley above. Warrington & Halton NHS Foundation Trust: Warrington Hospital Out-patient Telephone Fax service available Yes In-pts: 01925 662992 Out-pts: 01925 662604 In-pts: 01925 662639 01925 275232 01925 662500 Occupational Yes In-pts: 01925 662992 Out-pts: 01925 662604 Nutrition & Dietetics Yes 01925 662459 01925 662923 Yes 01925 662062 01925 662923 Warrington & Halton NHS Foundation Trust: Halton Hospital Yes 01928 753236 None available Occupational Yes In-pts: 01928 753571 Out-pts: 01928 753266 In-pts: 01928 753264 Out-pts: 01928 753118 Nutrition & Dietetics Yes 01928 753202 01928 753411 Yes 01928 753424 01928 753313 Rapid Response Respiratory Team In-patients, outpatients and home 01928 753165 01928 753888 MCCN Rehabilitation Pathways Page 18 of 29
(physiotherapy) visits Halton Haven, Runcorn Visits Out- Patients & Day Telephone Yes Yes Yes 01928 719454 01928 701201 Occupational No services available Nutrition & Dietetics St Rocco s, Warrington Visits Out- Patients & Day Telephone Yes Yes Yes 01925 575780 01925 630690 Occupational No services available Nutrition & Dietetics Willowbrook, St Helens Visits Inpatients Inpatients Inpatients Out- Patients & Day Telephone No Yes Yes 0151 430 8736 0151 493 1006 Occupational Yes Yes Yes 0151 430 8736 0151 493 1006 Nutrition & Dietetics No services available Wheelchair s: Telephone Fax St Helens 01744 646 815 01744 458352 Halton 01928 582948 01928 582950 Warrington 01925 251445 01925 251446 Equipment s: Telephone Fax Halton & St Helens 01744 676789 Knowsley 0151 289 6668 0151 292 7536/7537 Warrington 01925 236 141 Lymphoedema s: Locality Base Telephone Fax Eastern St Helens & Knowsley Liverpool Marie Curie Hospice 0151 801 1462 0151 801 1458 Fax Fax Fax MCCN Rehabilitation Pathways Page 19 of 29
Eastern Halton & Warrington Lymphoedema Warrington & Halton Hospitals NHS Foundation Trust 01925 662344 01925 662793 MCCN Rehabilitation Pathways Page 20 of 29
LIVERPOOL LOCALITY Liverpool PCT Clinic appointments available Patients Telephone No Yes 0151 296 7400 0151 283 3311 Occupational No Yes 0151 296 7400 0151 283 3311 Nutrition & No Yes 0151 296 7400 0151 283 3311 Dietetics Speech & Language No service available for patients with cancer. Palliative non-malignancy related neurological conditions can be referred. Contact details as above. Falls No Yes 0151 296 7400 0151 283 3311 Social s No Yes 0151 233 3019 OT 0151 233 3000 Royal Liverpool & Broadgreen Hospitals NHS Trust: Royal Liverpool Hospital Out-patient service Telephone Fax available : Yes 0151 709 2700 0151 709 5840 Occupational : No 0151 709 2700 0151 709 5840 Nutrition & Dietetics: Yes 0151 706 2120 0151 706 4638 Yes (head & neck 0151 706 2703 0151 709 5840 : cancer only) Royal Liverpool & Broadgreen Hospitals NHS Trust: Broadgreen Hospital : Yes 0151 282 6492 0151 282 6684 Occupational : No 0151 282 6492 0151 282 6684 Nutrition & Dietetics: No 0151 282 6473 0151 282 6477 : No 0151 282 6318 0151 282 6772 Liverpool Heart and Chest Hospital. Out-patient service Telephone Fax available No 0151 600 1953 0151 600 1659 Occupational Yes and home visits 0151 600 1956 0151 600 1659 Nutrition & Dietetics 0151 282 6473 0151 282 6477 Fax No 0151 282 6318 0151 282 6772 Liverpool Women s Hospital Out-patient service Telephone Fax available No 0151 702 4170 Occupational No service available Nutrition & Dietetics As part of joint clinic 0151 702 1178 0151 702 4028 No available Marie Curie Hospice, Liverpool Visits Inpatients Out- Patients & Telephone Fax MCCN Rehabilitation Pathways Page 21 of 29
Day Yes Yes Yes 0151 8011468 0151 801 1458 Occupational Yes Yes Yes 0151 8011463 0151 801 1458 Nutrition & Dietetics No services available Wheelchair s: Telephone Fax Liverpool 0151 296 7765 0151 296 7764 Equipment s: Telephone Fax Liverpool 0151 282 7717/7718 0151 282 5180 Lymphoedema s: Locality Base Telephone Fax Liverpool Liverpool Marie Curie Hospice Lymphoedema 0151 801 1462 0151 801 1458 MCCN Rehabilitation Pathways Page 22 of 29
SEFTON LOCALITY NHS Sefton: South Sefton Clinic Patients Telephone Fax appointments available No Yes 0151 247 6113 0151 524 9750 Occupational No Yes 0151 247 6119 0151 524 9750 Nutrition & Yes Yes 01704 383215 01704 383216 Dietetics Speech & Yes Yes 0151 247 6110 0151 524 9750 Language Social s No Yes 0151 934 3737 OT NHS Sefton: North Sefton Clinic Patients Telephone Fax appointments available Yes Yes 01704 385080 01704 385061 Occupational Yes Yes 01704 385080 01704 385061 Nutrition & Yes Yes 01704 383215 01704 383216 Dietetics Speech & Yes Yes 01704 385080 01704 385061 Language Social s OT No Yes 0151 934 3737 Aintree Hospitals NHS Foundation Trust Out-patient Telephone Fax service available Yes- Musculoskeletal. 0151 529 3355 0151 529 4982 Occupational No 0151 529 3910 0151 529 8086 Nutrition & Dietetics Some clinics 0151 529 8588 0151 529 3748 supported Yes (head & neck cancer only) 0151 529 4986 0151 529 4989 Southport & Ormskirk Hospital NHS Trust Out-patient Telephone Fax service available Yes-musculoskeletal 01704 704150 01704 704594 only. Occupational Splinting and acute 01704 704150 01704 704594 musculo-skeletal Nutrition & Dietetics: No 01704 704938 01704 704878 Southport NHS Foundation Trust. No 01704 704150 01704 704594 Walton Centre for Neurology Out-patient service Telephone Fax MCCN Rehabilitation Pathways Page 23 of 29
available No 0151 529 5451 0151 529 5453 Occupational No 0151 529 5452 0151 529 5453 Nutrition & Dietetics Nutrition & dietetics and speech & language therapy services are provided for in-patients only by the departments at Aintree Hospitals NHS Foundation Trust. Queenscourt Hospice, Southport Visits In-patients Outpatients & Day Telephone Yes Yes Yes 01704 544645 Occupational Yes Yes Yes 01704 544645 Nutrition & Dietetics No services available Fax 01704 533655 01704 533655 Woodlands Hospice, Aintree Visits Inpatients Out- Telephone Fax & Community Outreach Patients & Day Yes Yes Yes 0151 529 2299 0151 529 2633 Occupational Yes Yes Yes 0151 529 2299 0151 529 2633 Nutrition & No services available Dietetics Speech & Language Wheelchair s: Telephone Fax Sefton (includes Kirkby) 0151 529 3033 0151 529 3031 Equipment s: Telephone Fax Sefton 0151 288 6208 0151 530 1203 Lymphoedema s: Locality Base Telephone Fax South Sefton Woodlands 0151 529 2299 0151 529 2633 Hospice Lymphoedema North Sefton Ainsdale Centre for Health & Well- Being 01704 387164 01704 573929 (mark for attention of Lymphoedema Nurse) MCCN Rehabilitation Pathways Page 24 of 29
WESTERN CHESHIRE LOCALITY NHS Western Cheshire Clinic appointments available Patients Telephone No Yes 01244 364866 01244 364868 Occupational No Yes 01244 364539 01244 364868 Nutrition & Dietetics Yes 01244 Yes 01244 650468 Specialist Palliative Team (Physio/OT) No Yes 01244 364494 01244 364868 Fax Countess of Chester NHS Hospital Trust Out-patient service available Yes- consultant referrals only Occupational Yes- consultant referrals only Nutrition & Dietetics Yes- GP & cons referral Yes- GP & cons referral Telephone Fax 01244 365207 01244365236 01244 365207 01244365236 01244 365207 01244365236 01244 365207 01244365236 Hospice of the Good Shepherd, Chester Visits Inpatients Out- Patients & Day Telephone Yes Yes Yes 01244 851091 01244 851108 Occupational Yes Yes Yes 01244 851091 01244 851108 Nutrition & Dietetics No services available Wheelchair s: Telephone Fax Western Cheshire 0151 357 1070 0151 356 2984 Equipment s: Telephone Fax Western Cheshire: Prescription service only Choicequip: 01625 374955 Lymphoedema s: Locality Base Telephone Fax Fax MCCN Rehabilitation Pathways Page 25 of 29
Western Cheshire Clatterbridge Centre for Oncology: Lymphoedema 0151 334 1155 x4102 0151 482 7671 MCCN Rehabilitation Pathways Page 26 of 29
WIRRAL LOCALITY NHS Wirral Community ( & OT) Clinic appointments available Patients Telephone No Yes 0151 488 7766 0151 488 3595 Fax 0151 488 7768 0151 488 3598 Nutrition & Dietetics Yes Yes 0151 604 7271 0151 488 7728 Yes Yes 0151 604 7714 0151 604 7280 Specialist Palliative Team: (physio, OT, dietitian) No Yes 0151 328 0481 0151 328 0482 Social s OT-: Birkenhead: Wallasey: Bebington & West Wirral: No Yes 0151 666 5060 0151 514 2183 0151 666 4933 Clatterbridge Centre for Oncology (in & out-patient services available for patients receiving oncology treatments) Telephone FAX 0151 334 1155 ext 4689 0151 482 7671 Occupational 0151 334 1155 ext 4844 0151 482 7671 Dietetics 0151 334 1155 ext 4297 0151 482 7671 0151 334 1155 ext 4297 0151 482 7671 Wirral University Teaching Hospitals NHS Trust: Arrowe Park Out-patient Telephone Fax service available Yes 0151 604 7045 0151 604 7341 Occupational No 0151 678 5111 0151 604 7150 x8478 Nutrition & Dietetics Yes 0151 678 5111 x8145 Yes 0151 604 7714 Wirral University Teaching Hospitals NHS Trust: Clatterbridge Hospital Out-patient Telephone Fax service available Yes 0151 482 7776 0151 482 7628 Occupational No 0151 334 4000 0151 482 7730 x4730 Nutrition & Dietetics Yes 0151 334 4000 x St Johns Hospice, Wirral Visits Inpatients Out- Patients & Day Yes Yes Day therapy=yes Out-patients= no Telephone Fax 0151 3342778 0151 3342558 Occupational Yes Yes Day 0151 3342778 0151 3342558 MCCN Rehabilitation Pathways Page 27 of 29
Nutrition & Dietetics No services available therapy=yes Out-patients= no Wheelchair s: Telephone Fax Wirral 0151 604 7261 0151 651 1630 0151 652 6799 Equipment s: Telephone Fax Wirral 0151 334 9139 0151 482 8610 Lymphoedema s: Locality Base Telephone Fax Wirral Clatterbridge Centre for Oncology: Lymphoedema 0151 334 1155 x4102 0151 482 7671 MCCN Rehabilitation Pathways Page 28 of 29
8.0 OUT OF AREA CONTACTS 8.1 Betsi Cadwaladr University NHS Trust Hospital Contact Details Lymphoedema Central: 01745 445225 West: 01286 662793 East: 01978 726257 Occupational Central: 01745 534268 West: 01248 384101 East: 01978 725412-in-patients 01978 29808-social services Central (Glan Clwyd): 01745 534043 West (Ysbyty Gwynedd) : 01248 384 100 East: (Wrexham) 01978 725408- reception 01978 727725- rehab unit 01978 725018 - community Central: West: 01286 662760 East: Dietician Central: 01745 534058 West: 01248 384103 East: 01978 727159 8.2 Christie NHS Foundation Trust Contact Details Lymphoedema 0161 446 3795 Occupational Department 0161 446 3795 Department 0161 446 3795 0161 446 8046 Dietician 0161 446 3729 MCCN Rehabilitation Pathways Page 29 of 29