Deals with unplanned orthopaedic needs. Consultant surgeons operate and review patients in clinic all day, 7 days a week.
Access to MDTs and follow up and cancer of unknown primary. For patients with new diagnosis of cancer needing follow up and MDT discussion or cancer complications.
Referrals should be discussed with an Acute Oncology Nurse by telephone: 07860 783116 (in hours) plus refer via ICE.
Referrals should be made via the relevant two week wait service.
North Bristol NHS Trust Neurosurgery Department is located at Southmead Hospital Bristol.
Neurosurgery fax: 0117 4149479
It is a tertiary referral unit serving the counties of Gloucestershire, Somerset and Wiltshire in addition to the city of Bristol.
Contact
Neuro-Rehabilitation Lead Consultant
Dr Angus Graham
Telephone: 0117 9562697
Fax: 0117 9569941
Email: angus.graham@nbt.nhs.uk
Neuro-Rehabilitation General Manager
Mrs Diane Cornish
Telephone: 0117 4147530
Email: diane.cornish@nbt.nhs.uk
Clinical Neuropsychology is concerned with the assessment and rehabilitation / treatment of cognitive, emotional and behavioural difficulties occurring within the context of identified or suspected brain damage or neurological disease. The service provided is a neuropsychological one, i.e. medical responsibility for the care of the patient remains with their medical care provider.
Clinical Neuropsychologists at North Bristol NHS Trust are engaged along the entire pathway of care from acute neurosciences through to the community. They work with a number of specialist MDTs / services and see adult patients (18+) with a range of neurological aetiologies for their difficulties:
Clinical Neuropsychology services can be accessed from primary care upon referral to the Department of Neuropsychology, Rosa Burden Centre, Donal Early Way, Southmead Hospital, Bristol, BS10 5NB. Telephone for enquiries: 0117 414 0454.
Additional Clinical Neuropsychology services are available as part of the comprehensive brain injury rehabilitation services provided by the Frenchay Centre for Brain Injury Rehabilitation (inpatient rehabilitation) and the Head Injury Therapy Unit (community rehabilitation).
Other Clinical Neuropsychology services are offered within specialist teams including:
Services for children with neuropsychological difficulties are provided by the Department of Paediatric Neuropsychology, Bristol Royal Hospital for Children, University Hospitals Bristol NHS Foundation Trust.
A neuropsychological assessment provides an objective way of characterising cognitive, emotional and behavioural symptoms. This process typically involves completing a number of different cognitive tasks and questionnaires. The process is not painful or unpleasant but may take a number of hours.
Typically a neuropsychological assessment might involve assessment of:
Results of an assessment are typically presented in report format and may also be discussed directly with the patient.
The significance of the findings of the assessment in relation to the referral question, along with a short summary of the main findings, are typically briefly summarised at the end of the report.
Where appropriate, treatment is offered to help improve or mitigate the impact of presented cognitive, emotional and behavioural difficulties. Within the Clinical Neuropsychology service this is provided within the framework of a brief goal-focused intervention model. Typically, this work involves aspects of cognitive rehabilitation, the implementation of strategies to compensate for cognitive problems and, where appropriate, brief psychological therapy interventions for associated psychological difficulties, typically within a cognitive-behavioural therapy framework.
Comprehensive post-acute multi-disciplinary neuro-rehabilitation, including neuropsychological input, is offered by the Frenchay Centre for Brain Injury Rehabilitation and the Head Injury Therapy Unit at Frenchay.
We currently accept paper referral letters, with full Clinical details, and have a structured form for Inpatient referrals.
Download [attachments]
The department of Neuropathology at North Bristol NHS Trust provides the following services:
For further information, download:[attachments]
Neuropathology request forms are available from the Neuropathology department and should be completed in full.
Each request received by the laboratory is considered an agreement between the requestor and laboratory for provision of Neuropathology Services.
Refer to the Neuropathology User Manual for further details on requesting tests.
Reports are currently available on ICE and will be sent by secure email to the requesting Clinician. A hard copy of reports can be obtained by telephoning the departmental secretarial team.
Please visit www.nbt.nhs.uk/bnog for more information about services offered and referring a patient with a suspected or proven Brain or spine tumour to the Neuro-Oncology multidisciplinary team meeting.
There are a number of drugs used for the treatment of neurological conditions that are subject to the Traffic Light System and/or Shared Care Protocols (SCPs).
The latest versions of the SCPs can be found on the www.bnssgformulary.nhs.uk or you should check with the Pharmacy.
TIA Clinics
7 day service. For patients with TIAs or minor stroke.
Please download the referral form
and attach to the referral made for the ‘First Seizure clinic – Neurology – Southmead’ service via NHS eReferrals.
Contact the Neonatal Intensive Care Unit
Telephone: 0117 4146800