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.
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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
Outpatient clinics are held at Level 1, Brunel building, Southmead Hospital and at Cossham Hospital.
Comprehensive Geriatric Assessment (CGA) clinics. For older people who are developing difficulties with everyday activities, memory problems and taking a lot of medication. The service reviews the medical aspects of these problems to improve quality of life. The service is accessed via NHS eReferrals and has links with the Admissions Avoidance clinic run in the older persons medical unit.
Falls Service (delivered by Dr Seema Srivastava, Lead Consultant for Falls at Southmead Hospital Bristol and all Medicine for Older People consultants at Cossham Hospital). For patients who have fallen or at risk of falling who wish to stay steady and minimise further falls. The service consists of a consultant led specialist falls clinic with links to the community services.
Referrals can be made through the Emergency Department, GPs, Community Nurses and Intermediate Care.
Parkinson Disease (Dr Ronald Barber and Dr Jarrod Richards). Consists of an outpatient clinic based at Cossham Hospital.
Osteoporosis & metabolic bone disease (Dr Karen Harding, Dr Walsh and Dr Srivastava). Assesses patients with severe/complex osteoporosis, offers advice on alternative treatment for patients intolerant to oral biphosphonates and accepts referrals for patients with other metabolic bone problems such as Paget's disease and osteomalacia. Clinics are held at both Southmead Hospital Bristol and Cossham Hospital.
Cardiovascular Chest Medicine in Older People (Dr John Pounsford). Provides specialist assessment of older people with breathing difficulties thought to be due to their lungs. Clinics are held at Southmead Hospital Bristol.
Please fax referrals to 0117 4149448 or 0117 4149400.
Referral Criteria for Hospital Medical Assessment of patients with falls
Exclusions:
Prior to Referral: GP and community nurse must have carried out a multi-factorial falls assessment including blood tests and accurate medication review as per CCG Integrated Falls Pathway. Please include details of these assessments with referral.
Access:
Guidance: