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Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust




Location and Contact details


Cambridge Biomedical Campus
Hills Road
Cambridge
Cambridgeshire
CB2 0QQ

Telephone: 01223 245151

Email: pals@addenbrookes.nhs.uk

http://www.cuh.org.uk/addenbrookes/services/c...

Type of organisation

  • NHS Service

Descripton of organisation

  • Major Trauma Centre
  • Acute Hospital
  • In patient
  • Out patient
Neurosciences Centre

miles (straight line)
miles (approximate road distance)

Entry last updated

Mar 5, 2013

Further Details

The Neurosciences department provides comprehensive, specialised services based on integrating research and best practice.

Through our main areas - Wards A3, A4, A5, Neurosciences Clinics and Neurophysiology - neurosciences serves a huge population within the East Anglia region and beyond.

Over 900 patients are treated each year on the NCCU. Of these approximately 75% have a neurological or neurosurgically related illness. About a hundred of these patients have severe head injuries requiring intensive care. Other patients admitted as emergencies have diagnoses including uncontrolled epilepsy, stroke, and respiratory failure as a result of diseases of nerves or muscles, or are admitted following neurosurgery. Most of these patients are from East Anglia, but others are referred from other parts of the UK or the rest of the world.

A major £2.1 million expansion of the Neurosciences Critical Care Unit (NCCU) at Addenbrooke's was completed in December 2000. The new, purpose-built Unit consists of 20 critical-care beds. These are being used in a flexible way with other critical-care units within the Trust, with an anticipated initial allocation of 13 beds for intensive care and 8 for the high-dependency unit.

Ward A3 is part of a regional Neurosciences Unit. We specialise in caring for patients who require surgery or treatment for conditions relating to the brain and spine.

A4 is a 26 bedded neuromedical and neurosurgical ward. It cares for patients who have undergone neurosurgery.

The Lewin Stroke and Rehabilitation Unit offers:
Doctors: We diagnose, treat and manage your medical condition
Nursing: Safe, kind and excellent care
Physiotherapy: Improving your movement
Occupational Therapy: Improving your independence in everyday tasks Speech and Language Therapy: Helping you with talking, understanding and swallowing
Neuropsychology: Assessment and advice about thinking skills
such as memory and problem solving

Services available

ABI Specialist National Regional Local
Acute Medical Care yes yes yes yes
Advice yes no no no
Clinical psychology yes yes yes yes
Neuropsychiatry yes yes yes yes
Neuropsychology yes yes yes yes
Neurosurgical Care yes yes yes yes
Nursing yes yes yes yes
Occupational Therapy yes yes yes yes
Physiotherapy yes yes yes yes
Psychiatry yes yes yes yes
Psychology yes yes yes yes
Speech & Language Therapy yes yes yes yes
National = country wide, Regional = offering a service within 150 miles, Local = offering a service within 50 miles

This service adheres to the following Regulatory Frameworks / is affiliated to the following bodies:

CQC Inspection passed 25 December 2012


Referrals can be made by

GP yes
Consultant yes
Healthcare Professional no
Self/Advocate/Family no
Other professional eg Social Care/Case Manager no

How are services paid for?

yes Publicly funded - free at point of access
Regularly Sometimes Never
NHS yesnono
Social Care Services yesnono
Jointly funded by NHS & Social Care Services yesnono

Typical duration that a service is offered

No Data

This Service was mapped by Eastern Region ABI. See HERE for more information

Services available are defined by the following EHIG Rehabilitation Codes

For an explanation of the codings please click here

FOLLOW UP FOR A MILD HEAD INJURY

[Code 05]
Patient description
Medically stable, requiring 24-48hrs observation prior to communityrehabilitation, (as necessary in a smallminority) with low probability of acute neurological deterioration requiring neurosurgical advice/transfer

Sites
Acute A&E observation ward

Description of rehabilitation input
Assessment and observation –education, emotional and social support.Planned discharge home, sometimeswith outpatient follow up or moves tocode 30 at 48 hours

NEURO-SURGERY

[Code 10]
Patient description
Identifying and addressing early rehab goals before medically stable and transfer of care to rehab team

Sites
Major Trauma Centre/ Trauma Unit

Description of rehabilitation input
Identifying and addressing early rehab goals before medically stable and transfer of care to rehab team

MEDICAL TREATMENT IN HOSPITAL

[Code 20]
Patient description
Medically unstable – requires general but not neurosurgical critical care.

Sites
Major Trauma Centre/ Trauma Unit/Acute Hospital

Description of rehabilitation input
Identifying and addressing early rehab goals before medically stable and transfer of care to rehab team

SPECIALIST REHAB IN HOSPITAL

[Code 30]
Patient description
Potentially medically unstable, but does not require critical care - unable to actively participate due to PTA, confusion, rejection, agitation, or low awareness state.

Sites
Major Trauma Centre/ Trauma Unit/Acute Hospital

Description of rehabilitation input
Needs inpatient care and treatment, and environmental and behavioural management, for physical dependency and confusion, and continuous clinical assessment (nursing, medical, therapy) to detect deterioration and prevent avoidable complications, and to facilitate optimal timing of rehab input and referral to next rehab programme.

REHAB IN HOSPITAL

[Code 40]
Patient description
Needs in-patient care due to physical dependency, or the need for specialist therapy equipment, a safe environment, supervision, or intensity of therapy, in a unit with the expertise and experience in rehabilitation of a condition (Level 1)which cannot be provided in a local specialist centre or in the community (Level 2) which cannot be provided in the community.

Sites
Level 1: Regional specialized centre Level 2: Local specialist centre, Acute or community hospital

Description of rehabilitation input
Needs inpatient care due to physical dependency, or need for specialist therapy equipment, safe environment, supervision or intensity of therapy which cannot be provided in community

BRAIN INJURY CLINIC

[Code 85]
Patient description
Medically stable, living in community, aiming to enter/return to employment

Sites
Outpatient clinic – acute or community hospital or other community location

Description of rehabilitation input
Multidisciplinary diagnostic and triage clinic, including expert medical input, with specialist brain injury nurse and/or neuropsychological assessment and support and follow-along available. Education, emotional and social support, both for patient and family. Liaison with/advice to GP and employer.

This service is defined by the NMDS (National Minimum Data Set) codes as:

For an explanation of the NMDS, please click here

Level 1 (highly specialised rehabilitation services): Treat patients with Category A needs and is led by a consultant trained and accredited in rehabilitation medicine or neuropsychiatry

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