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Great Ormond St Hospital




Location and Contact details


Great Ormond Street Hospital
Great Ormond Street
London
Greater London
WC1N 3JH

Telephone: 020 7405 9200

Email: pals@gosh.nhs.uk

http://www.gosh.nhs.uk/medical-conditions/cli...

Type of organisation

  • NHS Service

Descripton of organisation

  • Acute Hospital
  • In patient
Paediatric Neurosciences Centre

miles (straight line)
miles (approximate road distance)

Entry last updated

Oct 25, 2012

Further Details

The Neurosurgery Department provides a tertiary service both nationally and internationally for children with disorders of the brain and spine that require surgical management.

It offers surgical opinions, investigations and treatments which because of their unusual or specialist nature can not be provided by a district general hospital.

A comprehensive specialist service is provided for children with the following disorders:

> trauma to the central nervous system
> hydrocephalus (including endoscopic management)
> tumours of the brain and spinal cord
> spina bifida and spinal dysraphism
> congenital malformations of the central nervous system
> central nervous system infections
> craniofacial surgery
> surgical treatment of epilepsy
> complex cervical spinal surgery
> cerebrovascular disorders such as arterial venous malformation (AVM), aneurysms, Moya Moya disease, and cavernous haemangiomata

Assessment usually takes place on the ward or therapy gym, and may consist of standardised and non-standardised tests, along with discussion with parents/carers.

Areas assessed may include: motor skills (hand function in particular), seating and postural management, self-care skills, visual perceptual skills, access to home and school environment, home equipment needs, pain and sensory issues. Standardised developmental assessments may also be used.

Intervention may include loaning your child a seating system or wheelchair while they are an inpatient, providing hand and elbow splints to prevent contractures and advising on maximizing your child's ability to participate in daily activities.

We provide early neuro-rehabilitation for appropriate patients. We will refer your child onto local services, including occupational therapy, social services, educational and play services, if they require ongoing treatment when discharged from this hospital.

Children on the neurosurgical ward present with a variety of neurological conditions including head injuries. Most children will be assessed by a physiotherapist to ascertain whether they have any motor deficits or motor developmental delay.

If the child has a neurosurgical procedure they will also be reviewed post-operatively and provided with acute rehabilitation as appropriate.

Often the main problem will be ataxia (a lack of balance), hemiplegia (weakness down one side of the body) or developmental delay.

Treatment may involve positioning, facilitatory techniques, advise to help with management of tone/movement disorders and rehabilitation to assist with regaining or improving functional abilities.

Services available

ABI Specialist National Regional Local
Acute Medical Care yes yes yes yes
Advice yes yes yes yes
Clinical psychology yes yes yes yes
Family Support 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:



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 nonoyes
Jointly funded by NHS & Social Care Services nonoyes

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

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.

SOMEONE TO TALK TO

[Code 110]
Patient description
Information and guidance over a continuum. Family support and outreach. Advocacy

Sites
All sites

Description of rehabilitation input
Information and guidance over a continuum. Family support and outreach. Advocacy

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

For an explanation of the NMDS, please click here

No Data for NMDS

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