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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.
Publicly funded
- free at point of access
This Service was mapped by Eastern Region ABI. See HERE for more information
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
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
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
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
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.
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
No Data for NMDS
Great Ormond St Hospital
Location and Contact detailsGreat 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
Descripton of organisation
miles (straight line)miles (approximate road distance) Entry last updatedOct 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 | |
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| Advice |
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| Clinical psychology |
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| Neuropsychiatry |
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| Neuropsychology |
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| Neurosurgical Care |
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| Nursing |
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| Occupational Therapy |
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| Physiotherapy |
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| Psychiatry |
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| Psychology |
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| Speech & Language Therapy |
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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 |
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| Consultant |
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| Healthcare Professional |
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| Self/Advocate/Family |
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| Other professional eg Social Care/Case Manager |
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How are services paid for?
Publicly funded
- free at point of access
| Regularly | Sometimes | Never | |
|---|---|---|---|
| NHS | | | |
| Social Care Services | | | |
| Jointly funded by NHS & Social Care Services | | | |
Typical duration that a service is offered
No DataThis 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 hereFOLLOW 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 hereNo Data for NMDS
