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The A&E department is led by consultants who are supported by other doctors and a team of general and specialist nurses, emergency department assistants, radiographers, housekeepers and administrative staff. Doctors in other specialties work closely with the department.
The neurosciences service at the Royal Free was established as the regional unit in 1975 and was also given an established Chair of Neurology by the University of London. Over the last 35 years the service has grown considerably combining all aspects of neuroscience:
> Clinical neuropsychology
> Neurology
> Neurophysiology
> Neuroradiology
> Neurorehabilitation
> Neurosurgery
> Stroke
The unit is now one of the largest in the UK and provides a comprehensive clinical and academic service for neurosciences.
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
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
Royal Free Hospital, Royal Free Hampstead NHS trust
Location and Contact detailsRoyal Free Hospital Pond Street London Greater London NW3 2QG Telephone: 0844 8480700 Email: rfh.pals@nhs.net http://www.royalfree.nhs.uk |
Type of organisation
Descripton of organisation
miles (straight line)miles (approximate road distance) Entry last updatedOct 25, 2012 |
Further Details
The accident and emergency (A&E) department at the Royal Free Hospital provides ad 24-hour a day, 365 days a year, emergency medical service dealing with problems varying from the minor to the life-threatening. In general we deal with patients who require immediate care, either as a result of an accident or a medical or surgical emergency. The department is divided into a children's area, and adult area, an Urgent Care Centre (10am to 9pm, 7 days a week), and a clinical decision unit.The A&E department is led by consultants who are supported by other doctors and a team of general and specialist nurses, emergency department assistants, radiographers, housekeepers and administrative staff. Doctors in other specialties work closely with the department.
The neurosciences service at the Royal Free was established as the regional unit in 1975 and was also given an established Chair of Neurology by the University of London. Over the last 35 years the service has grown considerably combining all aspects of neuroscience:
> Clinical neuropsychology
> Neurology
> Neurophysiology
> Neuroradiology
> Neurorehabilitation
> Neurosurgery
> Stroke
The unit is now one of the largest in the UK and provides a comprehensive clinical and academic service for neurosciences.
Services available
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| Neurosurgical Care |
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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
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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
This service is defined by the NMDS (National Minimum Data Set) codes as:
For an explanation of the NMDS, please click hereLevel 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
