M.A & P.A. 15-09-23
Who not to refer/red flag presentations: | Patients who need – Domiciliary assessments, Full neurological assessments, Full MSK assessments Patients who require 4 wheel walker / delta frames should be referred to: Domiciliary Physio/Physio at Home Team for assessment in the environment this will be used in. Patients who are at high risk of falls should be referred to the local Falls Team or Domiciliary Physiotherapy team for Home assessment. |
Edinburgh | Physiotherapy @ Home team refer via SCI gateway or email ecps.physioathome@nhslothian.scot.nhs.uk Patients can self refer via Physio@Home Falls team-jo.gordon@nhslothian.scot.nhs.uk |
East Lothian | Physiotherapy Domicillary team via SCI gateway referral, clearly annotate the referral type as ‘Domi’ Patients can self refer via request for assistance on Tel 0300 369 0680 Falls team- leanne.x.reid@nhslothian.scot.nhs.uk |
Midlothian | Physiotherapy Domicilliary team via SCI gateway referral Falls team apps.nhslothian.scot/refhelp/MedicineofElderlyGeriatrics/falls/midlothian-falls |
West Lothian | Physiotherapy Domicilliary team via REACT via SCI Gateway email enquiry to SPAR@nhslothian.scot.nhs.uk Tel 07826917289 Falls team-lyndsay.x.stewart@nhslothian.scot.nhs.uk |
What not to refer-other: | Patients who are unable to attend for an Outpatient appointment ( ie housebound) Patients who require their home environment or outdoor mobility to be assessed Patients who require wheelchair assessments Neurological conditions e.g. MS, PD, CVA – Refer to neuro services (Outpatient neuro at AAH for Edinburgh Patients ) Children under 16 |
Who to refer:
Patients who require a walking aid assessment to aid their mobility due to a MSK complaint. They must be able to attend a clinic for an Outpatient appointment.
How to refer:
Refer via SCI Gateway Referral “AHP-Physiotherapy” then choose local site.
AHP-Physiotherapy West Lothian SJH LI physiotherapy-WL
AHP-Physiotherapy Edinburgh-Community MSK Hub( Slateford) LI Physiotherapy
AHP Physiotherapy Mid Lothian – Bonnyrigg Health Centre – LI Physiotherapy
AHP Physiotherapy Edinburgh- Western General Hospital – LI Physiotherapy
AHP Physiotherapy East Lothian- East Lothian Community Hospital – LI Physiotherapy
Please provide as much clinical information as possible to help the triage process
SCI referral as per main page
Signpost patient to:
Intranet walking aid leaflets http://intranet.lothian.scot.nhs.uk/Directory/physiotherapy/PatientInfoLeafletNetwork/Pages/WalkingAids.aspx
Falls in older people NICE guidelines
https://www.nice.org.uk/guidance/cg161
Other referral options to consider:
For Edinburgh –Steady Steps at Edinburgh Leisure https://www.edinburghleisure.co.uk/activities/active-communities/steady-steps
Falls prevention team
OPRA (Older people’s assessment and rehabilitation) – LCTC – MDT clinic Assessment and Rehabilitation Centre at RVB, WG