Leith Community Treatment Centre – Older Peoples’ Rehabilitation and Assessment (OPRA)
Services
OPRA provides comprehensive assessment of frail older people. This is an outpatient day hospital service, which may involve one or several weekly attendances. It is run between 9-5pm Monday to Friday. Patients attend for a whole morning and return visits are scheduled as necessary. Ambulance transport is available to and from appointments.
| Comprehensive multidisciplinary assessment of frail older people | Medical & Nursing team |
| Treatment and rehabilitation for complex medical problems in frail older people | Physiotherapy & Occupational therapy |
| Crisis intervention to prevent unscheduled hospital admission | Radiology – plain X ray and ultrasound |
| Facilitation of early discharge from hospital | ECG, echocardiography, 24hr ambulatory |
| Falls assessment and prevention programme Continence assessment | ECG, Ambulatory 24hr BP, Pulmonary function testing, Endoscopy |
Consultants: Dr Kathryn E Anderson, Dr Gordon W Duncan
Associate Specialist: Dr Karen McLeod
Who to refer :
- Patients who are over 65 years of age with rehabilitation needs living in the North East of Edinburgh
Those for whom urgent Day Hospital attendance may avoid unscheduled admission
- Patients who require ongoing care to facilitate early hospital discharge
Acute reduction in mobility or function without obvious injury
- Frequent falls
Exacerbation of chronic medical problems which would benefit from specialist medical and multidisciplinary care
- Those with Parkinson’s or other chronic health conditions with associated disability
Who not to refer:
- Unstable clinical condition e.g.
- Acute stroke/TIA
- GI haemorrhage
- Chest pain/acute cardiac problems
- Suspected DVT or PE
- Patients with advanced dementia unable to participate in rehabilitation
Patients whose needs can be addressed by community services
- Memory Clinic patients: Should be referred to the MATS Service (Memory Assessment and Treatment Service in Psychiatry of Old Age)
How to refer:
Routine referrals
- SCI Gateway
Urgent referrals
- SCI Gateway
For advice or discussion about urgent referrals, please contact the Consultant on call for MoE at WGH:
- Geriatric Medicine Advice Hotline: 0131 465 9107 (08.30 – 16.30 M – F)
- Consultant on call for WGH MoE: 07815 493034
- Email: geriatricmed.north@nhslothian.scot.nhs.uk
