Lothian Community Neuro Rehab Service- Occupational Therapy (LCNRS-OT)
Information
We work in partnership with people who have a neurological condition to support their rehabilitation. Compensatory/adaptive and restorative techniques are employed as the primary therapeutic modalities in rehabilitation.Our service is Pan Lothian- we cover Edinburgh , East Lothian, Midlothian and West Lothian.
Our occupational therapy offer aims to:
- Optimise a person’s physical, psychological and social wellbeing with a focus on occupational participation and engagement within a community setting.
- Work alongside those who are important to the person, including carers, as a critical part of the persons road to recovery.
- Enable risk to maximise outcomes and promote participation.
- Provide an individualised person-centred goal-orientated approach, informed by evidence and best practice.
- Utilise supported self-management approach to maximise outcomes of the people we support, using a knowledge base of psychoeducation to promote health and wellbeing.
- Support and sustain the persons transition from hospital to home and community -collaboratively identifying person centred rehabilitation outcomes, using assessment and planned intervention to support the person.
- Focus on community re-engagement underpins our active linking with other community facing services – whether statutory or third sector to ensure the outcomes of those we support are met.
Our specialist interventions are based on shared decision making and person-centred goal setting. Our staff group are trained in good conversations, solution focussed therapy and supported self management. Our specialist interventions include:
- Vocational Rehab- advice, retention, return to work adjustments, work hardening and transfer of skills.
- Digital technology for participation and independence.
- Enhanced psychological therapies to support engagement
- Instrumental activities of daily living (for example – managing finances, driving, household management and relationships)
- Community integration- functional mobility, how and support required
- Postural care- to promote engagement
- Modification of environment – to promote engagement and participation
Operationally we aim to be responsive through the provision of:
- Active clinical triage of all requests daily by the Advanced Practitioners
- Initial contact with the person within 5 working days following the receipt of the request
How to refer:
Referrals can be done via SCI gateway or through emailing/posting referral form <link to LCNRS referral form>
Referrals can be sent:
Email: loth.neurorehaboutpatientservice@nhs.scot
Post: LCNRS-OT, Outpatient Therapy Hub, Astley Ainslie Hospital, 133 Grange Loan, EH9 2HL
Sci Gateway: (AAH > Neuro Rehabilitation >Ll Neuro rehabilitation).
Telephone: We are happy to consult on referrals by telephone: 0131 537 9089.
Who can refer:
Referrals can come from anyone including- service users, family members, all Health Care Professionals, Third Sector and Primary Care Practitioners.
Who to refer:
Anyone with a neurological condition that is impacting on their participation, living in Lothian and age 16+ will be considered. This includes and is not limited to –
- Brain Tumour
- Functional Neurological Disorder,
- Traumatic Brain injury
- CVA
- Multiple Sclerosis and all other progressive neurological conditions (excluding primary cause dementia).
- Spinal injury
- Other acquired brain conditions – infective etc .
Who not to refer:
Peoples whose co-morbidities would prevent them from engaging in neuro rehabilitative approach and would be better supported by another service (eg Community Mental Health, Pain Management, Learning Disabilities, Substance Misuse)
People are unable or unwilling to engage with a neuro rehabilitative approach.
People whose primary symptoms are not neurological in origin.
We accept referrals from services users, acute, rehab, community and primary care
