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
