{"id":15489,"date":"2023-05-26T11:24:48","date_gmt":"2023-05-26T10:24:48","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=15489"},"modified":"2025-06-02T15:45:16","modified_gmt":"2025-06-02T14:45:16","slug":"lctc-moe-opra","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/lctc-moe-opra\/","title":{"rendered":"LCTC-MoE OPRA"},"content":{"rendered":"\n<p><strong>Leith Community Treatment Centre &#8211; Older Peoples\u2019 Rehabilitation and Assessment (OPRA)<\/strong><\/p>\n\n\n\n<p><strong>Services<\/strong><\/p>\n\n\n\n<p>OPRA provides comprehensive assessment of frail older people. This is an outpatient day hospital service, which may involve one or several weekly attendances.&nbsp; It is run between 9-5pm Monday to Friday.&nbsp; Patients attend for a whole morning and return visits are scheduled as necessary. &nbsp;Ambulance transport is available to and from appointments.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Comprehensive multidisciplinary assessment of frail older people<\/td><td>Medical &amp; Nursing team<\/td><\/tr><tr><td>Treatment and rehabilitation for complex medical problems in frail older people<\/td><td>Physiotherapy &amp; Occupational therapy<\/td><\/tr><tr><td>Crisis intervention to prevent unscheduled hospital admission<\/td><td>Radiology \u2013 plain X ray and ultrasound<\/td><\/tr><tr><td>Facilitation of early discharge from hospital<\/td><td>ECG, echocardiography, 24hr ambulatory                                   <\/td><\/tr><tr><td>Falls assessment and prevention programme<br>Continence assessment<\/td><td>ECG, Ambulatory 24hr BP, Pulmonary function testing, Endoscopy                              <\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Consultants<\/strong>:  Dr Kathryn E Anderson, Dr Gordon W Duncan<\/p>\n\n\n\n<p><strong>Associate Specialist:<\/strong> Dr Karen McLeod<\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">Who to refer :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients who are over 65 years of age with rehabilitation needs living in the North East of Edinburgh<\/li>\n<\/ul>\n\n\n\n<p>Those for whom urgent Day Hospital attendance may avoid unscheduled admission<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients who require ongoing care to facilitate early hospital discharge<\/li>\n<\/ul>\n\n\n\n<p>Acute reduction in mobility or function without obvious injury<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Frequent falls<\/li>\n<\/ul>\n\n\n\n<p>Exacerbation of chronic medical problems which would benefit from specialist medical and multidisciplinary care<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Those with Parkinson\u2019s or other chronic health conditions with associated disability<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Who not to refer:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Unstable clinical condition e.g.<ul><li>Acute stroke\/TIA<\/li><\/ul><ul><li>GI haemorrhage<\/li><\/ul><ul><li>Chest pain\/acute cardiac problems<\/li><\/ul>\n<ul class=\"wp-block-list\">\n<li>Suspected DVT or PE<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Patients with advanced dementia unable to participate in rehabilitation<\/li>\n<\/ul>\n\n\n\n<p>Patients whose needs can be addressed by community services<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Memory Clinic patients: Should be referred to the MATS Service (Memory Assessment and Treatment Service in Psychiatry of Old Age)<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">How to refer:<\/h4>\n\n\n\n<p><strong>Routine referrals<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>SCI Gateway<\/li>\n<\/ul>\n\n\n\n<p><strong>Urgent referrals<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>SCI Gateway<\/li>\n<\/ul>\n\n\n\n<p>For advice or discussion about urgent referrals, please contact the Consultant on call for MoE at WGH:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Geriatric Medicine Advice Hotline: 0131 465 9107 (08.30 &#8211; 16.30 M &#8211; F)<ul><li>Consultant on call for WGH MoE: 07815 493034<\/li><\/ul>\n<ul class=\"wp-block-list\">\n<li>Email: geriatricmed.north@nhslothian.scot.nhs.uk<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Leith Community Treatment Centre &ndash; Older Peoples&rsquo; 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.&nbsp; It is run between 9-5pm Monday to Friday.&nbsp; Patients attend for a whole morning and return visits are scheduled as<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":3664,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[937],"class_list":["post-15489","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-lctc-moe-opra"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/medicineofelderlygeriatrics\/https-apps-nhslothian-scot-refhelp-lctc-moe-opra\/\" rel=\"tag\">LCTC- MoE OPRA<\/a>","rttpg_excerpt":"Leith Community Treatment Centre &ndash; Older Peoples&rsquo; 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.&nbsp; It is run between 9-5pm Monday to Friday.&nbsp; Patients attend for a whole morning and return visits are scheduled as","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/15489","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=15489"}],"version-history":[{"count":2,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/15489\/revisions"}],"predecessor-version":[{"id":24173,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/15489\/revisions\/24173"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3664"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=15489"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=15489"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}