{"id":24013,"date":"2025-05-13T14:16:45","date_gmt":"2025-05-13T13:16:45","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=24013"},"modified":"2025-06-19T19:14:50","modified_gmt":"2025-06-19T18:14:50","slug":"community-rehabilitation-medicine","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/rehabilitation\/community-rehabilitation-medicine\/","title":{"rendered":"Rehabilitation Medicine &#8211; Community"},"content":{"rendered":"\n<p><strong>Information<\/strong><\/p>\n\n\n\n<p>This Lothian-wide service aspires to a \u201cno wrong email approach\u201d.&nbsp; In other words please get in touch and we will do our best to help, on a liaison basis, seeing patients in clinic, and in their homes.<\/p>\n\n\n\n<p>We (Dr&nbsp;Edwin Jesudason&nbsp;and&nbsp;Dr Alison Hunter) are Consultant Physicians in Rehabilitation Medicine, and we work with people, families, and care teams who are negotiating complex and disabling health conditions in the community.&nbsp; Our aim is to provide a holistic approach that tailors appropriate medical, health and social care in order to promote flourishing and ameliorate suffering.&nbsp; In short, if you are scratching your head about what to do with a case, you might want to drop us a referral.&nbsp;<\/p>\n\n\n\n<p>We combine medical knowledge of disability with health behaviour change techniques&nbsp;to co-create a biopsychosocial model that patients and carers can use to stabilise present chaos and navigate future changes in function, even if fearful. To that end, we work closely with fellow health professionals focused on progressive neuromuscular conditions, cardio-respiratory disability, and the transition of adolescents and young adults with complex disabling conditions.<\/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\"><strong>Who can refer:<\/strong><\/h4>\n\n\n\n<p>We accept referral from health and social care professionals including specialist clinicians (GPs, Consultants, AHPs, nursing) from anywhere in the Lothians. Please feel free to use the Sci Gateway.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Who to refer:<\/strong><\/h4>\n\n\n\n<p>We work with people, families, and care teams who are negotiating complex and disabling health conditions in the community.&nbsp; Our aim is to provide a holistic approach that tailors appropriate medical, health and social care in order to promote flourishing and ameliorate suffering.&nbsp; Please ensure that the person +\/- family are aware and accepting of the referral.<strong><\/strong><\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Who not to refer:<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients with\u00a0<em>ME\/Long covid\/Chronic Fatigue Syndrome<\/em>\u00a0&#8211; <em>please see<\/em>\u00a0<a href=\"https:\/\/eur01.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fapps.nhslothian.scot%2Frefhelp%2Fguidelines%2Frehabilitation%2Fchronicfatiguesyndromeme%2Fme-cfs-chronic-fatigue-rehabilitation-service%2F&amp;data=05%7C02%7Cmohammed.alshaikly%40nhs.scot%7C34b7cbdf9ebf47d5049608dd9cf8ad23%7C10efe0bda0304bca809cb5e6745e499a%7C0%7C0%7C638839314057985098%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=kWpr1YiWcIZP%2B4V6ErTibw6JGrZJx3qn%2BBCGucLAkCI%3D&amp;reserved=0\" target=\"_blank\" rel=\"noreferrer noopener\">Chronic Fatigue Rehabilitation Service: ME-CFS \u2013 RefHelp<\/a><\/li>\n\n\n\n<li>Equipment requests or specific requests for neuro or community PT\/OT<\/li>\n\n\n\n<li>There may be patients who are better referred to MOE Rehabilitation services, particularly if dementia and \/ or age-related frailty are prominent.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>How to refer:<\/strong><\/h4>\n\n\n\n<p>SCI gateway : Astley Ainslie Hospital &gt; Rehabilitation Medicine &gt; Community Rehabilitation <strong><br><\/strong><\/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\">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>FAQ<\/p>\n\n\n\n<p><strong>Is this service an alternate to the specialist my patient sees regarding their condition?<\/strong><\/p>\n\n\n\n<p><em>Sometimes: however, this service more commonly works in liaison with the current care providers&nbsp;and&nbsp;specialists to provide a joined up holistic approach to which the patient also subscribes.<\/em><em><\/em><\/p>\n\n\n\n<p><strong>Can this service&nbsp;help&nbsp;in a crisis?<\/strong><\/p>\n\n\n\n<p><em>Sometimes: we are not resourced as an immediate response service; but given our aim toward continuity of care, we look to respond quickly to issues such as care breakdown, to see what remedies can be expedited. <\/em>&nbsp;<\/p>\n<\/div><\/div>\n<\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Information This Lothian-wide service aspires to a &ldquo;no wrong email approach&rdquo;.&nbsp; In other words please get in touch and we will do our best to help, on a liaison basis, seeing patients in clinic, and in their homes. We (Dr&nbsp;Edwin Jesudason&nbsp;and&nbsp;Dr Alison Hunter) are Consultant Physicians in Rehabilitation Medicine, and we work with people, families,<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":4364,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[1250],"class_list":["post-24013","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-community-rehabilitation-medicine"],"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\/rehabilitation\/https-apps-nhslothian-scot-refhelp-community-rehabilitation-medicine\/\" rel=\"tag\">Community Rehabilitation Medicine<\/a>","rttpg_excerpt":"Information This Lothian-wide service aspires to a &ldquo;no wrong email approach&rdquo;.&nbsp; In other words please get in touch and we will do our best to help, on a liaison basis, seeing patients in clinic, and in their homes. We (Dr&nbsp;Edwin Jesudason&nbsp;and&nbsp;Dr Alison Hunter) are Consultant Physicians in Rehabilitation Medicine, and we work with people, families,","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/24013","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=24013"}],"version-history":[{"count":4,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/24013\/revisions"}],"predecessor-version":[{"id":24286,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/24013\/revisions\/24286"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4364"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=24013"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=24013"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}