{"id":4287,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/parkinsons\/"},"modified":"2025-03-19T14:59:26","modified_gmt":"2025-03-19T14:59:26","slug":"parkinsons","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/neurology\/parkinsons\/","title":{"rendered":"Parkinson&#8217;s"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">Parkinson&#8217;s Disease \/ Movement disorder clinics<\/h4>\n\n\n\n<p><strong>Services<\/strong><\/p>\n\n\n\n<p>Patients with suspected Parkinson&#8217;s Disease or related movement disorders are assessed and managed by&nbsp;<strong>Neurology<\/strong>&nbsp;or&nbsp;<strong>Medicine of the Elderly<\/strong>&nbsp;consultants depending upon age and frailty<\/p>\n\n\n\n<p>For any patients, particularly those aged&nbsp;<strong>under 65 years<\/strong>&nbsp;<strong>\/ biologically young<\/strong>&nbsp;or those with&nbsp;<strong>atypical movement disorders<\/strong>, refer to&nbsp;<strong>Neurology&nbsp;<\/strong>via SCI Gateway<\/p>\n\n\n\n<p>For patients aged over 65 years, there are specialist Parkinson&#8217;s clinics in each area of Lothian (please see Medicine of the Elderly&nbsp;<a href=\"\/refhelp\/guidelines\/Parkinsons-(MoE)\" target=\"_blank\" rel=\"noreferrer noopener\">Parkinsons<\/a>&nbsp;page)<\/p>\n\n\n\n<p>The Neurology Movement Disorders Clinic is based at the Anne Rowling&nbsp;Regenerative Neurology Clinic at the Royal Infirmary of Edinburgh and run by Drs Richard Davenport and David Breen.<\/p>\n\n\n\n<p><strong>Parkinson\u2019s Disease Nurse Specialists&nbsp;within NHS Lothian<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Patient Telephone Advice Line<\/strong>: 0131 465 9156 (Opening times Mon &#8211; Fri, 08:30 to 10:30). The call will be answered by the secretaries who will book patients onto a telephone clinic where they will receive a call back from a specialist nurse. If the answerphone answers during these hours do NOT leave a message as it will not be responded to. The secretaries will be on another call, so please call back within the opening times. This is for Parkinson&#8217;s related issues only and not an emergency service.<\/li>\n\n\n\n<li>Email for professionals only: <a href=\"mailto:loth.parkinsonsnursespec@nhs.scot\" target=\"_blank\" rel=\"noreferrer noopener\">loth.parkinsonsnursespec@nhs.scot<\/a><\/li>\n\n\n\n<li>Intranet: <a href=\"https:\/\/eur01.safelinks.protection.outlook.com\/?url=http%3A%2F%2Fintranet.lothian.scot.nhs.uk%2FDirectory%2Fparkinsons%2FPages%2FDefault.aspx&amp;data=05%7C02%7CHeather.Levy%40nhs.scot%7C673858ecef214b0f489e08dd61441379%7C10efe0bda0304bca809cb5e6745e499a%7C0%7C0%7C638773667182487331%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=aGgsRfks%2F5I2NA%2Bi8q1ecIj8ki7yVP7s4MMUo%2Fj8UK8%3D&amp;reserved=0\" target=\"_blank\" rel=\"noreferrer noopener\">&nbsp;Parkinsons Services Intranet page<\/a><\/li>\n\n\n\n<li>Internet: <a href=\"https:\/\/eur01.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fservices.nhslothian.scot%2Fparkinsonsservices%2F&amp;data=05%7C02%7CHeather.Levy%40nhs.scot%7C673858ecef214b0f489e08dd61441379%7C10efe0bda0304bca809cb5e6745e499a%7C0%7C0%7C638773667182514893%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=RAma%2FJMbCek0EQVLEqTCSyTDT7g8WqV8yQFqVaShtYo%3D&amp;reserved=0\" target=\"_blank\" rel=\"noreferrer noopener\">NHS Lothian PD and Movement Disorder Service<\/a><\/li>\n<\/ul>\n\n\n\n<p><\/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<p>Anyone with a suspected diagnosis of parkinsonism.<br>Patients who have been diagnosed elsewhere with parkinsonism and are new to the area.<br>Patients should be referred at time of diagnosis and may be re-referred at any time in their journey.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Who not to refer:<\/h4>\n\n\n\n<p>Patients who may find it difficult to attend an outpatient clinic. In such cases, remote consultation may be possible.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">How to refer:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Via SCI Gateway\n<ul class=\"wp-block-list\">\n<li>Royal Infirmary of Edinburgh- Neurology- Basic Sign Referral<\/li>\n\n\n\n<li>Local Geriatric Medicine Service- see associated refhelp page&nbsp;<a href=\"\/refhelp\/guidelines\/Parkinsons-(MoE)\" target=\"_blank\" rel=\"noreferrer noopener\">Parkinsons-(MoE)<\/a>&nbsp;for more details<\/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>Patients should ideally not start Parkinson&#8217;s disease medication prior to secondary care assessment.<\/p>\n\n\n\n<p>Consider referral to physiotherapy, SALT and\/or OT depending upon circumstances<\/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><a href=\"https:\/\/www.parkinsons.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.parkinsons.org.uk\/<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.annerowlingclinic.org\/research-trials\/find-project\/neurocare\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.annerowlingclinic.org\/research-trials\/find-project\/neurocare<\/a><\/p>\n<\/div><\/div>\n<\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Parkinson&rsquo;s Disease \/ Movement disorder clinics Services Patients with suspected Parkinson&rsquo;s Disease or related movement disorders are assessed and managed by&nbsp;Neurology&nbsp;or&nbsp;Medicine of the Elderly&nbsp;consultants depending upon age and frailty For any patients, particularly those aged&nbsp;under 65 years&nbsp;\/ biologically young&nbsp;or those with&nbsp;atypical movement disorders, refer to&nbsp;Neurology&nbsp;via SCI Gateway For patients aged over 65 years, there are<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4173,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[442],"class_list":["post-4287","page","type-page","status-publish","hentry","category-parkinsons"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/neurology\/parkinsons\/\" rel=\"tag\">Parkinson's<\/a>","rttpg_excerpt":"Parkinson&rsquo;s Disease \/ Movement disorder clinics Services Patients with suspected Parkinson&rsquo;s Disease or related movement disorders are assessed and managed by&nbsp;Neurology&nbsp;or&nbsp;Medicine of the Elderly&nbsp;consultants depending upon age and frailty For any patients, particularly those aged&nbsp;under 65 years&nbsp;\/ biologically young&nbsp;or those with&nbsp;atypical movement disorders, refer to&nbsp;Neurology&nbsp;via SCI Gateway For patients aged over 65 years, there are","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4287","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\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4287"}],"version-history":[{"count":11,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4287\/revisions"}],"predecessor-version":[{"id":23469,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4287\/revisions\/23469"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4173"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4287"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4287"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}