Adult Service
This service is available for adults aged 18 years and older.
Referrals can be made by completing the referral form or by sending a referral letter with relevant clinical information via email.
Please include only necessary medical details to protect patient confidentiality.
Who Can Refer?
01.
Primary care physicians
02.
Neurologists
03.
Rehabilitation physicians
04.
Therapists
05.
Other healthcare professionals
06.
Self-referrals (where appropriate)
Our Process
The Referral & Assessment Process
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1. Referral Received
Your referral is reviewed promptly.
2. Initial Triage
A brief telephone consultation may be arranged to clarify concerns, goals, and suitability.
3. Face-to-Face Appointment
If appropriate, an in-person consultation is scheduled.
Please bring:
1. A current medication list 2. Orthoses or mobility aids 3. Relevant medical documents
What to expect during initial consultation?
During the appointment, we will:
- Perform a detailed neurological examination
- Assess mobility, positioning, and orthotic use
- Review medications
- Discuss symptom control options
- Establish realistic, goal-oriented rehabilitation plans
All treatment decisions are guided by patient preference, clinical evidence, and ethical standards.
If botulinum toxin injections are not appropriate, alternative options may be discussed, such as:
- Functional Electrical Stimulation (FES)
- Nerve blocks
- Intrathecal Baclofen (ITB)
- Intrathecal Phenol (ITP), where appropriate
If Botulinum Toxin Is Recommended
- Written informed consent is required for the first treatment
- Injections are performed using anatomical or ultrasound guidance (subject to availability)
- A follow-up plan is agreed upon (typically 6–8 weeks)
- A clinic letter is sent to both the patient and their primary care physician
Patients receive contact information for concerns within 72 hours after the procedure.
What to expect during Follow-Up Consultations?
At repeat visits, we will:
- Review response to prior treatment
- Assess any side effects or health chang
- Re-evaluate goals and outcome measures
- Adjust the treatment plan if needed
- Provide updated documentation to the patient and GP
Repeat injections are offered only if clinically appropriate and aligned with patient goals.
Important Points:
There would not be a provision to provide physio led stretching regimes during the appointment. Efforts would be taken to provide necessary follow up plan and educational material if beneficial.
Permission may be required to use limited patient data for improving this service.
To deliver the best service as per guidelines in MDT approach, we encourage your therapists or any professionals, carers or family members to attend the appointment.
Our Approach
Family members or caregivers are encouraged to attend appointments to assist with:
01.
Shared decision-making
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02.
Consent
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03.
Understanding home programs (stretching, splints, positioning)
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