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Adult Therapy Services

Division: D&T

The professions of Occupational Therapy, Physiotherapy, Speech and Language Therapy and Nutrition and Dietetics  are now an integrated service known as Adult Therapy Services, working across both in and outpatients.

Dietetics

Occupational Therapy and Physiotherapy

Speech and Language Therapy

Jayne Weare

0117 342 3295

Head of Adult Therapy Services

Dietetics

Claudia Jemmott

0117 342 3005
Fax: 0117 342 3921

Lead for Nutrition and Dietetic Services

Clinical dietetics

Patients with a wide range of illnesses are treated by:

  • assessing dietary needs
  • designing an individual plan to meet these needs
  • helping patients / carers to achieve any desired dietary changes
  • evaluating the effect of the changes

Education: Good Nutrition Makes a Difference

We aim to increase awareness of the links between what we eat and health by: 

  • helping individuals to make good food choices
  • working with small groups to help develop knowledge and skills in specific areas
  • participating in health promotion campaigns

Access / Referrals

Adult Services (BRI) / Oncology Service (BHOC) / South Bristol Community Hospital - For inpatients and outpatients (BRI/SBCH only)

Jayne Weare

0117 342 3295

Adult Services Manager

Referral Criteria

Referral should be by letter or referral form to BRI giving the following information:

  • Patient's details - surname, forename; age and sex; address and telephone number
  • Clinical information - diagnosis; relevant medication/ other information including relevant biochemistry; dietary intervention required
  • Details of referrer - name and signature of GP; GP contact details

Referrals are prioritised according to the degree of dietetic urgency. Further information about this is available on request.

Weight Management Service

Marie Bird

Greenway Community Practice
0117 959 8935
Fax: 0117 941 9420

Team Leader

Referral Criteria

  • be 16 years or over
  • be motivated to lose weight at this time
  • be able to function in a group as well as in one to one approaches
  • be able to commit to a programme of support over a six month period
  • have a BMI of 28+ and at least one long term condition, or a BMI of 30+ and no long term conditions, have a BMI of 25+ and no long term conditions who have previously been through course of weight management on referral and not achieved their treatment objectives
  • Referring clinician commits to recording BMI on 3 further occasions over the next two years for evaluation purposes

Home Management Services (enteral-tube feeding - generally via secondary care referral)

Julie Barker

0117 342 7515

Team Leader

Occupational Therapy and Physiotherapy

Scott Allan

0117 342 2714

Medicine- including acute respiratory,  general medicine and stroke and older peoples services provided at both the BRI and SBCH

Linda Clarke

0117 342 2201

Surgery Head and Neck- including thoracic surgery, trauma and orthopaedics and  MSK outpatients

Cate Mitchell

0117 342 2201

Specialised Services- including cardiac, cardiology and haematology/oncology services

Occupational Therapy (OT) and Physiotherapy (PT) provide an integrated service across all inpatient pathways.

Physiotherapy provides a full musculoskeletal (MSK) outpatient based service.

OT and PT jointly provide a rheumatology and hand therapy out-patient service.  Together with nursing - OT and PT provide an Older People's outpatient service at South Bristol Community Hospital (SBCH).

Inpatient Services

We support the main clinical divisions within UH Bristol and have a lead therapist. The therapy services cover all inpatient pathways working with patients to achieve a safe discharge through the provision of rehabilitation and equipment.

The therapy service offers a comprehensive service across all the clinical specialties.

Key areas of in-patient practice 

  • To restore or reinforce functional abilities
  • To facilitate re-learning of skills essential for daily living
  • To promote and maintain health and well-being
  • Respiratory function
  • Support in the management of chronic conditions

Outpatient Services

Access / Referrals

Amputees and Intermittent Claudication

In and out patient rehabilitation provided for patients following lower limb amputation.  The aim is to maximise the patient's functional mobility with or without prosthesis.

For telephone advice contact: 

Sarah Brown

0117 342 2066

 

Anne Harrill

0117 342 2282

Bleep 4967

Musculoskeletal

e.g. soft tissue injuries, fractures, rheumatological conditions, back pain, work related musculoskeletal pathology, sports injuries, post surgery rehabilitation, antenatal and post natal musculoskeletal management etc.

Services currently offered include:

  • Pain management
  • Hand therapy*
  • Rheumatology*
  • General outpatients (see below)
  • Hydrotherapy
  • Haemophilia
  • Continence and pelvic floor muscle rehabilitation*
  • Gym rehabilitation
  • Pre and post natal musculoskeletal management*
  • Physiotherapy Direct - telephone assessment and advice
  • Trauma and Orthopaedics

*specialist services that can be accessed directly

Patients will be assessed in Physiotherapy outpatients to determine appropriateness for hydrotherapy and the gym.

For telephone advice for specialist services contact:

Rachel Goodwin

0117 342 5091

Pain Management

Duncan Pearson

0117 342 2379

Hand Therapy

Melissa Domaille

0117 342 4157

Rheumatology

Lizzie Bradshaw

0117 342 2282

General outpatients

Rachel Midcalf

0117 342 2282

Hydrotherapy

Lorna Harvey

0117 342 2282

Gym Rehabilitation

Ann Thomas

0117 342 2282

Haemophilia

Jess Butterly

0117 342 2282

Women's Health

Celia Wogan            

0117 342 2282           

Trauma and Orthopaedics

Referral Process

Referrals should be made on the generic referral form ensuring all details are completed and then emailed to ubh-tr.adulttherapies@nhs.net or posted to the B101, Physiotherapy department at the BRI.

For further information please contact:

Julie Packman

0117 342 2282

Musculoskeletal Pathway Therapy Lead

Care of the Elderly - South Bristol Community Hospital

South Bristol Community Hospital offers a comprehensive assessment of the older person by a specialist healthcare team, consisting of consultants, physiotherapists, occupational therapists and nurses. There is on-site access to hearing therapists, speech and language therapists and diagnostics such as X-ray, ECGs and phlebotomy. The unit offers specialist treatment for complex elderly patients, fallers and patients with movement disorders such as Parkinsons Disease and Stroke.

Referral Process

Referrals should be sent to:

South Bristol Community Hospital
Day Assessment Unit  (DAU)
Hengrove Promenade
Hengrove
Bristol
BS14 0DE

Day Assessment Unit

0117 342 9713
Fax: 0117 342 9961

Bookings and enquiries

Speech and Language Therapy (SLT)

Mike Richards

0117 342 1475
Fax: 0117 342 2489

Professional Lead

Outpatient Adult SLT

Neurology

Emily Highfield

0117 342 1564

SLT Pathway Lead

Speech and language therapists (SLTs)  specialise in the assessment, diagnosis and management of communication and/or oro-pharyngeal swallowing disorders. SLT intervention aims to maximise function, independence and quality of life by providing programmes of care, advice and education. SLTs work directly with patients, their families and carers.

UH Bristol speech and language therapy service is provided to patients in the Central and South Bristol area and is provided as a package of care which may be:

  • Individual or group
  • on an outpatient or domiciliary basis

The service aim is to provide a coordinated, seamless approach focusing on pre-treatment, acute treatment, rehabilitation and longer term rehabilitation for outpatients.

Geographically, the service covers Central and South Bristol and the Long Ashton/Nailsea/Backwell areas of North Somerset.

Specialist outpatient services provided:

Voice/Dysphonia

Amanda Carr

0117 342 1088

Team Lead (STMH)

Dysphonia is multifactorial in origin and may be the first symptom for people with various forms of cancer.

Due to this we only accept tertiary referrals via the Ear, Nose and Throat (ENT) service at St. Michael's Hospital and not direct to the SLT Service.  Once referred, there is an integrated team approach with a regular joint ENT/SLT Voice clinic offering endoscopy plus stroboscopy.

Voice Therapists and ENT teams both contribute to the diagnostic process to select the most appropriate form of treatment.  All patients are seen initially in a Voice Care Group.

The lead SLT has extended scope of practice (ESP) in the independent performing and interpretation of both flexible and rigid endoscopy as a standard part of clinical practice. This both informs and monitors the progress from the therapeutic techniques being used.

Referral Process

Tertiary referrals only via the ENT service St Michael's Hospital.

Stammering/Dysfluency

Deborah Mason

0117 342 1088
deborah.mason@uhbristol.nhs.uk

Specialist (STMH)

Stammering (UK term) or Stuttering (US term) is a fluency disorder that can have a profound impact on emotional well-being and mental health. Therapy addresses both the physiological and psychological aspects, of stammering

Referral Process

GP or self-referral via letter, email or phone to the above

Head and Neck Cancer and Oncology

Jane Beckinsale

0117 342 5327
0117 342 5106

Team Lead (STMH)

The SLT works as an integral part of the multidisciplinary team (MDT), seeing patients before, during and after treatment, advising the team and the patient on choice of treatment to assist the communication and swallowing problems.  The SLT leads the surgical voice restoration service for laryngectomies.  Some patients require long-term follow up to address survivorship issues.

Outpatients are seen in the hospital, in SLT Outpatients or in MDT clinic.  Outpatient rehabilitation is provided with open access for patients when they have a problem.

There is also a service to palliative patients as required, including hospice visits.

Referral Process

Accepted from the MDT, Maxillo Facial, Ear, Nose and Thoat (ENT) or Oncology Consultants.

Neurological Disorders / Respiratory Disorders

Anne Baseby

0117 342 2325

Team Lead

Emily Highfield

0117 342 1564
0117 342 1565

Stroke Team Leader

Anna Daniel

0117 342 1564

Specialist in Progressive Neurological Disorders

Frances Pimbblet

0117 342 6359

Specialist in alternative/augmentative communication

This team covers both inpatients and outpatients. The Outpatient caseload consists of patients who require on-going management following their discharge from a UH Bristol Hospital or patients who are referred by GPs, consultants, specialist nurses, other AHPs. Referrals accepted: 

  • Stroke
  • Progressive neurological conditions including specialist treatment of communication disorders associated with Parkinson's disease
  • Respiratory conditions
  • Frail elderly and other medical conditions impacting on communication and swallowing
  • Dementias - including early onset dementia, fronto-temporal dementia
  • Specialist dysphagia assessment including video fluoroscopy

Within the neurological disorders service there are highly specialist staff leading on each condition, providing a seamless service from acute to community.

Referral Process

In writing from a GP or other member of the MD team. Self-referrals are accepted.