Brain injuries, strokes & neurological conditions

Who are we?

The Community Neuro Rehabilitation Team (CNRT) is a clinically-led neurorehabilitation service for those with an acquired brain injury, stroke, neurological condition or confirmed diagnosis of chronic fatigue syndrome.

Our services

The Community Neuro Rehabilitation Team is a community-based team comprising a mixture of specialist healthcare professionals that offer a specialist neurological rehabilitation service providing advice, support and treatment to the relatives, carers and patients of those who have had an acquired brain injury, stroke or neurological condition. The team also supports those who have a diagnosis of Chronic Fatigue Syndrome (CFS) which has been confirmed by their GP or other medical specialist.

The Community Neuro Rehabilitation Team provides the following service to patients:

  • Individual assessment and therapy on an outpatient basis
  • Specialist assessments of function, cognition, speech and language, swallowing, psychological adjustment, mobility
  • Group programmes for chronic fatigue syndrome
  • Group programme called "Regaining Confidence after Stroke"
  • Other groups include upper limb group, balance group, cognitive rehabilitation, baking group and fatigue management for multiple sclerosis. Patients access these in line with their goals
  • Multidisciplinary case management through key workers to ensure coordinated care
  • Support and training for relatives and carers
  • Follow-up support for those admitted to hospital following a head injury
  • Consultancy

The people we see

There are four main diagnostic groups:

  • Acquired brain injuries such as head injury, anoxic brain injury, encephalitis, carbon monoxide poisoning, brain tumours
    Chronic Fatigue Syndrome/Myalgic Encephalomyelitis with a confirmed diagnosis
  • Neurological conditions such as Parkinson’s Disease, Multiple Sclerosis, Huntington’s Disease, Motor Neurone Disease
  • Strokes including subarachnoid haemorrhages

New patients

Patients can be referred to the service by their GP, medical consultant, other health professionals, social worker, external agencies or charities. Patients can self-refer unless they have a diagnosis of CFS which requires a medical referral to ensure that the diagnosis has been confirmed.

What type of professionals are you likely to see?

  • Assistant Psychologist
  • Clinical Psychologist
  • Neuro Psychologist
  • Occupational Therapist
  • Physiotherapist
  • Rehabilitation Assistants
  • Speech and Language Therapist
  • Secretaries

Existing patients

Patients already known to the service will be regularly reviewed.

Services we do not offer

We do not have the remit to see patients with:

  • Congenital conditions such as muscular dystrophy or cerebral palsy
  • Presenting physical problems with no organic cause
  • Dementia
  • Spinal Injuries


What you should bring with you

  • Relative or carer to support the initial assessment
  • Current list of medication
  • A sling (or other transfer aid) if hoisting is required for personal care and toileting
  • Glasses and hearing aids
  • Any incontinence products required
  • Any communication aids
  • Walking aids or orthotics
  • Drink and a snack (if appropriate)

Frequently asked questions

Is this a Shropshire-wide service?

Yes, this service is provided across the whole of Shropshire.

Do you see patients at home?

Yes, we do see patients at home when it is absolutely necessary or appropriate to do so because we need to assess them in their home environment. We can see more patients if they can attend our clinics.

How often will patients be seen?

This will depend on the needs of the patient. At the most, they may be seen by one or two therapists once a week or fortnight initially but this is usually gradually reduced.

How long will they be seen for – is the service time-limited?

The service is not time-limited and patients will continue to be seen whilst they are still making rehabilitation gains. This varies from patient to patient and all treatment is individualised to their needs.

 

Special Educational Needs and Disability (SEND) and our "Local Offer"

What is the Local Offer?

The local offer provides information for children and young people with special educational needs (SEND) and their parents or carers in a single place. You can find out more about information about this on our SEND reforms and Local Offers page.

Service Description

The CNRT is a community based neurorehabilitation team which supports those with an acquired brain injury (ABI) such as a head injury or stroke as well as those with progressive neurological conditions such as multiple sclerosis or Huntington’s Disease. It is provided by a multidisciplinary team made up of Clinical Neuropsychologists, Occupational Therapists, Physiotherapists, Speech and Language Therapists and Rehab Assistants . They are all specialists in neurorehabilitation who have undergone specialist training and most of whom have many years of experience. In addition, the team provides a service for Chronic Fatigue Syndrome (CFS) which consists mainly of a group programme to promote pacing, graded activity, coping and self-management skills.

The service is based at Shropshire Rehabilitation Centre, Lancaster Road, Shrewsbury, SY1 3NJ from which outpatient appointments, group work or home visits are organised. The service aims to help those with an ABI or neurological condition make the best possible recovery, achieve their goals, help them cope both physically and emotionally and to provide relatives and carers with advice, support and information. The rehabilitation provided is individualised and based on the specific needs of the individual and their family. A goal-orientated approach is used in which a key worker acts as a main contact to support and coordinate their care.

The key purpose is to maximise independence and rehabilitation potential and is a specialised service for those over 16years with an acquired brain injury or neurological condition. Activities include individual work, group sessions, functional groups such as baking. We offer ongoing support to patients, carers and family members.

What do you provide to children and young people with an additional need and or disability 0-25yrs?

We offer a service for those with acquired brain injury, stroke, neurological conditions or CFS for age 16 or over. They receive the same core service as any other service user. We specialise in acquired and neurological disability.

Do we provide support for parents and carers?

We offer support to both families and carers which may take a group format or be individualised, depending on need.

All staff have undergone specialist training and most are specialists in neurological rehabilitation and acquired disability. We work very closely with a number of other services to coordinate care.

Who can use our service? Age? Disability?

Those with ABI, stroke, neurological conditions or CFS for age 16 or over.

We do not provide a service for congenital or developmental disabilities, or spinal injuries.

How to access our service (inc. referral routes)

People can self refer or can be referred by Social Worker, GP, or any other health professional. A referral form is available on our service page for GPs and CCGs. Patients are all seen initially within 4 weeks. People with a CFS diagnosis must be referred via GP or Consultant only.

The first point of contact would be a keyworker or named therapist. You can talk to any member of the team if you have any concerns, or the Team Lead at any time. For questions about the service you can contact the Team Lead on 01743 453600 or cnrt@shropcom.nhs.uk or cnrt.shropshire@nhs.net.

When and where is our service available?

Monday to Friday, 09:00 - 17:00.

Out-patient appointments at Shropshire Rehab Centre, Lancaster Road, Shrewsbury, SY1 3NJ.

Home visits can be arranged as appropriate or in other community settings according to need .

We are based at the Shropshire Rehab Centre. We provide a service across the whole of Shropshire and Telford & Wrekin.

How can families contact the service?

Families can contact the service via phone or email.

We use a patient satisfaction questionnaires, although are happy to receive comments at any time. You will be involved in decisions about your care. We have info leaflets and Speech and Language Therapists to help those with communication difficulties. We arrange interpreters as required. We offer family and carer support throughout and engage them in the rehabilitation. We offer some relative only sessions in our group programmes.

Our service is fully wheelchair accessible, with a modern environment. There are disabled changing and toilet facilities with a hoist. There is a TV in the waiting room, but no dedicated receptionist or refreshments available.

Is the service accredited? If so, by whom?

Care Quality Commission

How can families complain if they are not happy with the service?

All complaints are handled by our Patient Advice and Liaison Service (PALS) and Complaints teams.

 

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