Brain injuries, strokes & neurological conditions
The Community Neuro Rehab Team (CNRT) is a community-based, specialist multidisciplinary team comprising Clinical Psychologists, Occupational Therapists, Physiotherapists, Speech and Language Therapists, Rehabilitation Assistants and administrative support workers.
The CNRT provides treatment and self-management programmes for individuals living with acquired long-term neurological conditions. Our goal is to provide a co-ordinated service with specialist staff who will work with you, your family and/or your carers to support your recovery, optimise your abilities and improve your quality of life. In addition to 1:1 therapy the CNRT offers a range of therapy groups and we also aim to work with clients and their carers to ensure that rehabilitation is carried over into everyday activities at home.
The people we see
We provide rehabilitation for any person aged 16 or over with either a Shropshire or Telford and Wrekin CCG GP and a confirmed diagnosis of acquired neurological disability. This could be progressive or non-progressive and may include acquired brain injury, Huntington’s disease, motor neurone disease, multiple sclerosis, multiple systems atrophy, Parkinson’s disease, progressive supranuclear palsy, and/or stroke.
Clients can be referred to the CNRT by their GP, medical consultant or other healthcare professional using our dedicated referral form [include hyperlink].
Clients who are already known to the service will have the option to self-refer for additional input in response to a change in their circumstances and/or deterioration in their neurological condition.
Services we do not offer
The Service will not normally see clients with:
- Congenital conditions
- No clear diagnosis
- Functional neurological conditions (somatoform disorders)
- Epilepsy as a primary diagnosis
- Spinal conditions, including Guillain-Barre Syndrome
We are unfortunately unable to accept referrals for chronic fatigue syndrome at this time. Individuals who are referred to us with this condition will be provided with self-management information and we will list them for input as and when this service resumes.
The Service does not usually accept referrals for clients in nursing homes except when it is temporary and they are going to be discharged home, or when there has been a change of state and the nursing home is seeking advice. In this instance the CNRT would act as a consultative service to support the delivery of continuing treatment.
What to bring with you
- A relative or carer to support the initial assessment (if desired)
- Current list of medication
- Other relevant medical correspondence
- 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)
Please let us know in advance if you require additional communication support relating to the Accessible Information Standard.
Frequently asked questions
- Is this a Shropshire-wide service?
Yes, this service is provided across the whole of Shropshire and Telford and Wrekin
- Do you see clients at home?
We do see clients at home or at other community locations when it is absolutely necessary or appropriate to do so, but the majority of our work is completed at our outpatient clinic in Shrewsbury.
- How often will clients be seen?
This will depend on the needs of the individual, but at most clients can expect to be seen once or twice a week during the initial phase of treatment.
- How long will clients be seen for – is the service time-limited?
The service is not currently time-limited and typically clients will continue to be seen while they are making rehabilitation gains.
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.
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 email@example.com
When and where is our service available?
Monday to Friday, 9am to 5pm.
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