• New stroke diagnosis aged over 16 years with rehabilitation needs that require intervention by a rehabilitation specialist team
• Acquired neurological diagnosis over 16 years that requires intervention by a specialist rehabilitation team, or a patient who has previously been open to team who requires rehabilitation input from a clinician with a rehabilitation specialism due to change in function related to diagnosis.
• Long term condition management or newly diagnosed condition that requires assessment, rehabilitation and advice from a clinician with a rehabilitation specialism.
• New Functional Neurological Disorder diagnosis, confirmed & explained by a Neurologist, who requires rehabilitation.
• Rehabilitation following multi trauma e.g. RTA/HI
• Patients with a complex falls history requiring assessment by specialist therapists.
• Patients affected by stable peripheral vestibular deficit including BPPV, Unilateral Vestibular Loss (Vestibular neuritis/ Labyrinthitis), Bilateral Vestibular Loss (e.g., following treatment with ototoxic medication) after medical assessment where other medical causes have been ruled out (e.g., cardiovascular dizziness, orthostatic hypotension, posterior stroke, etc.). Detailed referral criteria to be disseminated individually.
• Energy Limiting Chronic Illnesses - All newly diagnosed fibromyalgia, CFS/ME and Long Covid patients, or those with a historical diagnosis who require condition-specific assessment and intervention to improve/maintain functional abilities & QoL.

Note:

• Patients must be able to transfer at a minimal with a Stedy, or with assistance of 1 or 2 for outpatient input.
• Patients should be registered with a D&G GP surgery.
• Patients must consent to rehabilitation and be able to engage in a rehabilitation program
• Patients should be medically stable

Referrals are via SCI-Gateway to Mountainhall Treatment Centre...Regional Rehab service...Physio Comm rehab.

Consider referring to a different service if:

• Primary diagnosis / reason for referral for community rehabilitation does not meet the above criteria e.g. peripheral neuropathy, essential tremor.
• MSK presentation not requiring input from specialist rehabilitation team.
• The primary cause of symptoms is not from their neurological diagnosis.
• Needs would be more effectively met by services out with the team e.g. major adaptions/MSK physio/orthotics.
• Patients who no longer require therapy /treatment input from the NHS rehab MDT, where future rehab goals can be attained via other partner agencies e.g. leisure services/PHI/Third sector.