15 Demonstration of neurological unit characterised by: New Review Dedicated geographical location and a dedicated staffing infrastructure – medical, nursing and therapy. Or Within an existing clinical facility e.g. an AMU Combination of the above 16 Patients have rehabilitation access to and adequate staffing levels: NU6 Review target? – Neuro specific AHPs including physiotherapy, occupational therapy, speech and language therapy, dietetics. Availability of rehabilitation facilities e.g. access to physiotherapy gym Psychological interventions and neuro-psychology Neurology / Neuro-rehabilitation consultants 17 Provision of a medical staffing structure sufficient to provide one daily ward round New Review and one consultant review, 7 days per week and appropriate junior cover. 18 Provision of a rapid access outpatient’s service to assess acute neurological UC7 Review aspire to daily – problems. service 19 Provision of a daily outreach acute assessment service for the rest of the trust New Review - daily 20 Availability of a radiology service responsible for 24/7 CT scanning and daily UC5 Review daily/24hrs. – scheduled MRI Slots pre-booked during Demonstration of protocol for transfer to regional MRI services for out of weekend and ring fenced hour imaging. includes discussion with – radiologist 21 Provision of neurophysiology service EMG & EEG NU5 Review aspire to 7 days – – per week. 22 Provision of lumbar puncture availability 24/7 UC6 24/7 - within 24 hrs? -Agreed protocol for delivery of lumbar puncture when not feasible by in-house Review staff. Admission criteria 23 Inclusion criteria All patients with suspected or proven acute neurological presentation Appropriate patient with secondary deterioration in long term neurological condition where HANU care is in the best interest of the patient. 24 Exclusion criteria Specific co-morbidity e.g. acute myocardial infarction, requiring other specialist management or patient requires HDU or ITU
15 Demonstration of neurological unit characterised by: Dedicated geographical location and a dedicated staffing infrastructure – medical, nursing and therapy. Or Within an existing clinical facility e.g. an AMU Combination of the above New Review 16 Patients have rehabilitation access to and adequate staffing levels: Neuro specific AHPs including physiotherapy, occupational therapy, speech and language therapy, dietetics. Availability of rehabilitation facilities e.g. access to physiotherapy gym Psychological interventions and neuro-psychology Neurology / Neuro-rehabilitation consultants NU6 Review – target? 17 Provision of a medical staffing structure sufficient to provide one daily ward round and one consultant review, 7 days per week and appropriate junior cover. New Review 18 Provision of a rapid access outpatient’s service to assess acute neurological problems. UC7 Review – aspire to daily service 19 Provision of a daily outreach acute assessment service for the rest of the trust New Review - daily 20 Availability of a radiology service responsible for 24/7 CT scanning and daily scheduled MRI Demonstration of protocol for transfer to regional MRI services for out of hour imaging. UC5 Review – daily/24hrs. Slots pre-booked during weekend and ring fenced – includes discussion with radiologist 21 Provision of neurophysiology service – EMG & EEG NU5 Review – aspire to 7 days per week. 22 Provision of lumbar puncture availability 24/7 -Agreed protocol for delivery of lumbar puncture when not feasible by in-house staff. UC6 24/7 - within 24 hrs? Review Admission criteria 23 Inclusion criteria All patients with suspected or proven acute neurological presentation Appropriate patient with secondary deterioration in long term neurological condition where HANU care is in the best interest of the patient. 24 Exclusion criteria Specific co-morbidity e.g. acute myocardial infarction, requiring other specialist management or patient requires HDU or ITU