The Duke of Cornwall Spinal Treatment Centre specialises in the total
management of patients paralysed following spinal cord injury or
non-progressive spinal cord disease. This includes ongoing advice and support
to meet
the changing needs of the patient.
Our multidisciplinary teams enable an individual to optimise their physical
and psychological ability to achieve independence appropriate to their
level of disability. This will take into consideration the values, choice
and social situation of the patient, their families and carers.
We are committed to provide a high standard of quality care through
an ongoing education, research, development and staff training programme.
Inpatients
What service do we offer?
- A specialist spinal interdisciplinary team - discharge
co-ordinator, nursing, medical, occupational therapy, physiotherapy,
speech and language therapy, psychology, clerical dietics,
medical/surgical specialities. Our specialist spinal team work together
to offer
patients a goal orientated programme of care and education.
- We have limited access to psychiatric services.
- We offer a limited
acute out reach service.
- Comprehensive specialist
advice available for acute out reach (including paediatrics).
- Study days
for the management of spinal cord injury.
- Education and support to
families and carers as appropriate.
Services for patients with the following diseases will not be provided:
- Progressive diseases of the central nervous system (including
malignant disease of the spinal cord).
- Cerebrovascular accidents.
- Injuries to the brain, not including the spinal cord.
- Cases of Spinal Bifida
- Infective spinal cord disease.
- Patients with major psychiatric disorders, which may interfere
with physical treatment or those under
Mental Health Section.
- The elderly, who may have limited physical ability, poor stamina
and poor family/social support may only
be offered an initial assessment period.
- Patients under a Primary Care Trust contractual exclusion.
- Private patient.
- Patients with a neurologically intact spinal cord.
With an overall agreed policy, there may be cases where the Consultant
at the Spinal Injuries Unit and referring Doctor believe treatment
would be appropriate.
Outpatients
What do we offer?
- Follow up clinics 12 weeks post discharge, 6 months and one
year post discharge and thereafter for life.
- Specialist services to include - specialist long term tissue
viability follow up, specialist continence service, posture
and seating assessment,
tendon transfer, urology, paediatrics, sexual function.
- Advice and education to staff, patients, family and carers.
- Community Liaison visits 6 - 8 weeks post discharge and thereafter
on referral.
What can we currently not provide to outpatients?
- Psychology
- Dietics
- Speech and language therapy
- Routine outreach clinics
- Routine CL visits