How do I get to the Bobath Centre?
Transcription
How do I get to the Bobath Centre?
THE BOBATH CENTRE for Adults with Neurological Disability Physiotherapy Services If you would like to arrange an appointment at the Bobath Centre, this booklet will help to guide you. Do you have an acquired neurological condition caused, for example, by a stroke or head injury, multiple sclerosis, spinal cord injury (incomplete) or Parkinson's? Or do you have a neuro-developmental condition such as cerebral palsy? If so, regardless of your age and the duration of your disability, therapy at the Bobath Centre will be right for you. The Bobath approach to the treatment of adults with neurological disability has achieved international recognition as one of the foremost approaches to the treatment and management of people with neurological conditions. The aim of Bobath therapy is to improve or restore your function following neurological impairment. Treatment is tailored to your individual needs and is based upon an assessment of your abilities and analysis of your movement disorder. This is achieved through the use of specialised handling techniques that help to reduce spasticity and facilitate more normal movement. Therapy sessions at the Bobath Centre focus on giving you the opportunity to experience more efficient and effective movement and on finding ways to enable you to incorporate these different movement strategies into your daily activities. The Bobath Centre, Bradbury House, 250 East End Road, London N2 8AU Phone: 020 8444 3355 Fax: 020 8444 3399 Web: www.bobath.org.uk Contents What is Bobath therapy? ............................................................ 3 What kinds of conditions are treated? ........................................ 3 Who will provide my treatment? ................................................. 3 What types of appointment are available? ................................. 4 How do I arrange an appointment? ............................................ 4 Is it possible to have NHS funding? ........................................... 4 Can I pay for treatment? ............................................................ 5 What can I expect from a 10-session block of therapy? ............. 6 What can I expect from a consultation? ..................................... 6 Will my local therapist be involved? ........................................... 6 How do I get to the Bobath Centre? ........................................... 6 Do you provide accommodation? ............................................... 6 What facilities do you provide? .................................................. 6 Page 2 of 8 What is Bobath therapy? The Bobath approach to treatment can significantly assist people living with a neurological condition to re-establish the physical skills needed for everyday life. Therapy sessions at the Bobath Centre focus on giving you the opportunity to experience more efficient and effective movement and on finding ways to enable you to incorporate these different movement strategies into your daily activities. We will help you to understand your condition and, together with your relatives, to be an active participant in the problem-solving process. Using specialised handling techniques, Bobath therapists can reduce muscle stiffness and help to restore movement so that regular activities such as walking, dressing, or eating can be carried out with greater independence. The Bobath approach to the treatment of adults with neurological disability was pioneered by Mrs Berta Bobath in the 1950s. It has achieved recognition as one of the foremost approaches to the treatment and management of people with neurological conditions. The concept continues to be developed by Bobath therapists working in this specialist field. What kinds of conditions are treated? We specialise in: - treatment for people with acquired neurological conditions caused, for example, by strokes or head injury, multiple sclerosis, spinal cord injury (incomplete) and Parkinson's; - treatment of neuro-developmental conditions such as cerebral palsy. Therapy at the Bobath Centre is appropriate for adults with acquired neurodisability, regardless of age and duration of disability. Who will provide my treatment? You will be treated by a senior therapist who is a specialist in neurology. The therapy team at the Bobath Centre includes therapists with experience of treating adults with a variety of acquired neurological conditions and cerebral palsy as a lifelong condition. As a minimum standard, our adult physiotherapists have taken a recognised three-week adult Bobath course in neurology; our current therapists are vastly more experienced. The skill mix of therapists at the Bobath Centre provides the best possible knowledge base for managing the whole spectrum of neurological conditions treated at the Centre. Page 3 of 8 What types of appointment are available? Initially two types of appointment are available: - a 10-session block of assessment and treatment (one session of at least 45 minutes per day) often taken over a two-week period - a 1½ hour consultation and report with a senior therapist for advice on treatment. After an initial consultation or block of therapy, a follow-up treatment block may be offered, or regular treatment sessions may be offered to you if you live within easy reach of the Bobath Centre. Daily therapy is available on a short-term basis if you live further away. How do I arrange an appointment? You will need to arrange for us to receive a referral from a doctor. We accept doctors’ referrals for people who live in the UK and from all other countries. A letter of referral giving full medical details and relevant history is essential, including any current treatment you are undergoing. This should come from your consultant, GP or local doctor and should be addressed to the Director of Therapy Services at the Bobath Centre. Our postal address is given on the last page of this booklet. All correspondence and documents should be in English. Is it possible to have NHS funding? Treatment costs may be covered by the NHS if you are a permanent resident in the UK. The NHS has recently undergone extensive reorganisation. Clinical Commissioning Groups (CCGs) replaced primary care trusts on 1st April 2013, and doctors are now in the driving seat when it comes to commissioning services in the biggest shake up of the NHS since its foundation in 1948. What you can do to find out if NHS funding is possible Each CCG operates slightly differently and there are 211 in total, so the first thing you should do is to talk to your GP to find out what is happening about funding in your area and whether it is possible to arrange an application for funding for treatment at the Bobath Centre. As doctors are now making funding requests we are finding that applications to the NHS can take some time, typically three to four months and there is no guarantee of funding being approved. If NHS funding is agreed, once we have written notification from the CCG or your doctor we will contact you to arrange an appointment. Page 4 of 8 Can I pay for treatment? Yes. We will ask you for a deposit equal to half the fee when your appointment is booked, with the balance due on the first day of your treatment. Payments may be made either by banker's order, cheque or debit/credit card. We can only confirm your appointment after we have received your deposit payment. If you have an undertaking from an insurance company or other source to fund you, we expect you to meet the cost of treatment yourself and reclaim payment from the relevant body. We will provide you with appropriate invoices/receipts to facilitate this. If you are attending the Bobath Centre from overseas you will be paying for your own treatment as NHS funding is not available for people not permanently resident in England. Treatment costs Consultation with a senior therapist: £447 10-session course of treatment (usually taken over 2-weeks): Includes one treatment session a day, for ten sessions, plus a report on the treatment given and recommendations for future management, which will be supplied to you and your referring doctor. On going weekly treatment - per session: £102 Charge for treatment in addition to the minimum - per session: £102 Administration charge for all non-European Union patients £350 £1,224 The fees above include any letters or reports and/or the Home Programme Treatment Plan. If two therapists work with you an additional charge may be made. The Tariff is subject to annual price review Adult Centre Tariff 2013-14 Page 5 of 8 What can I expect from a 10-session block of therapy? You will have a 10-session period of assessment and treatment in which the therapy is provided by a Bobath physiotherapist. The therapy will be on an individual basis with each treatment session lasting at least 45 minutes. After your block of therapy, a report including a home programme will be sent to you, your local therapist, GP, referring doctor and if your local NHS has funded the visit, they will also receive a copy of the report. What can I expect from a consultation? In a consultation appointment which lasts 1½ to 2 hours we can address only one or two issues, as we then take time to suggest appropriate activities During the course of the consultation we may use equipment that enhances your activity, but the focus of a consultation is not directly to address equipment needs. A report including a short home programme will be sent to you, your local therapist, GP and referring doctor. If your local NHS has funded the visit, they will also receive a copy of the report. Will my local therapist be involved? We are keen to liaise with local therapists. Please let us know if you would like your local therapist to be invited to attend. How do I get to the Bobath Centre? The Bobath Centre is in north London and by car is within easy reach of the M1 and North Circular Road (A406). We have a large visitors’ car park. Travelling by public transport, East Finchley underground station (Northern line) is seven minutes walk and there are good local bus links. Do you provide accommodation? The Bobath Centre is an out-patient centre so we do not provide accommodation. If you cannot travel daily to the Bobath Centre, you will need to arrange hotel or guest house accommodation. We have a list of local hotels, apartments and B&Bs available on request; you would need to check that any accommodation is suitable for you. What facilities do you provide? The Bobath Centre building is on one level and accessible throughout. We have a family kitchen with fridge-freezer and microwave and a washer-dryer in our laundry room - facilities to make a stay away from home as easy as possible. As well as the male and female toilets, we also have two disabled access toilets and a disabled access shower. Page 6 of 8 Notes Page 7 of 8 The Bobath Centre for Adults with Neurological Disability Bradbury House 250 East End Road East Finchley London N2 8AU Tel: 020 8444 3355 Fax: 020 8444 3399 Email: [email protected] Website: www.bobath.org.uk Registered charity number: 1039162 Page 8 of 8