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NELFT Neurosurgery

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Spinal & Musculoskeletal Assessment Service

Appointment Type: Assessment Service

Service Location: HAROLD WOOD POLYCLINIC

Directly Bookable: Yes

Age Range Treated: 16 years and over

Gender Treated: Male and Female

Contact Address:

ST CLEMENTS AVENUE

ROMFORD

ESSEX

England

RM3 0FE

Contact Telephone Number: 01708 57 6477

Fax Number: 01708465566

E-mail Address: spinalassessment.service@nhs.net

Conditions Treated

Musculoskeletal, spinal conditions

- Undiagnosed Musculoskeletal pain of an acute , sub-acute or chronic nature of aetiology

- Neural symptoms in the upper or lower limbs thought to be of spinal origin.

-Idiopathic decrease of spinal mobility with or without associated pain

-Neurological signs thought to be of spinal original


Whilst SMAS will screen for those signs and symptoms with serious spinal pathology (red flags) referring professionals are expected to have identified these symptoms in their intial assessments. In cases where the red flags are apparent it is expected that the patient will be referred directly to acute services.

 Procedures Performed

In addition to carrying out a clinical assessment the clinicians are trained to order blood tests, MRIs, CTs, X-rays, ultrasounds and dexa scans. From these the clinicians form a clinical impression in order to develop a robust treatment plan. If appropriate onward referral to physiotherapy or secondary care Orthopaedics, Rheumatology, Pain Service or Neurosurgery department via Choose and Book.

Monthly MDT with Nerosurgeon

Direct Onward referral to Neurosurgery

Exclusions

Patient under 16.

Patients who already have a diagnosis.

Patients who require physiotherapy (should be referred directly to Out Patient Physiotherapy).

Red flag symptoms

Patients who are house bound and cannot travel to clinic for assessment

Cauda Equina Symptoms

Service Notes

The spinal and Musculoskeletal Assessment (SMAS) provides expert assessment and management of Musculoskeletal conditions. It is an extended scope Practitioner Physiotherapy led service for patients with Havering GPs.

Assessment of spine, investigation including MRIas appropriate.

 

© 2022 NHS Havering Clinical Commissioning Group.