Clinical Psychology and Neuropsychology

The Clinical Psychology and Neuropsychology Department provides a service for children, young people and adults who have mental health problems as a result of physical health problems, and/or their cognitive functioning has been affected following a trauma or illness.

Clinical Psychologists and Neuropsychologists in the department work in a range of services, including Adult and Paediatric Burns, Adult and Paediatric Cleft Lip and Palate, Adult and Paediatric Cystic Fibrosis, Adult Haematology, Adult and Paediatric Neuropsychology and Rehabilitation, Adult Major Trauma, Paediatric Oncology, Adult Renal and the Adult Medical Outpatient Service (AMOS). There is some limited provision for general Paediatric patients.

Referrals can be made by Consultants/health professionals in the specialties that have Clinical Psychology or Neuropsychology provision, or directly to either AMOS or the general paediatrics service.

List of NUH Specialalities and Clinical Psychology:

NUH Specialties and Clinical Psychology Provision with the Speciality.docx [docx] 31KB

 

Contact Us

The Director of Clinical Psychology & Neuropsychology is Dr Arleta Starza-Smith, Consultant Clinical Psychologist and Consultant Paediatric Neuropsychologist

Contact Us:

Tel: 0115 924 9924 Ext: 86165 (there is an answerphone and this is checked regularly).

Email contact: psychologyadminDONOTREPLY@nuh.uk

Follow us on Twitter: @ClinPsyNUH

Adult and Paediatric Burns

Burns:

There is a burns clinical psychology service available for adults, children and their families/carers following a burn injury. The clinical psychologists can offer assessments and psychological interventions and support whilst patients are admitted to hospital and when they are discharged home.

 

The types of difficulties the clinical psychologists typically try to help with include: anxiety, low mood or stress after a burn injury; difficulties adjusting emotionally; behavioural difficulties; difficulties or distress managing pain or painful/medical procedures; difficult or upsetting feelings and thoughts about changes to appearance/the body; distress related to the accident (e.g., upsetting memories or bad dreams, anxiety when faced with reminders of the accident); or help managing other people’s reactions to injuries.

 

Referral criteria and process

Patients can be referred by any member of the burns team or patients can self-refer. The Adult Burns Team can refer in person, by phoning ext. 77985 and leaving a message if no-one answers, or in writing to: Dr Laura Shepherd, Consultant Clinical Psychologist, Plastic Surgery Department, City Hospital. The Paediatric Burns Team can refer in person, by phoning ext. 86165 and leaving a message if no-one answers, or in writing to: Dr Anna Turner, Clinical Psychologist, Children’s Burns and Plastics Unit, Queen’s Medical Centre.

 

Patients can self-refer by telephoning 0115 969 1169 ext. 86165 and leaving a message for the attention of the burns clinical psychologists with their contact details. The burns clinical psychology service can only offer help to patients where the psychological problem or distress is a consequence of the burn injury. The service cannot offer help for pre-existing problems prior to a burn injury occurring. It also cannot offer help for significant or enduring mental health problems or when there is a risk to self or others.

More support and information:

Paeds burns:

Both adult and paeds:

Adult Cystic Fibrosis, Clinical Psychology in Paediatric Cystic Fibrosis

Adult Cystic Fibrosis

The Adult Cystic Fibrosis Clinical Psychology Service provides specialist assessment and psychological intervention to adults living with Cystic Fibrosis and under the care of Nottingham University Hospital’s NHS Trust. Part of our role is to ensure that psychological wellbeing is considered as part of patient care. Living with Cystic Fibrosis can have a significant emotional impact and people may experience a range of psychological difficulties.

 

Referrals

Any member of the Adult CF multi-disciplinary team can make a written referral to the CF Clinical Psychology Service by email.

 

Adult Cystic Fibrosis – Clinical Psychology Referral Criteria.docx [docx] 19KB

 

Clinical Psychology in Paediatric Cystic Fibrosis

The Clinical Psychology in Paediatric Cystic Fibrosis service is designed to provide support for anyone and everyone affected (directly or indirectly) by Cystic Fibrosis (CF) who is under the care of the Nottingham Paediatric CF service and shared care clinics across East Midlands (Boston, Chesterfield, Derby, Kings Mill & Lincoln). This can be the children and young people with a diagnosis of CF, as well as their families and carers.  We recognise that having a chronic health condition can have an impact emotionally, as well as physically. 

The Clinical Psychologist meets all families for reviews through our regular multi-disciplinary team clinic appointments as well as providing more focused individual and family therapeutic support if and when indicated. 

Referrals can be taken from QMC staff via Medway, and external staff via email and completion of the service referral form.  Families can self-refer via any member of the CF team.

All referrals are followed up with an initial assessment contact.  If the referral is not appropriate due to the concerns being non-CF related the Clinical Psychologist will seek to help to liaise and recommend or refer on to other services when appropriate. 

 

Contact details:

Dr Helen Love - Consultant Clinical Psychologist

Tel: 07812 276228

Children’s Clinic East

B Floor, East Block

Queen’s Medical Centre

Derby Road

Nottingham NG7 2UH

 

Paediatric Cystic Fibrosis Clinical Psychology Referral.doc [doc] 84KB

Adult and Paediatric Clinical Haematology & Psychological Care for People with Cancer

Psychological Care for People with Cancer

The aim of this service is to provide specialist psychological assessment and intervention for adults (over 18 years old) who are affected by a cancer diagnosis and who are either receiving treatment at Nottingham University Hospitals NHS Trust or who are post-treatment and/or receiving palliative care. Outpatient appointments are held at either City Hospital or Queen’s Medical Centre (QMC), or via telephone or videocall. This service is also available for inpatients at both City Hospital and QMC.

 

This service is only available for Upper Gastrointestinal (Upper GI), Head and Neck, and Teenager and Young Adult (TYA) cancer patients. This service is currently available until April 2022.

Referrals

Referrals can be made via the order system on Medway. Alternatively, completed referral forms can be emailed to cancer.psychology@nuh.nhs.uk. Any professional working with the Upper GI, Head and Neck, and TYA cancer MDTs can refer.

 

Referral criteria: diagnosis of Upper GI or Head and Neck cancer, or under the care of TYA team with a cancer diagnosis; aged 18 years or older;   experiencing psychological distress related to their cancer diagnosis and/or treatment.

 

Appropriate referrals may include requests for support with loss and adjustment issues related to a cancer diagnosis and/or treatment; feelings of anxiety, panic or depression arising from illness; psychological difficulties impacting on a person’s ability to engage in their cancer treatment; fear about or difficulty making decisions about medical procedures or cancer tretment. This list is not exhaustive. Please contact us via email (cancer.psychology@nuh.nhs.uk) if you are unsure about making a referral or would like to discuss a patient in more detail.

Psychological Care for People with Cancer Referral Form.doc [doc] 75KB

Adult Medical Outpatient Service and Renal Clinical Psychology (Adult)

Adult Medical Outpatient Service (AMOS)

Who Can Access Our Service?

NUH patients who are experiencing psychological difficulties related to their health condition or medical treatment.

Currently the service is only able to accept a referral for patients referred from the following medical specialities

  • Oral & Maxillofacial
  • Plastic and Reconstructive Surgery
  • ENT
  • Diabetes
  • Cardiac and Respiratory
  • General Surgery

Our service is not appropriate for individuals who are experiencing severe psychiatric illness or are actively suicidal/self-harming, at risk of harming others or who require immediate or CRISIS care.

 

How Can A Clinical Psychologist Help?

Clinical Psychologists can help people to live better with a health condition or injury. A person’s physical health can impact on their lives in many different ways (physical activities, relationships, work, hobbies, etc.). It can lead to many different distressing feelings (such as worry, fear, anger or low mood) and can affect the way people think and the things they do. Psychologists can treat such psychological distress with a wide range of emotional and behavioural problems. Clinical Psychologists can help patients to better manage their illness, rehabilitation, and treatment. We use a range of therapies which involve talking about problems and difficulties.

 

What Does Our Service Offer?

  • Specialist assessments and clinical opinion to inform diagnosis and treatment planning
  • Brief psychological intervention and therapies to facilitate improved emotional adjustment to living with health difficulties or illness, to reduce stress in the face of illness and to improve condition management
  • Consultation advice to medical teams (to support optimal medical outcomes for patients)

Our psychologists are trained in a number of psychological approaches and the methods we use will be determined by your individual needs. We use a variety of different evidence-based approaches in our work, including Integrative Therapy, Cognitive Behaviour Therapy (CBT), EMDR, Acceptance Commitment Therapy (ACT) and Compassion Focused Therapy approaches.

Remote (telephone/video calls) or Face to Face appointments are available. A typical assessment appointment will last 50 minutes. Some patients may be seen for a single assessment, whereas others may be offered further individual appointments. This will be decided between the patient and psychologist at the end of their assessment.

 

How Are Referrals Made To Our Service?

Referrals to our service are made by specific NUH healthcare professionals involved in your medical care (e.g. Doctors, Clinical Specialist Nurses, Specialist Allied Health professionals such as specialist physiotherapists). The professional should discuss a referral with you prior to referral and gain your consent for the referral being made.

Our Staff

Dr Alistair Bailie (Clinical Psychologist

Dr Christopher Meek (Clinical Psychologist)

Dr Karen Treece (Clinical Psychologist)

Dr Lisa Worrall (Consultant Clinical Psychologist)

 

Clinic Location

Clinic 7 Elizabeth Suite

City Hospital

Hucknall Road

Nottingham

NG5 1PB

How To Contact Us

FAO: Clinical Psychology Secretaries

CPAMOS

Department of Clinical Psychology and Neuropsychology

C Floor

West Block

QMC

Telephone: 0115 924 9924  Ext.  86165

Please See Our Patient Information Leaflet For More Information on

Confidentiality

  • What Does Seeing A Clinical Psychologist Involve
  • What if I Cannot Make My Appointment
  • Complaints, Enquires and Feedback

Link To Patient Leaflets and Further Information

NUH_AMOSCP4Clinical Psychology.pdf [pdf] 389KB

 

 

Renal Clinical Psychology (Adult)

The Renal Clinical Psychology (Adult) service sees Adults under the care of Nottingham Renal and Transplant Unit.  Referrals relate specifically to the impact of living with a kidney condition and include:

  • • coping with illness, treatment and/or side-effects of treatment
  • • making decisions about treatment
  • • self-management difficulties (e.g. taking medication, diet or fluid)
  • • difficulties with family or personal relationships related to having a serious illness
  • • problems with body image
  • • feeling depressed, anxious or angry about illness or treatment
  • • sexual problems resulting from illness or treatment
  • • fears related to medical procedures, needles etc.
  • • assessing whether someone is ready to have a transplant

Referrals

The service accepts referrals from Kidney Health Professionals (Consultant Nephrologists, Transplant Surgeons, Renal Nurses, Renal Dieticians). Patients are encouraged to  speak to their Kidney Doctor or Nurse to access the service.

Further information about Renal support services: https://www.nuh.nhs.uk/renal-support-services

 

Service Contact details: RenalPsychology@nuh.nhs.uk

Guidelines for Referral to Clinical Psychology Service (Renal Tranplant Psychology) Referral Guidelines.doc [doc] 74KB

Guidelines for Referral to Clinical Psychology Service for Patients with Renal Disease.doc [doc] 71KB

Major Trauma Psychology Service

The Major Trauma Psychology Service service provides emotional & social support to adults & to young people, aged 16-17 years, who reside in the East Midlands area or who became injured in the East Midlands area, who have experienced a traumatic injury.  This would typically comprise of the following mechanism of injury; higher speed road traffic collisions,(<2m & also >2m) assaults, stabbings, shotgun injuries & suicide attempt survivors. 

 

Survivors of suicide attempts are provided with an assessment by DPM (Department of Psychological medicine) & a care plan, where needed.  The Psychologist works in consultation with the Department of Psychological Medicine to ensure that robust mental health support plans are in place to ensure that the wellbeing of patients is supported & to try to avoid repeated self-harm / suicide attempts. 

 

The service is available2 days per week, Tuesday & Thursday.  Located at C30 Major Trauma Unit, C Floor, QMC.  Inpatient service only. Support provided to patients, their family members & also to staff, when needed.

 

Referral Criteria

 

The service is only able to see patients aged 16+ years that are on the Major Trauma pathway.  They do not need to be physically located on Ward C30, as long as they are included within the MT treatment pathway.  This includes awake patients located within AICU, provided they are on the MT pathway. Support is provided to patients, family members & staff members, if needed, following major trauma admission & during the duration of inpatient stay at QMC following the traumatic injury.  There is unfortunately no funding at present for any outpatient or community follow-up provision. 

 

Referrals are made via email to Lena.palmer@nuh.nhs.uk or via telephone: 07812 276177

Referrals can be made by any member of NUH MTC staff with a professional registration e.g. case managers, OTs, physios, SLTs, doctors, nurses.

 

More information:

Adult Neuropsychology, Paediatric Neuropsychology, Nottingham Auditory Implant Programme (NAIP) Clinical Psychology Service

Adult Neuropsychology

The Adult Neuropsychology service sees patients with neurological conditions and injuries requiring specialist assessment, treatment or rehabilitation referred from neurology, neurosurgery, neurorehabilitation, and other neuro-care specialities.

Referrals

Referrals are made in writing to the Adult Neuropsychology Service via the NUH specialist already involved in the patient’s care, usually the consultant or clinical nurse specialist.

 

Paediatric Neuropsychology

The paediatric neuropsychology service sees children and young people with neurological conditions and acquired brain injuries who require specialist neuropsychological assessment and support.

Referrals

The service accepts referrals from Paediatric Consultants in neurology, neurosurgery, neuro-oncology and from NUH Consultant Paediatricians. The current waiting time for patients to be offered an initial appointment is around 9 months. 

Please view our leaflet for more information here:

Paed Neuro Patient Leaflet 2019-2020.pdf [pdf] 739KB

 

Nottingham Auditory Implant Programme (NAIP) Clinical Psychology Service

This service sees people from age 15 upwards, for psychological concerns in relation to cochlear implantation. We see people pre and post implant, and can offer therapeutic support to individuals and families as well as their wider systems. We also offer cognitive assessments in relation to concerns that might have been raised.

Referral Process

Referrals tend to be made internally, as people attending the service might raise concerns with their clinicians. People with cochlear implants who are engaged with the service can also request referral to psychology.

WEB_2563v1_Clinical Psychology.pdf [pdf] 1007KB

Neuropsychology at Linden Lodge, Neurosurgery – Normal Pressure Hydrocephalus Assessment Service, Stroke

Neuropsychology at Linden Lodge

What is Neuropsychology?

Neuropsychology is a specialist area of psychology, and focuses on how brain activity relates to how we think, feel and act.  In the NHS, Clinical Psychologists are trained to help patients with mental health difficulties, and may choose to specialise in neuropsychology, where they work with people who have a neurological condition, such as traumatic brain injury, dementia or stroke.

Linden Lodge Neurorehabilitation Unit

Linden Lodge is a 25-bedded neurological rehabilitation unit at City Hospital. Its team provides comprehensive specialist assessment and treatment for patients aged 16 and over with a wide range of neurological conditions.

Specialist medical, therapy and nursing teams work together to help each patient improve their health and wellbeing as much as possible and support them to return home or go into a care environment.  Currently we have three specialist Clinical Psychologists working as part of the team.

Post-traumatic Amnesia.pdf [pdf] 358KB

Neuropsychology at Linden Lodge.docx [docx] 17KB

 

Neurosurgery- Normal Pressure Hydrocephalus Assessment Service

This is an in-patient assessment service for people with suspected Normal Pressure Hydrocephalus.

Referrals

Patients  can be referred to the Clinical Psychology Normal Pressure Hydrocephalus Assessment Service by any NUH based neurosurgeon. If an NPH assessment is required by a neurologist or an non-NUH based neurosurgeon the normal practice is to refer to Mr Richard Ashpole, Consultant Neurosurgeon, NUH. NPH Assessment is classified alongside elective surgery, and due to pressures of COVID and current elective surgery restrictions there may be a long wait for an NPH assessment.

 

Stroke

This is an in-patient Clinical Psychology and Neuropsychology service for people who have survived Stroke and are being treated on the Hyper-Acute Stroke Unit, Acute Stroke Unit or the Stroke Rehabilitation Unit at NUH.

Referrals

Referrals can be made directly to Dr Karen Treece by internal email using the appropriate Referral Form.Any professional working on the stroke units at NUH can make a referral.Referral criteria includes; the person has a diagnosis of stroke, the person is an in-patient, the person has consented, the person is distressed. There is no service available for out-patients, or for patients who have been discharged.

Support leaflets:

General Paediatric Clinical Psychology Service, Clinical Psychology in Paediatric Oncology, Neonatal and Paediatric Critical Care Unit (PCCU)

General Paediatric Clinical Psychology Service

The General Paediatric Psychology service is designed to provide help with managing the emotional consequences of living with a medical condition. The service is offered on an outpatient basis only and referrals are accepted from General Paediatricians Only (i.e., not from specialities).

It may be appropriate to make a referral when presenting concerns cannot be sufficiently addressed by the paediatrician or play therapists for the following:

  • Anxiety and/or low mood relating to a medical condition/treatment
  • Coping and adjustment to physical health condition
  • Managing pain and fatigue
  • Medically related phobias e.g. needles
  • Variable treatment adherence
  • Preparation for surgery
  • Physical appearance/body image concerns relating to condition or treatment

If you are contemplating making a referral, Graham Williams (Graham.Williams@nuh.nhs.uk) would be happy to discuss this with you beforehand to consider whether the presenting difficulty is something that we are likely to be able to help with.

Seeing a Clinical Psychologist.pdf [pdf] 498KB

Paediatric Oncology

The aim of Clinical Psychology in Paediatric Oncology (as part of CYPICS- Children and Young Person’s Integrated Cancer Service) is to provide specialist psychological interventions for young people aged from 0 until their 19th birthday, who are affected by a cancer diagnosis and who are either receiving treatment at Nottingham University Hospitals NHS Trust, or who are post treatment and/or are receiving palliative care. 

Interventions may also be offered to the young person’s family (on a case by case basis), but this will depend on capacity. Outpatient appointments will be held either via telephone, video call or face to face at QMC. Young people experiencing acute emotional and psychological distress will be prioritised.

More information:

 

Neonatal and Paediatric Critical Care Unit (PCCU)

Neonatal

This service offer 3.75 hours for the unit at QMC and 3.75 hours for the unit at City Hospital and provides Clinical Psychology for the neonatal service as a whole. This means being responsive to the greatest needs of families and staff within the available time constraints. This includes individual, couple, dyadic, or  group sessions for families and consultation, teaching, supervision, reflective practice and in certain circumstances debrief for staff. The Consultant Clinical Psychologist liaises with local partners in Perinatal and Maternal Mental Health services.

Referrals

All referrals come from within the neonatal service via the family care team.

Paediatric Critical Care Unit- PCCU

Funding 7.5 hours for staff support until March 2022.

Referrals

Staff self-refer via email.

Referrals to Clinical Psychology.docx [docx] 26KB ​​​​​​​

Contact us & Information For Health Professionals At NUH

Tel: 0115 924 9924 Ext: 86165 (there is an answerphone and this is checked regularly).

Email contact: psychologyadminDONOTREPLY@nuh.uk