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.

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

Adult and Paediatric Clinical Haematology

Haematological Malignancies Service

The Clinical Psychology Service is available to provide specialist psychological assessment and interventions to adults aged 18 and over with a diagnosis of any haematological cancer. The service also supports adults undergoing stem cell transplants for the duration of time that they are under the care of the transplant team. Input can be provided to both inpatients and outpatients. Outpatient appointments will be held either via telephone, video call or face to face at the Clinical Haematology Department, City Hospital.

Referral Criteria and Process

Outpatients experiencing psychological and emotional difficulties should contact their Clinical Nurse Specialist in the first instance. Support will be offered and onwards referrals to psychology will be made as necessary on their behalf. Inpatients can be referred directly to the service and will be seen as a priority.Referrals will only be accepted from medical or nursing staff in Haematology, made directly to Dr Sarah Crozier via internal email using the appropriate referral form.

More Information:

WEB 2583v1_Clinical Psychology.pdf [pdf] 1010KB

 

Adult Haemoglobinopathy Service

The adult haemoglobinopathy service provides psychological assessment and intervention to anyone over the age of 18 with a diagnosis of sickle cell disease or thalassaemia. Outpatient appointments will be held either via telephone, video call or face to face at the Clinical Haematology Department, City Hospital. Inpatients will be seen face-to-face where possible.

Referral Criteria and Process

Referrals should be made directly to Dr Sarah Crozier via internal email using the appropriate referral form. Patients experiencing psychological and emotional difficulties can request referrals from the haemoglobinopathy team at any point. Psychological reviews form a part of standard annual reviews completed to give opportunities for difficulties to be raised.

More Information:

Clinical Psychology for Haematological Cancer [pdf] 252KB

 

Paediatric Haemoglobinopathy Service- Paediatric Sickle Cell Disease and Thalassaemia

The Paediatric Sickle Cell and Thalassaemia Psychology service provides support to children, young people (up to 18 years old) and their families with the psychological and emotional aspects of Sickle Cell, Thalassaemia and other red cell disorders. This includes helping to understand and manage emotions, pain, difficulties with memory and concentration and a range of other difficulties that are linked to health and illness. The service provides individual psychology sessions and runs groups for children, young people and their parents. There is also psychology support throughout the process of transitioning from the paediatric to adult service.

Care pathway.doc [doc] 38KB

Paediatric Sickle Cell and Thalassemia - Clinical Psychology Referral Criteria.docx [docx] 24KB

 

Adult and Paediatric Haemophilia & Inherited Blood Disorders

The Clinical Psychology service for Haemophilia and Inherited Blood disorders is available for adults, children and their families/ carers who are under the care of Nottingham University Hospitals (NUH).  The service is available for 2.5 days a week.

Patients can be referred to see a clinical psychologist for a variety of reasons including:

  • New diagnosis of Haemophilia and inherited blood disorders
  • Worries or fears about things such as treatment, being in hospital and the future
  • Coping and living with HIV and/or Hepatitis C
  • Pain management
  • Making decisions about having or not having children
  • Moving from child to adult services
  • Emotional problems (Anxiety and depression)

 

Referrals

Referrals can be made by from any member of the Haemophilia and Inherited Blood disorder multi-disciplinary team via email to Dr Safeena Ghufran.

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.

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:

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:

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.

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:

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:

Contact us

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

Email contact: psychologyadminDONOTREPLY@nuh.uk