The National Hospital of Neurology and Neurosurgery (NHNN) - Multidisciplinary Teams (MDT)
Adults
Children
All AgesSpecialist Centre:
The National Hospital of Neurology and Neurosurgery (NHNN)
Please note: the health care provider will discuss with the individual patient what treatment is appropriate for them.
Address:
The National Hospital of Neurology and Neurosurgery (NHNN)
Queen Square,
Holborn,
London
WC1N 3BG
MDT Type:
Face to Face
Informal, communicate as required
Virtual
How often does the MDT meet?
Part of the RNTNE MDT clinics that run monthly as under the same trust - UCLH. Decisions are made as to who might be best referred to RNTNE for expert surgical opinions.
Who is in the MDT network?
ENT
Maxillofacial surgery
Neurology
Neurophysiology
Neurosurgery
Ophthalmology
Plastic surgery
Psychology
Specialist facial therapy
May be offered:
Chemodenervation, e.g. Botulinum Toxin
Oculoplastic surgery
Plastic surgery
Psychology
Psychology – restricted
Skin camouflage
Specialist facial therapy
Specialist facial therapy - surgical patients only
EMG on site:
Yes
Patient group:
Adults
Referral should be made to:
Complex Facial Clinic (CFC)
Treatment predominantly for Adults or Children 16 years and above with parents in attendance.
Referrals to the CFC are via GP e-referrals (to UCLH; neurology inbasket; facial rehabilitation) or consultant referral via EPIC or letter).
All initial assessments in the CFC are face to face. Some follow ups are done remotely depending on the patient needs and clinic requirements.
Patients can access botulinum toxin only if they are receiving facial therapy and are referred into the clinic via the CFC clinicians.
All facial palsy patients accepted including: neuromuscular – service any FSHD and OPMD patients, all surgical, all GP referrals and all bilateral GBS/MF patients.
Just started seeing more hemi-facial spasm patients on request of the neurosurgeons as there was not previously a pathway for this population.
