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Parkinson’s Disease

  

Parkinson's disease is a condition in which parts of the brain become progressively damaged over many years. It can cause a wide variety of both movement (motor) and non-motor symptoms. Management becomes more complex as the disease progresses.


Coventry & Warwickshire Regional Parkinson’s Service

Coventry & Warwickshire Regional PD Service: follow link

Who are we and where can we be found?

The regional Parkinson’s team comprises of doctors, nurses and therapists with specialist training in Parkinson’s who work closely together

We also have very close links with the Parkinson’s UK Local Advisers as well as the specialist nurses for other Parkinsonian conditions and non-oral therapies

The Service was Highly Commended in the inaugural Parkinson’s UK Excellence Network Awards in 2017

The regional team helps look after over 1700 people with Parkinsonian conditions living in Coventry and Warwickshire

Specialist Parkinson’s clinics (nurse and/or consultant led) are held in the areas shown on the map below.

Parkinson’s and Movement Disorder Clinics

All new referrals to the consultant service (Coventry, Rugby, Warwick and Stratford) can be made by ERS (Electronic Referrals Service)

Department of Neurology
University Hospitals Coventry & Warwickshire (UHCW) NHS Trust
Clifford Bridge Road
Coventry
CV2 2DX

Department of Geriatric Medicine
South Warwickshire Foundation NHS Trust
Warwick Hospital
Lakin Road
Warwick
CV34 5BW

Hospital consultant-led clinics

Consultant-led clinics are held in all the acute hospitals in the county. The clinics see new referrals to the Movement Disorder and Parkinson’s service as well as ongoing follow up of people with Parkinsonian conditions. The team also runs a specialist Apomorphine and Duodopa service at UHCW for patients requiring non-oral therapies.

University Hospital Coventry: Dr Strens, Dr Teare, Dr Samra
Hospital of St Cross Rugby: Dr Strens, Dr Lindahl
George Eliot Hospital Nuneaton: Dr Teare
Warwick Hospital: Dr Thanvi, Dr Griffiths, Dr Wears, Dr Samra
Stratford Hospital: Dr Griffiths, Dr Strens, Dr Lindahl

Hospital nurse-led clinics

Hospital nurse-led clinics are held at University Hospital Coventry, Warwick and at the Hospital of St Cross Rugby

These clinics are for:

  • One-off appointments for people newly diagnosed with Parkinson’s
  • Monitoring clinics for people who are being considered for, or who are already on, non-oral Parkinson’s therapies (Apomorphine and Duodopa)
  • People recently discharged from hospital where required

Referrals to this clinic can only be made by a Consultant or Parkinson’s Nurse Specialist.

Community nurse-led clinics

The Community Parkinson’s Nurse Specialists run nurse-led community Parkinson’s clinics in many areas around the region, including: Coventry, Rugby, Polesworth, Bedworth, Stratford-Upon-Avon, Southam, Shipston, Alcester, Leamington and Kenilworth

Parkinson’s UK Local Advisers

Parkinson’s UK helpline: 0808 800 0303

  • Anne Sage, Coventry and Warwickshire 0344 225 3762
  • Helen Brewin, Leicestershire 0344 225 3626
  • Angela Jeffery, Northamptonshire 0344 225 3628
Who to Contact and When

 

Referral guidance for suspected Parkinson’s disease

What to look for

  • Rest tremor
  • Slowness of movement
  • Limb stiffness
  • Loss of balance
  • Gradual onset of symptoms

Check for dopamine-blocking medications that cause drug-induced parkinsonism (eg antipsychotics, antiemetics such as prochlorperazine, metoclopramide, cyclizine)

What to do

Refer untreated to the UHCW Movement disorder clinic

Deterioration in Parkinson’s disease control

If a patient presents with deteriorating Parkinson’s control:

  • Please refer to the Anticipatory Care At Home guidance (see useful links section below)

Useful contacts:

Parkinson’s Disease Nurse Specialist Service – follow this GP Gateway link to information page

If out of hours advice is required or PD consultant not available, please contact the on-call neurology registrar (9am-9pm) or consultant (24 hours) via UHCW switchboard (Tel 02476 964000)

Warwickshire Integrated Single Point of Access (ISPA) if referring to Occupational Therapy, Speech & Language, or Physio or carer likely to require extra support with additional therapy services or to try to prevent hospital admission tel 01926 600818

Additional useful information:

Coventry & Warwickshire Regional PD Service: follow link

Parkinson’s UK: follow link

West Midlands Parkinson’s Network: follow link

Anticipatory Care at Home Leaflet: follow link

 

 

 

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