Focusing on brain/CNS rehabilitation

The LCA held its first LCA brain and CNS forum aimed at allied health professionals, which specifically looked at rehabilitation and advanced care planning, on 1 October 2015.

The afternoon opened with Davina Richardson, service lead at Charing Cross Hospital, presenting the work of the LCA neuro-rehab group and the results of a recent mapping audit. She was followed by Lyn Cave, palliative care clinical nurse specialist from The Royal Marsden, discussing myth busting palliative care for patients with brain and CNS tumours.

Susie MacAllister, a physiotherapist from the Wandsworth Community Neuro Team, followed with a comprehensive description of the Gold Thursday and EoLC pathway implemented by the team in the community. Dr Matthew Williams, consultant oncologist at Imperial College Healthcare NHS Trust, focused on the advances in the surgical and medical management of brain and CNS tumours. Attendees were then asked to discuss barriers to rehabilitation for people with brain and CNS cancers and how the acute sector can help support colleagues in other units with the transfer and prioritisation of patients.

The key aims and objectives for the afternoon – to develop network links with colleagues from different providers, explore the barriers to rehab and identify how to support colleagues with transfer and prioritisation of patients, and to consider development and educational needs of the workforce and be aware of the gaps in the service – were fully met.

Ideas for future educational sessions included an introduction to cancer; tumour types, definitions, treatment and impact on prognosis; case studies of complex patient management in the community; advanced communication and holding difficult conversations specifically around end of life; and symptom management from an AHP perspective.

The next LCA brain/CNS clinical forum will be held on Thursday 3 December 2015. The next rehabilitation-specific brain and CNS forum is still to be confirmed for 2016. For more information please contact Elizabeth Pegers, LCA project manager, at

The presentations from the event are available here


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