Consultant in Rehabilitation Medicine

The role of a consultant in rehabilitation in medicine is varied and wide. Following a further 4 years of post graduate training, they cover a number of specialties, these being:

  • Neurology
  • Spinal Injury
  • Amputee
  • Musculoskeletal
  • Community
  • Academic

The role of our consultant is to offer expert assessment, treatment and recommendations for clients with complex disabling diseases. This work aims to prevent and reduce the impact of complications, treat the underlying condition and any co existing conditions that may impact on the person’s health. In addition a range of specialist treatments can be provided e.g. spasticity management, pressure mapping and assistive technology assessment. Our consultant provides clinical leadership and advice to the interdisciplinary team.

Expert reports are provided and our consultant is actively involved in and promoting academic research. Services can be provided in an environment that best suits the person’s needs.

Ear, Nose and Throat Consultant

An ENT specialist is concerned with treating conditions of the ear, nose and throat, but also the head and neck areas.

Following general medical training, a further 5 years specialist training is required developing medical and surgical skills to manage a wide range of conditions.

The specialties covered are:

  • Head and Neck Surgery
  • Otology (hearing)
  • Skull Base Surgery / Neurotology
  • Thyroid and Parathyroid Surgery
  • Rhinology
  • Facial Plastic Surgery
  • Paediatrics
  • Laryngology

The consultant is experienced working both within an in-patient and community environment, providing expert reports and is actively involved in supporting and advising the interdisciplinary team. A specialist swallowing and voice clinic is run by the speech and language therapist and ENT consultant, enabling objective assessment and evaluation to inform therapy.


A Neuropsychologist is a clinical psychologist who is specialised in assessing and treating behaviors resulting from changes to the brain. They study the structure and function of the brain, have knowledge of neurobiology and psychopharmacology.

The role of the neuropsychologist is to carry out neuropsychological tests that investigate the person’s intellect and personality prior to the injury / disease and their current performance. They will then compare the two to determine changes and the extent of damage to the person’s cognitive abilities and make recommendations for treatment.

Alongside testing, the neuropsychologist will also offer psychological treatments e.g. counseling, psychotherapy, cognitive behavioral therapy, education, counselling to the client, family and carers.

Neurological Physiotherapy

The role of a neurological physiotherapist is treatment of the nervous system and the adverse effects on movement following illness, disease or injury. The physiotherapist works to improve muscular strength, core stability, balance, posture, strengthening and stretching routines which may incorporate a number of specialists interventions e.g. Hydrotherapy, electrotherapy and spasticity management (botox).

The approach used by the neruo physiotherapists is the Bobath approach. This is based on exercising the nervous and muscular systems to improve motor function through normal movement, the resulting aim being to improve a person’s level of function and independence.

The role of the physiotherapist is tightly linked to the rest of the interdisciplinary team, developing joint goals and interventions to enable the client to achieve their maximum potential.

Neurological Occupational Therapist

A neurological occupational therapist specialises in the assessment and treatment of people with neurological conditions.

The role of the occupational therapist is to assess a persons ability to carry out their daily routines from getting washed and dressed, having coffee with friend to going to work.

This is achieved through a detailed assessment of a person’s previous level of function and their current abilities, comparing the changes and identifying the deficit areas. The occupational therapist assesses cognition, physical function and the psychological impact of the disease / injury.

Following assessment the neurological occupational therapist is able to make recommendations for therapeutic intervention, aids / adaptations to the environment, specialist seating, assistive technology, splinting and provide education and support to the client, family and carers.

The occupational therapist works closely with the interdisciplinary team to offer support, advice and develop joint goals, to ensure that the person is able to achieve their maximum potential to live independently and enjoy life.


A dietician is responsible for providing medical nutritional intervention to a variety of client groups to address their medical / health needs. This is achieved through assessing a persons current dietary habits, providing advice, education, planning appropriate menus or assessing and evaluating the use of artificial nutritional diets.

This role is carried out within both in-patient and community environments, providing an essential role within the interdisciplinary team, ensuring that clients nutritional needs are met, enabling them to engage within the rehabilitation process to the best of their ability.

Speech and Language Therapist

A Speech and Language Therapist (SLT) who specialises in neurological impairments, is concerned with the assessment, treatment and management of communication and swallowing difficulties following injury, illness or disease. These include stroke, acquired brain injury, progressive diseases (such as Parkinson’s Disease, Multiple Sclerosis, Huntingdon’s Disease, Motor Neurone Disease). We communicate to interact, connect with the world, have control, express our personality and emotion, needs, desires, independence, choices and to make and sustain relationships.

Communication is a broad term covering:

  • speech (movement and co-ordination of muscles),
  • language (reading, writing, understanding and expression of spoken word, coherence,
    relevance and content),
  • voice ( airflow, intonation, strength, pitch, quality),
  • fluency (stammering )
  • non verbal communication (signs, symbols, eye contact, body language and gestures)
  • social communication (turn taking, conversation skills, social rules, use of language, subtle high level skills e.g use of humour)
  • alternative/augmentative communication (low and high tech communication aids)
  • applying skills to different environments and contexts e.g workplace or establishing and maintaining relationships.

Swallowing difficulties are significant for safety, nutrition, quality of life and wellbeing. Specialist assessment and treatment can identify the nature of the problem and the most appropriate therapy, strategies and management plan for the person. An onward referral for instrumental assessment using either X Ray (videofluoroscopy) or endoscope (Fibre Endoscopic Examination of Swallowing –FEES) may be required for additional information. Our SLT will be able to jointly carry out procedure with SLT in local setting and analyse findings.

An interdisciplinary team approach enables a holistic analysis and intervention of all factors involved including oral hygiene.

Technical Instructor

The role of a generic technical instructor is to carry out the instructions of the qualified therapists within the interdisciplinary team following their assessment. The therapists will provide the technical instructor with specific therapy programmes to follow; the technical instructor will then provide feedback to the team regarding the clients performance within that programme.

The technical instructor receives specific training regarding each of the therapists roles and combine their knowledge and skills to ensure that the interdisciplinary team goals are carried out consistently and routinely.

A technical instructor is a key member of the interdisciplinary team, providing valuable feedback and is adept at working alongside the family and care team, offering support and education.

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