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Information for Clinicians

Referral to the Regional Neuropsychology Service

Referrals are accepted from consultants in neurology, neurosurgery, rehabilitation medicine, consultants at Morriston Hospital caring for service users that meet the criteria below, clinical psychologists and clinical specialist nurses in neurosurgery at the University Hospital of Wales, Cardiff.

There are very limited resources and waiting times vary. For further information please contact the service.

Inclusion Criteria for the Regional Neuropsychology Service:

Referrals only accepted for patients in SBUHB, Bridgend and HDUHB

  • Hypoxic brain injury
  • Intracerebral haemorrhage requiring neurosurgical intervention
  • Aneurysmal subarachnoid haemorrhage
  • Brain infection due to meningitis or encephalitis
  • Epilepsy *
  • Cerebella ataxia
  • Meningioma’s
  • Non-progressive tumours
  • Neuroinflammatory conditions *
  • Differential diagnosis in cases where aetiology is unclear and cognitive assessment is required to clarify diagnosis.
  • Neurotoxic exposure (excluding alcohol or drugs)
  • Complex traumatic brain injury cases at the request of the community teams in SBUHB and HDUHB.

* Assessment only with current resources for differential diagnosis or cognitive problems impacting on vocational or educational functioning.

Exclusion Criteria: The service is not configured to provide assessment or intervention for service users with:

  • Functional neurological disorders (excluding non-epileptic attack disorder in SBUHB).
  • Congenital or developmental neurological or psychiatric disorders
  • Developmental dyslexia or dyspraxia etc.
  • Brain disorders attributable to toxic effects of alcohol or drugs unless the client has been successfully treated for alcohol and drug problems.
  • Recent post-concussion syndrome and mild head injury.

Before making a referral for a neuropsychological assessment:

  • The person’s physical health must be stable (including pain management or medication issues) and all appropriate medical tests should be carried out first (including any CT/MRI Scans).
  • Ideally, a cognitive screening tool such as the ACE-3 will have been completed.
  • Any patient that presents with clinical depression, an anxiety disorder, psychosis or other mental health problem should be referred to the local mental health service.
  • A person with a neurological condition that presents with alcohol or substance misuse should be referred to the relevant local service.

Follow this like for the Regional Neuropsychology Service referral form

Referral Criteria for Community Brain Injury Service
Hywel Dda Health Board

Inclusion Criteria:

  • Traumatic Brain Injury (Moderate-Severe with GCS < 13, CT abnormalities, prolonged coma, or post-traumatic amnesia)
  • Hypoxic Brain Injury
  • Brain infection or inflammation due to meningitis
  • Encephalitis
  • Haemorrhagic stroke requiring neurosurgical intervention

On average, 1-3 follow up sessions are provided. There is upper limit of 4 sessions after the initial assessment but a degree of flexibility is allowed, and there have been one or two people (and families) that have been seen for much longer in order to help resolve complex needs.

Exclusion Criteria for the Hywel Dda Brain Injury and Regional Neuropsychology Services:

  • Recent post-concussion syndrome and mild head injury.
  • Progressive degenerative or other dementing illness
  • Congenital or developmental disorders (learning disabilities, autism)
  • Psychiatric disorders
  • Brain disorders attributable to toxic effects of alcohol or drugs
  • Neuropsychiatric complications of primary epilepsy.
  • Progressive brain tumours

Non Epileptic Attack Disorder Service

This service is funded for SBUHB patients only

The Non-Epileptic Attack Disorder Service provides input for clients and their families who have been diagnosed with non-epileptic seizures by a neurologist. The neuropsychology service is only funded to offer two days and there long waiting times (please contact the Regional Neuropsychology Service for further information).

Referral Criteria:

  • Referral from neurology only
  • Diagnosis of NEADS as confirmed by MRI and VEEG
  • Aged 18+     

For information on non-epileptic attack disorder:

Follow this link to the Neurosymptoms website.

Follow this link to the Non-Epileptic Attack Disorder website.

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