Group multidisciplinary consultation clinic - University Hospital
Lewisham/King's College Hospital
King's College Hospital decided to introduce a group
consultation clinic focused on specific stages of Parkinson's in
order to avoid possible delays in the patient pathway.
This delivers a model of care that fits in with the NICE
Guideline, National Service Framework for Long Term Neurological
Conditions and also the 18-week pathway. Such a clinic was piloted
in 2005 at University Hospital, Lewisham.
- A group consultation clinic is held on a monthly
- Each clinic session has 16 to 20 patients invited at a similar
stage in their condition - together with their partners.
- Clinics are dedicated to early stage, moderate stage, and
The clinic is geared towards patient-centred care and provides
- quick referral and rapid access to consultant-led specialist
care and assessment
- expert review of diagnosis review by specialist care, including
physiotherapy, occupational therapy, speech and language
- access to psychological and psychiatric support
- delivery and development of an expert patient programme
- Choice for patients and their carers: they can attend their
usual 3 to 6 month follow-up consultation, attend a group
consultation clinic at their own convenience, or both.
Each clinic session satisfies the Parkinson's NICE guideline by
- Consultant/specialist/Parkinson's nurse review
- assessment and review by the multi-disciplinary team
- medication advice
- regular follow up
- development of expert patient groups
The Lewisham clinic has been cited by the Department of Health
as a 'Whole Systems Example' (Medicines Management, 2005).