Midlands Centre for Spinal Injuries
The Midlands Centre for Spinal Injuries (MCSI) at the Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust is one of 11 in the UK designated to receive and treat spinal cord injured patients.
The centre serves a population of 8.5 million from a catchment area of North Wales, Mid Wales, South Mersey and The West Midlands. The MCSI provides a Lifelong service to a current population of 3,500 patients and admits on average 380 patients per year, of whom approximately 100 are in the acute phase of injury. Approximately 1500 patients have a full outpatient follow-up review each year.
The multi disciplinary team provides simultaneous care and attention to one with spinal cord injury and all its effects as well as full support to the patient, partners and family members until discharge and sometimes even afterwards.
A spinal cord injury (SCI) causes paralysis, sensory impairment, a multi-system
physiological impairment and malfunction, as well as psychological, social, financial,
environmental and vocational effects.
The MCSI is concerned with the prevention of Spinal Injuries, maximising neurological
recovery, minimising complications disability and handicap, complications following
discharge and maintain health, independence and a good quality of life on an ongoing basis.
- Acute and Rehabilitation Care
- Urological care
- Pressure Sore Management
- Management of skeletal spasticity including Botulinum toxin injection and insertion of
- intrathecal (Baclofen) pumps.
- Upper Limb surgery
The majority of patients are admitted within 72 hours from referral. More than 70 per
cent of patients with spinal injuries who are admitted to MCSI within 48 hours from
injury with paralysis but with pin prick sensory sparing are able to walk again. The
incidence is even higher if some flicker of movement is present.
About 85 per cent of our patients are discharged to their own home on completion of
treatment and rehabilitation. About 50 per cent of individuals with spinal injuries in working age are in education or some form of employment.
Referral of a patient to the centre can be by telephoning the medic or consultant on call for the spinal injury centre or by letter, ideally this should be within 24hrs of diagnosis.
The person making the referral will be asked a number of questions. There is a referral
checklist that can be completed, if completed prior to telephoning the centre to make the referral it will ensure all the information required is passed on, enabling an informed discussion with the multidisciplinary team to take place. It may be necessary to visit and assess your patient prior to acceptance for admission to the centre. If so this will be done as quickly as possible by our Consultant Nurse.
Other key clinical staff
The team at Midlands Centre for Spinal Injuries includes:
- Junior medical doctors
- Ward manager/ Clinical Activities Coordinator
- 1 ward manager
- Nurse Consultant
- 61 nurses and nurse assistants
- Three Resettlement Officers (also troubleshooters for patient in the community)
- 4 Occupational therapists
- 10 Physiotherapists
- 2 Psychologists and 1 assistant psychologist
- 1 Peer Councillor
- 5 secretaries
In order to provide for the needs of the spinal injured patients MCSI comprises of 44 beds and provides:
- 15 beds for acute/rehabilitation and readmission (Wrekin Ward),
- 29 beds for rehabilitation and readmission (Gladstone Ward),
- 4 roomed Outpatient department (OPD) with integral facilities for specific
- investigations and treatment,
- access to physiotherapy department – treatment room, gym and hydrotherapy pool,
- access to occupational therapy department and self contained rehabilitation flat.
The service has access to on site specialist orthopaedic, specialist teams for musculo-skeletal disorders, rheumatology team, bone metabolic disorders, visiting consultants from most specialities and a ‘state of the art’ laboratory/gait assessment unit. The RJAH Orthopaedic Hospital also houses one of the most up to date radiological facilities that include MRI, CT scan and nuclear medicine.
A newly built swimming pool opened in May 2005, also made from charitable fundraising, enable hydrotherapy to be provided.
The following clinics are held within the Midlands Centre for Spinal Injuries:
- Outpatients routine follow up
- Sexual Dysfunction/Fertility Clinic
- Pressure Sore Clinic
- Childrens’ Clinic
- Spasticity Clinic
Outreach Clinic held every quarter at West Midlands Rehabilitation Centre, Selly Oak,