REMEDY : BNSSG referral pathways & Joint Formulary


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Movement Disorders

Checked: 23-07-2022 by Vicky Ryan Next Review: 23-07-2023

Service Overview

Care of the Elderly movement disorder clinics are available via eRS at UHBW (South Bristol Community Hospital and BRI) and NBT (Southmead and Cossham).

They will accept referrals for patients with movement disorder/ suspected Parkinson's disease.

These services will review:

  • Any new patients with suspected movement disorder.

  • Older patients and multi-morbid patients.

  • Patients with known Parkinson’s who are developing complications and would benefit from holistic care, particularly closer to home.

Please also refer to the Parkinson's Disease section of Remedy which includes advice on local nurse led services.

Referral - UHBW

Referrals to UHBW services do not have an age limit but it is generally advised that patients aged 40 and over with movement disoders can be referred to these services for assessment.

Referrals should be make via eRS requesting the Parkinson's and movement disorder service (SBCH or BRI). A choice of service will be provided unless otherwise specified.

Referral NBT

Referrals to NBT care of the elderly movement disorder services are limited to patients aged 70 or over.

Referrals should be make via eRS requesting the Parkinson's disease and movement disorder - Geriatric Medicine service (Southmead or Cossham). A choice of service will be provided unless otherwise specified.



Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.