Patient Referrals

Patients can be referred to the Scottish Epilepsy Centre for:

  • Diagnostic clarification where difficulties exist.
  • Prolonged inpatient video telemetry and ambulatory EEG monitoring.
  • Review of treatment in a safe healthcare environment.
  • Management review of complex epilepsies.
  • Functional assessment to inform future care needs.
  • Specific psychological evaluations and interventions.
  • Nurse Specialist outreach service.
  • Continued medical care for people with severe epilepsy.

What we offer patients with epilepsy

  • Establish and substantiate diagnosis of epilepsy
  • Initiate optimal pharmacotherapy for epilepsy
  • Withdraw sub-optimal pharmacotherapy in a safe in-patient setting
  • Rationalise pharmacotherapy
  • Promptly deal with adverse effects of medications
  • Address psychological and cognitive issues by the centre’s psychology service
  • Identify and address behavioural issues in patients with epilepsy with or without learning difficulties
  • Provide simultaneous multi-disciplinary care with input from neurologists, neurophysiologists, nurses, psychologists and support staff

The reasons for referral can be where:

  • usual monitoring techniques have failed to secure a diagnosis
  • there are multiple event types, where events resolve on hospital admission, or when events are too sparse to capture in the context of a five-day admission
  • drug changes need to take place in the context of high seizure frequency and patient vulnerability, in particular where patients are on multiple AED, and where patients with a diagnosis of psychogenic events have risk factors for epilepsy and may be high risk
  • behavioural factors (usually in the context of learning disability) preclude standard video EEG monitoring, the unit can provide expert clinical monitoring and CCTV footage of attacks (the unit is CCTV monitored throughout public areas).
  • epilepsy is accompanied by behavioural issues, particularly when the two interact
  • it is unclear how much seizure activity is going on
  • usual measures have not allowed confidence in patient compliance with AED
  • pseudoseizures are diagnosed, the unit psychologist can also provide a specialist assessment and formulation, with recommendation for management.

What we offer patients with psychogenic non-epileptic seizures (PNES)

  • Establish and substantiate the diagnosis of PNES
  • Ensure safe withdrawal of anti-epilepsy medications
  • Identify and address psychological, cognitive and behavioural issues
  • Initiate psychological therapy
  • Establish clear strategies for management of patients’ PNES in the community and minimisation of unnecessary utilisation of health care resources in the community and in hospitals.

How to refer

If you would like to refer a patient to the Centre, please refer in writing to the Consultant Neurologist, William Quarrier Scottish Epilepsy Centre, 20 St Kenneth Drive, Glasgow
G51 4QD.

Referrals can be accepted from consultants associated with epilepsy care. We may also accept referrals from other medical practitioners where there is a difficulty accessing appropriate services locally.

All referrals to the Centre are reviewed by Scottish Epilepsy Centre clinical staff and multi-disciplinary team prior to admission.

All referrals require support, approval and funding from the appropriate NHS authority. Funding for assessment at the Scottish Epilepsy Centre is organised via extra contractual funding which must be authorised by the patient’s local NHS board. For more details contact our Senior Administrator, Elaine Blackley, who is available Monday to Friday, from 8.45am to 4.45pm, on 0141 445 7750 or email [email protected].

If you would like to discuss a possible referral or to find out more about the service we provide, please contact the Senior Administrator on the number about and ask to speak to the Epilepsy Specialist Nurse ([email protected]) or Unit Manager ([email protected]). Alternatively, you can contact the Scottish Epilepsy Centre directly on 0141 445 7755 (24 hours) or email [email protected].

Inpatient admissions length

The service design is established to provide medium-term admissions (2-8 weeks, with the average being around four weeks) to facilitate complex assessments unsuitable for short-term intervention available in specialist NHS neurological assessment services.

Prior to admission, the length of assessment is planned in agreement with a Specialist Consultant and the referring NHS Health Board, but a several factors influence the actual admission period. For patients assessed for diagnostic or clarification assessment, the inpatient stay can be dependent on patient experiencing the variety of events that require clarification. In addition, these events may need captured on EEG and/ or video to ensure accuracy of evaluation. Individual therapeutic responses to medication changes can be a factor. Where extensions are required over pre-agreed timescale, authority is sought by funding NHS board.