ISDN home page
Main menu

GM Spasticity - Clinic Audit

Clinical Organisational Audit Tool

(Please complete one form only per service)
Please note the number held and then choose the frequency
Frequency of the clinics
Length of appointment time - NP
Length of appointment time - Review
Do you have waiting list access? (If no - could you seek internally whom may have before submission)
Is there an option for community visits from this service?
If yes, which members of the MDT sit within the clinic?
Choose multiple as required
Who completes triage process for this clinic:
Choose multiple as required
Are support staff available to assist with transfers/ moving and handling requirements?

Is the service able to offer the following first-line interventions?

Advice on self/care management

Is the service able to offer the following second-line interventions?

Oral Agents

Is other medication e.g. pain medication reviewed within the clinic?

Botulinum Toxin

How many injectors per clinic? (Please state whether they are medical or non-medical injectors.)

If any of the injecting clinicians are non-medical injectors, have they completed the following training requirements stipulated by the national guidelines:

a) Attended a botulinum toxin training course
b) Been observed assessing and injecting a minimum of 5 pts with arm and 5 pts with leg spasticty related problems?
c) Been trained to use the relevant equipment e.g. EMG, nerve stim or ultrasound (Please state which)
Is there access to mentorship for non-medical injectors within the clinic?

Is there access to EMG/Muscle stimulation/Ultrasound equipment as required?

List below
a) Which is most frequently used in clinic?

Is there an onward referral route to facilitate:

Therapy review at 7-14 days post-injection?
MDT review at 4-6 weeks post injection?

Are there pathways in place to access third-line interventions outside of the ward?

a) Intrathecal baclofen service
b) Neurosurgical options
c) Orthopaedic/plastic surgery
d) Sativex Clinic
Does the service routinely provide written information to patients and carers on managing spasticity?

Thank you for completing the survey

Section Break

Untitled
This field is for validation purposes and should be left unchanged.