The Care Home Dietitians in NHSGGC cover all Care Homes across Greater Glasgow and Clyde. Their job role is primarily training and quality improvement. This includes data collection, improvement work, menu analysis, close multidisciplinary team working, and mealtime observations.
We work in partnership with Care Homes by supporting them with the tools and education needed to improve resident care and outcomes from a food, fluid and nutritional care perspective.
Along with Community Dietetics, the Care Home Dietetic Team has a role within the Care Home Collaborative. For more information about this team, please see their website on the button below
Good nutrition has a vital role in supporting people of all ages to maintain good health, this is especially true within the Care Home setting.
To support the management of Malnutrition within Care and Residential Homes a series of MUST training videos have been developed. See below
MUST training in Care Homes
Video 1 provides an overview of the Malnutrition Universal Screening Tool (MUST) and how to carry out the calculations.
Video 2 describes The MUST Step 5 Management Plan.
Video 3 provides an overview of Food Fortification including Food First strategies, snacks and nourishing drinks.
Video 4 is a case study discussion to review the completion and progress of a MUST Step Management Plan from initial completion through to the 4 week review
Video 5 is a case study discussion to review the completion and progress of a MUST Step 5 Management Plan from initial completion through to the 4 week and 8 week review.
If attending at the weekend, please look for the sign (situated by the phone) for you to ring the department, a member of staff will attend and escort you to the department
Department Location
MRI Department Level 0 Beatson West of Scotland Cancer Centre 1053 Great Western Road Glasgow G12 0YN
(Greater Glasgow, Specialist, Regional and National Children’s Services)
If you live in the Glasgow area or require information on Specialist, Regional and National Children’s Services then please visit the Royal Hospital for Children Glasgow Orthotics page for more information and contact details.
Orthotic clinics are on Tuesday mornings and Thursday all day at Renfrew Health and Social Care Centre.
Come in the main entrance and take the stairs or lift on the right to the first floor. Take a seat on the orange chairs and the Orthotist will call you and your child at their appointment time.
Vale of Leven Acorn Centre
Orthotic clinics are on Wednesday afternoons at the Acorn Centre.
Come in the Maternity Entrance the Acorn centre is on the first floor and well sign posted. Please check in with the receptionist and take a seat in the waiting area.
Inverclyde Royal Hospital Skylark Centre
Orthotic clinics are every second Wednesday AM at the Skylark centre.
Take the lifts to floor L. Turn Right into the children’s centre. Please check in with the receptionist and take a seat in the waiting area.
Appointment Types
New assessment
If it is your child’s first time accessing the service.
For a new Orthosis the same as they have received before.
For a new Orthosis they have not had before even though they have been seen at Orthotics in the past.
If their last appointment with us was longer than 12 weeks ago and you need to see an Orthotist again.
Your child may need to bring shorts to the appointment to allow the Orthotist to do a full biomechanical assessment and allow for casting/scanning/measuring if required.
If you fail to attend any appointment without telling us in advance, or if you cancel at short notice (i.e. less than 24 hours) on more than two occasions, we will remove you from our list and write to your doctor. This is in line with NHS Greater Glasgow and Clyde’s Did Not Attend and Cancellation Policy.
If you wish to cancel or reschedule any appointment please telephone 0800 592087 with as much notice as possible.
You can contact us Monday to Friday 8.00am – 8.00pm and on a Saturday 9.00am – 1.00pm excluding Public holidays.
If your child has already been assessed for an Orthosis, the next appointment will be to have this fitted. They may need more than one fitting appointment.
This appointment will be arranged by the Orthotist before you leave your first appointment.
Review appointment
The Orthotist may have already booked a review appointment for your child before you leave your fitting appointment if they feel they need to check on their progress with what they have given you. This can be in person or by telephone.
If they have no future appointment booked and are having problems with their Orthotic device within 12 weeks of seeing the Orthotist you can call us on 0800 592087 to arrange a review.
Please bring the Orthotic device to the appointment with you for review so we can see what the problem is. We won’t start any new treatment until we can check the problem with the old device.
If you miss a review appointment, no further appointments will be arranged unless requested by yourself.
For additional information and advice on child development and access to advice, strategies, and self-help support with information provided by all the different health care disciplines working within NHS Greater Glasgow and Clyde Specialist Children’s Services please visit the kids site.
This page contains information and resources for Orthotic patients and carers regarding wear, care and maintenance of common Orthoses. Information on appointments can be found here.
ALISS’s aim is to ensure that everyone in Scotland has the right information, at the right time, about resources that are available to help them live well and stay connected to their community.
Resources you can find on ALISS are added and edited by people living and working in the community.
You may never meet everyone in the Orthotics team however we all work together for you. We are always looking for feedback in our service, you can do this through Care Opinion. To arrange an appointment, the information can be found here.
Orthotics is a team of around 40 people who deliver the Orthotic service for NHSGGC across 8 acute hospital sites although most of the team work at Gartnavel General hospital where our admin and technical staff are based.
Our Clinical and Management team can cover more than one hospital so it may not always be the same person you see at every appointment, but we always aim to help you reach your goals. However if you would like to see the same person again please let them know when arranging your follow up appointment.
We have 4 different teams who all work together to provide high quality care for you. The Clinical and Clinical assistants may be who you see at your appointments, but the Administration, Technical and Management teams are equally important to the effective and high quality service that we provide.
You can see our teams in the pictures below.
Administration Team
Clinical TeamClinical Assistants TeamTechnical TeamManagement Team
An Orthotic clinic will run from 9.00am until 12.00pm and 1.00pm until 4.00pm Monday to Friday.
You can request to be seen in any of our 8 Orthotic clinic locations when you self refer or opt in to booking an appointment. Please tell the call handler which hospital site you prefer to attend if you have a preference. However, you may be offered a sooner appointment at another hospital.
Furthermore, if you require further information or have to change an appointment, see information here.
On entering hospital through main entrance, Orthotics is signposted on your left. Enter the Therapies department and follow signs to the Orthotics waiting area. There is no need to report to anyone, please take a seat in waiting area and your Orthotist will call you in at your appointment time.
Location: Therapies department in the Queen Elizabeth Building of Glasgow Royal Infirmary.
Enter via the Alexandra Parade entrance to the main concourse. Go past all Outpatient Clinics and the X ray department following signs to Orthotics. On entering the Therapies department, please take a seat in the main waiting area. There is no need to report to anyone, your Orthotist will call you in at your appointment time.
Location: Orthotics is on the ground floor; from the main entrance, go to the right and follow the corridor past outpatients department.
Follow signs towards physiotherapy then take the first corridor to the right. From there take the first Left. The 2 Orthotic clinic rooms are on the right. There is no need to report to anyone, please take a seat in the corridor and your Orthotist will call you in at your appointme
Location: Orthotic clinic is in the Therapies Department at the EAST Entrance of the Hospital.
Please take a seat in the waiting area beside the Therapies Reception. There is no need to report to anyone, your Orthotist will call you in at your appointment time.
Location: Enter via the Main Entrance. The Orthotic Clinic is within Clinic F which is on the ground floor near the atrium.
Walk past Clinic F reception desk and take a seat at the far end of the waiting room next to the Orthotic Clinic room. There is no need to report to anyone, please take a seat in waiting area and your Orthotist will call you in at your appointment time.
Location: The department is on the ground floor on the left hand side of the main atrium when coming in main entrance.
Follow signs for Waiting Area B. Wait at the reception desk and the administration team there will check you in. Take a seat in the waiting area (towards the end is closer to the clinic) and the Orthotist will call you in from there.
There are 2 different locations for Orthotics at the RAH so please check the location written on your letter to make sure you go to the correct department.
Clinic Room 1 – (your letter will say)
Location: Orthotic Department Clinic 1 Main Outpatients Royal Alexandra Hospital
This is located within the Main Outpatients RAH. Come in the main entrance and turn right. Go past Reception 1 towards Reception 2. Take a seat in the waiting area just before Reception 2. There is no need to report to anyone. The Orthotist will call you at your appointment time.
Clinic Room 2 – (your letter will say)
Location: Orthotic Department Clinic 2 Royal Alexandra Hospital
Please note, directions for this clinic are, walk straight through the main foyer of RAH and take the first right past the WRVS coffee shop and take a seat at the row of bench seats on the right hand side before the entrance to the long glass corridor. There is no need to report to anyone, your Orthotist will call you in at your appointment time.
It’s possible you may be asked to attend either clinic room during the course of your treatment so always check your letter to make sure you go to the correct place.
Clinics run AM and PM on Thursday, and AM one Wednesday per month.
Location: Enter the hospital through the main entrance and follow signs to Outpatients B which is on the first floor.
Please report to Reception and you will be asked to take a seat in the waiting room. Your Orthotist will call you in when it is your appointment time.
Orthotics departments have clinical staff called Orthotists, who are registered healthcare professionals. They specialise in the assessment of the whole body for biomechanical problems and if appropriate may prescribe, measure, fit, or review, an Orthosis.
An Orthosis is an externally applied device worn on the body. It may also be called a ‘brace’, or ‘splint’. Therapeutic footwear may also be used as an Orthosis.
The purpose and design of an Orthosis may change over time along with the changing needs and goals of the patient.
In our Orthotic department, we also have Orthotic clinical assistants who specialise in measuring/fitting and supplying hernia supports and specialist compression garments.
The videos below give an overview of what Prosthetics, Orthotists and Clinical Assistants do.
Different types of Orthotic Devices
Please see photographs below displaying different types of Orthotic devices that you may be prescribed by your Orthotist.
Orthotist showing a patient thier x-ray imageOrthotist fitting an Ankle Foot Orthosis to a patientDifferent types of Ankle foot Orthosis or drop foot splintAnkle Foot Orthosis with patients own shoePrescription FootwearInsolesOrthotist showing a patient an insolewrist and hand orthosisKnee Orthosis
How we measure you for an Orthotic Device
Orthotic measuring equipmentOrthotist scanning a patient for insolesOrthotist scanning a patient for footwear
Glasgow City Youth Health Service take a holistic approach to care. This means that we try to support the young person with all aspects of their health, rather than focusing on just one.
Most of the help we provide comes under one of the following categories; however we recognise that being healthy can mean different things to different people and our health can be affected by many different factors. We will often link with other services across Glasgow City to offer a wide range of support.
Mental Health
We take a preventative approach to mental health – this means we will provide young people with coping strategies to help them deal with life’s challenges in a more constructive way.
We can offer short-term support with difficulties such as stress, anxiety and low mood. This may take the form of sessions with our Lifelink Counsellors or other mental health support such as group sessions.
Sexual Health
We can offer support with contraception including implant insertion and removal, emergency contraception, contraceptive injection and contraceptive pills. Pregnancy testing and advice and Sexually Transmitted Infection (STI) testing are also available at the Youth Health Service.
Free condoms are available at all our venues.
Multiple Risk
Our Multiple Risk Workers are here to support young people to make positive choices and changes and improve their resilience. This could be to do with peer pressure, substance use, gaming or any other risky behaviours.
The Multiple Risk programme is provided by our partners includem and uses their “A Better Life” toolkit which includes topics such as health and wellbeing, offending and risk-taking behaviours. Sessions take place over several weeks and involve activities to create a personal development plan and work towards goals set by the young person. The activities used in the programme are tailored to the young person’s learning style and interests to ensure their support is personalised.
One to one appointments are available in each of our venues with our Multiple Risk Workers, with potential for appointments in the community, where appropriate.
Weight Management
Weigh to Go weight management service is available in some of our Youth Health Service venues and open to young people aged 12-18 years who are overweight (BMI 25+) and want to lose or manage their weight.
We can accept referrals for young people who are aged 12-19 years, live in Glasgow City local authority or are registered with a Glasgow GP.
Young people can refer themselves or be referred by a teacher, school nurse, parent, GP or any other organisation working with young people. The only requirement is that the referral is discussed with the young person first.
To speak to our team or to make a referral, please phone 0141 451 2727 Monday – Friday, from 8.30am – 4.30pm.
Go to the reception desk and tell our team member your name and appointment time. You don’t have to tell them what the appointment is about. If it’s the first time you’ve come to the service, there will be some information to read and registration paperwork to complete. We will take your details and you will be asked to sign an agreement form. At any time you can let us know what pronouns you prefer to use and we’ll make sure our team are aware.
You might notice that our waiting areas look a bit different to a normal health centre reception area. Some of our venues have dimmed lighting and music playing. We’ve set them up in this way to create friendly and relaxed environment and to help you feel comfortable.
If there’s anything we can do to make your visit easier, please let us know in advance if possible. All of our venues have a Hearing Loop system and we can provide an interpreter if you require support with spoken languages, British Sign Language or Deafblind communication.
Giving feedback or making a complaint
We hope you have a positive experience at the Youth Health Service but we recognise that we don’t always get it right. Your comments and feedback can help us to improve.
We have comment boxes in all our venues where you can give feedback.
If you want to talk to us about your experience you can either speak to a member of the team at one of our venues or phone us on 0141 451 2727.
Ideally we would like to deal with any complaints within the service. One of our team may be able to resolve the issue, but if this is not possible, you can contact our service manager by phoning 0141 451 2727.
In the event that the issue still isn’t resolved, there is a formal complaints process you can access through Glasgow City Health and Social Care Partnership.
Our values and vision
Our values underpin everything we do as a service and form the basis of what young people and their families should expect from us. These are trust, respect and listening without judgement. We commit to living out these values in the following ways:
We will work in such a way that builds and maintains trust with young people.
We will treat everyone fairly and with respect.
We will listen without judgement.
Our vision articulates our purpose, our long-term goals and the way we will work to achieve our values:
“To improve the health and wellbeing of young people in Glasgow City with a focus on early intervention and prevention. To work with young people, their families and partner agencies to provide flexible, holistic support using a youth friendly model, and to help young people achieve their potential.”
We describe ourselves as an early intervention and prevention service; this means getting someone help before problems arise or things get worse.
You can find our locations across Glasgow by clicking the below map or visiting our Google Map list.
Advice after having a trapeziectomy
What is Osteoarthritis (OA) of the base of the thumb?
OA of the base of the thumb is a very common complaint. Tis is usually due to normal wear and tear, caused by the demands placed on the thumb during everyday activities.
OA at the base of the thumb can cause symptoms of pain and stiffness. You may find some difficulty with gripping and tasks such as opening jars and turning a key in the lock.
Symptoms can often be controlled by non surgical treatments but if they are not effective surgery may be an option. The most common surgery is called a trapeziectomy. Here, we will give you some advice after having a trapeziectomy.
After the Surgery
The surgery is generally a day procedure which means you can usually go home on the same day as your surgery. Depending on the procedure it may be performed under local anaesthetic in which you will remain awake or under general anaesthetic in which case you will be asleep.
The surgery involves removing a small bone called the trapezium through a small cut at the base of your thumb.
Removal of this bone gives more space for the thumb to move so that the bone surfaces are not rubbing together causing pain.
Sometimes an additional small cut is made on the front of your forearm in order to get a piece of tendon to use to stabilise the base of the thumb after the small bone is removed.
Please note that as with any surgery there are potential risks involved. The majority of people have straight forward recovery following surgery. However complications can occur and include:
Infection
Nerve damage causing altered sensation or loss of feeling in the thumb area.
Persistent scar tenderness.
Injury to the arteries of the finger or hand.
Failure to resolve the pain.
Please contact the clinic on the numbers provided if you have any concerns
What to Expect After Surgery
Your thumb and hand will be put in a splint or a cast. Your surgeon will advise on when the cast or splint will be removed or changed but this is usually for an overall period of 6 weeks.
If a wire has been inserted, this can be removed after 3 to 4 weeks.
During the time your splint or cast is on, it is important to:
Keep your hand raised to help get rid of swelling
Move your fingers to prevent them from becoming stiff
Do not use your hand for anything other than very light functional activities (eg using telephone, finger typing, turning on a switch)
Do not drive
You may experience pain and discomfort at first but normally this resolves with time. Please speak to your GP or pharmacist about controlling your pain if necessary.
Moving and using your hand after your splint or cast has been removed
After the splint or cast has been removed at around 6 weeks after your operation you can now start to exercise your thumb. The exercises are described below. You should try to use your hand as normally as possible but avoid heavy lifting or prolonged tight gripping until around 10 to 12 weeks after the operation. How much you are able to do with your hand at this stage depends on how much pain you are experiencing. it is important to manage your pain to allow you to move your thumb and do your exercises.
Exercises
Exercise 1
Hold all fingers straight. Make big circles with your thumb. Repeat 10 times.
Exercise 2
Place the back of your hand on a table with your thumb and fingers rested. Bring your thumb across to the base of your little finger as far as you are able. Return your thumb back to the starting position. Repeat 10 times.
Exercise 3
Place your elbow or back of your hand on a table. Put the tip of your thumb against each of your fingertips in turn. Repeat 10 times.
Practice picking up small objects.
Exercise 4
Bend the upper joint of your thumb. Assist the movement with your other hand. Hold for 15 seconds. Repeat 10 times.
Driving
You can return to driving when your cast or splint has been removed finally (usually around 6 weeks after your operation) and it is comfortable and safe for you to do so. You must feel that you are in complete control of the car; it is your responsibility to check with your insurance company before returning to driving.
Work
Time Off Work
This will depend on your occupation, place of work, ability to return to light duties and may at times be dependent on whether the operation has been carried out on your dominant hand or not.
Please remember that recovery of full function can take a long time, in some cases it can be 6 months or more before you can carryout any heavy functional tasks.
