Professional Guide to Botulinum Toxin Services
Specialist Spasticity Management Services
Next Steps Spasticity Clinic provides specialist botulinum toxin administration for the management of spasticity and dystonia.
Our service is delivered by HCPC-registered physiotherapists with advanced training in spasticity management.
Client Pathway - Assessment and Treatment Process
Initial Referral and Assessment
Comprehensive evaluation in client's home environment
Detailed spasticity and functional assessment
Discussion of goals and expectations
Development of personalised treatment plan
Coordination with legal teams and case managers
Treatment Implementation
Botulinum toxin injection sessions as clinically indicated
Implementation of positioning and postural management strategies
Custom splinting and casting when appropriate
Training for family members and caregivers
Integration with broader rehabilitation plan
Ongoing Management
Regular review appointments to monitor progress
Objective measurement of outcomes
Adjustment of treatment plans as needed
Comprehensive reporting for both clinical and legal purposes
Coordination with other healthcare providers
Clinical Indications
Upper and lower limb spasticity secondary to:
Stroke
Traumatic brain injury
Multiple sclerosis
Spinal cord injury
Cerebral palsy
Focal dystonia
Post-stroke spasticity
Neurological movement disorders
Clinical Governance
Quality Assurance
HEPC & CSP standards adhere to all individual kit prescribed per patient
Robust, smart goals, in place
Comprehensive regular, update, training completed by all therapists
Specialist qualified ?????
Regular clinical audits
Outcome measure tracking
Patient satisfaction monitoring
Adverse event reporting
Documentation Standards
Comprehensive assessment documentation
Informed consent
Treatment records including:
Muscle selection
Doses administered
Batch numbers
EMG/US findings where applicable
Post-treatment care plan
Medico-Legal Information
Consent Process
Detailed discussion of risks/benefits
Documentation of capacity assessment where relevant
Written informed consent obtained
Information provided in accessible format
Risk Management
Standardised assessment protocols
Emergency management procedures
Regular staff training
Clear clinical governance structure
Service Specifications
Referral Criteria
Confirmed neurological diagnosis
Failed conservative management
Clear functional goals
No contraindications
Referral Process
Direct referral from:
Consultants
Solicitors
GPs
Allied Health Professionals
Self-referral with appropriate clinical information care plan
Clinical Pathways
Initial Assessment
Comprehensive spasticity assessment
Goal setting
Treatment planning
2. Treatment Phase
Ultrasound guided injections
Post-injection assessment & monitoring
Therapy programme initiation
3. Follow-up
Review at 2-4 weeks
Outcome measures assessments
Post treatment follow up report provided
Treatment modification if required
Re-injection at 12 weeks or as required
Insurance and Funding
Accepted insurance providers
Pre-authorisation requirements
Self-funding options
Payment terms
For information about costs & funding:
Our Coverage Areas
Serving patients across the North of England, including:
CHESHIRE
LIVERPOOL
SHROPSHIRE
STAFFORDSHIRE
MANCHESTER
LANCASHIRE
NORTH WALES
YORKSHIRE
MIDLANDS