We are able to undertake telephone, videocall or face to face consultations but patients are increasingly choosing to revert to ‘face-to-face’ assessments and reviews.
Face to face appointments will usually involve clinical examination – where Dr Heaney will use PPE (masks/apron/gloves). There is no likelihood of aerosol generating procedures and so higher levels of PPE are not required.
Videocalls are proving popular and have the benefit that patients may be joined by key individuals even if they are geographically separate. Individuals will be familiar with different systems, but we have found that Zoom meetings are effective and confidential, and we have also used Skype with success. WhatsApp and FaceTime do not appear to offer suitable video quality but could be used if the other options are unavailable – and of course useful exchanges can occur by standard telephone, particularly for “follow up” visits. The major health insurers are happy to respect the current situation and provide reimbursement for this telemedicine and telephone consults.
Some useful elements of neurological examination can be performed by video link: we recommend a good internet link and that you are accompanied (so that your walking and movements may more easily be seen). Mobile phones can be used, but we find video quality is usually better with tablets (such as iPads) or laptops that are easily mobile.
Blood tests are performed on site, and MR scanning continues to be undertaken at the Queen Square Imaging Centre.
Please discuss your preferences with my PA, Zara who can be contacted on 0203 994 4421
Dr Dominic Heaney is a consultant neurologist at The National Hospital for Neurology and Neurosurgery at Queen Square and UCL Hospitals NHS Foundation Trust.
In addition to his NHS practice, he has a private practice based in central London.
As a consultant, he has treated patients with neurological conditions in one of the busiest neurological centres in Europe for over 10 years.
Over this period, he has set up and now directs the hospital’s first seizure clinic, instigated the UK’s first obstetric-neurology clinic, and more recently a established a community-based neurology clinic based in Camden diagnosing and treating ‘hard to reach’ patients who might not be able to access hospital services.
Many neurological problems you might be concerned about (for example tremors, odd or persistent headaches, problems walking, unexplained seizures, blackouts or funny turns) prove to be simple to resolve. However, using his diagnostic expertise and immediate access to NHNN’s world-class scanning, laboratory and neurophysiological and therapy support, Dr Heaney is happy to assess and organise treatment for even the most complex of cases.