London and Surrey Care (LSC)

LSC is a medical centre situated in London with close working relationships with world leading hospitals like the Priory Group, Hospital Corporation of America (HCA), Lifeworks, Nightingale and Promise. LSC has access to over 2600 consultants and professors across all specialties and sub-specialties within medicine. We are able to accommodate the patient according to their needs.

1. Experts in bespoke treatment programme for Addiction and Psychiatric disorders
2. Experts in mainstream treatment approach for addiction and psychiatric disorders at out-patient, day-patient and in-patient treatment settings.
3. Work in collaboration with HCA (the No.1 private healthcare provider in the world which is responsible for providing 45 per cent of the private health care in the UK) to provide treatment for physical disorders. As well as working with Promise, HCA, Lifeworks, Nightingale and the Priory.

LSC in collaboration with world leading health care providers

  • Priory Group. The leading provider of private psychiatric hospital in the UK. It has 58 hospitals covering the full range of psychiatric care. The Priory group is part of Acadia Healthcare Company which is the world leader in addiction and psychiatric illness treatment.

  • HCA the Hospital Corporation of America. The number one world wide private health care provider. Has 168 hospitals in the states and London.

  • Lifeworks. Addiction primary and secondary treatment centre

  • Nightingale Hospital. London based psychiatric hospital

  • Promise. London based addiction hospital group with more than 20 years experience in Addiction.

Our involvement with the Priory, HCA, Lifeworks and Promise works as follows:

A. Direct patient care

Admitting patients at the hospital facility.

We create a functional treatment team when the case is challenging or/and the family needs extra support, to provide the optimum treatment. To treat challenging cases we often create a team of specialists: a manager, hepatology, intensive care , psychologist and psychiatrists at first in a hospital to stabilise the patient medical condition. For example one of the facilities we use is the Princess Grace Hospital, one of the HCA hospitals in London.

LSC works with the hospital to develop a specific care program that suits the patient with a clear discharge plan.

LSC takes full responsibility of the patient care until discharge from the hospital or admitted into psychiatric/rehabilitation clinic for further treatment. We deal with many cases that require the cooperation of multiple clinics and multidisciplinary teams, in such cases LSC can pride itself of having the process and the experience to tailor the treatment for the patient and their families.

Follow up of the patient after discharge:

  • Outpatient appointment by one or more member of the team

  • Day program: when the patient attends group therapy

  • Bespoke individual program

B. Staff training and education

Training and education for all the staff groups, e.g. medical students, junior doctors, nurses, psychologist and social workers. The training can be conducted on one to one direct clinical setting or group lecture. We are also involved in presenting cases at the weekly case conferences for the hospital consultants, psychologist and nurses.

C. Hospital Management and development

Attending the weekly hospital meetings where the consultants, managers and the directors of the departments discuss the hospital management and development issues.

Taking a lead responsibility for the hospital various departments.

D. Strategic Planning

Involved in the strategical planning for the Priory, HCA and Promise regarding their expansion plans in the Arabic countries.

E. Promotion

LSC correspond regularly with the media to discuss health issues and increase awareness of addiction issues.

We give seminars to family doctors to discuss up to date diagnosis tools and treatment procedures. For example Dr. Al-Falahe has presented various topics in the BBC and other TV and Radio channels.

We create cultural specific seminars to increase awareness of the need of Italian, Swedish and Arabic patients. We develop seminars given by the Priory to General Practitioners and other specialists to increase awareness of the specific need of Arabic patients during their treatment. The name of the seminar is “Improved care for Arabic patients”.

We attend exhibitions to promote the care programs of the hospital. For example we attended Arab Health 2016 in Dubai to promote the Priory and HCA.

Setting up new clinics

We provide consultancy to clinics wishing to expand in the Middle East. Currently we are helping the Priory with opening a new facility in Dubai.

Treatment and Referral Process

NO SINGLE PLAN
There is no typical patient, so therefore there is no single plan that is a standard for all patients.
The London and Surrey Care Program assesses the individual and their needs to craft a bespoke treatment plan with suitable settings, interventions, and services.

PATIENT ENGAGEMENT
Initially the patient is in denial and isolation.
To engage them in the treatment a pre-intervention programme is needed.

Upon initial instruction of treatment by the patient or family member they are under the continuous medical and psychiatric care of London and Surrey Care throughout the treatment process.

The following process would take place:

A. Intervention for Admission
Work with patient when in denial to accept treatment and engage them in either a bespoke individual treatment or in a group therapy treatment programme.

B. Primary Care
Primary care can be executed through two main streams of treatment programmes: bespoke individual or group therapy.

Bespoke individual treatment programme can take place at the patient’s accommodation or a venue of their choice suitable for the treatment plan.

Group therapy treatment programme requires admission to a health facility, which will take place in one of the following private facilities; Priory, Nightingale, Life Works, Promise.

The patient is admitted to one of the above-mentioned private facilities and the first phase of treatment commences, this usually consists of 4-6 weeks initially.

C. Secondary Care
The secondary phase may continue within the private body or be facilitated elsewhere depending on the patient’s needs.

D. Tertiary Care
To support the patient in the community by LSC.

Vision
Providing highest quality health care tailored to each patient and their family. Our strength is to offer an end to end “Transformation Plan” that addresses the current conditions by supporting the immediate needs, whilst closely monitoring the journey and focusing on transforming for an improved future.

Addiction treatment

NEUROBIOLOGY OF ADDICTION
Addiction causes brain changes. The brain can be restored to its normal state if treated successfully and abstaining from drugs for 14 months.

DETOXIFICATION
Medical detoxification is only the first stage of addiction treatment and by itself does little to change long-term drug use. Our programme recognises this and helps the patient to detoxify with round the clock personal support. The patient must feel they are not alone.

The patient might suffer from co-occurrence of psychiatric illness and the presentation might change during the detox period. Thus regular assessment is needed by the LSC psychiatric team, who possess the high expertise necessary in both psychiatric illness and addiction. The use of medications might be necessary for treating co-existing illnesses during the detox period.

READY TREATMENTS
Timing is crucial and therefore treatment needs to be readily available for the different phases of the plan, including emergency treatments.   Effective treatment attends to multiple needs of the individual, not just his/her drug use.

To avoid any delay in engaging service providers to commence treatment, LSC have a team of professionals at hand. They have been endorsed for their specialist skills and program approved.
This unique team of carers is focused on the recovery of the patient in a holistic approach.
They are all accessible to the patient and engaged by the program director at different times during treatment, to ensure governance and structure to the program.

The program director is responsible for program reporting to the governing body including the patient and family.

Duration of treatment

Remaining in an LSC treatment program with the same team of carers for total duration of the program is critical for effective long-term results.

The duration of an effective treatment program varies from 14 months to 24 months as this depends on the individual and the extent of the illness.  Premature exit of the program or short duration of the program can be detrimental. The program will include coping strategies to encourage patients to manage their own life as they return to normal living environment.

The LSC program includes therapy sessions with the patient to rebuild their motivation, build skills to resist drug use, replace drug-using activities with constructive and rewarding non-drug using activities and improve problem-solving abilities. Individual and/or group counselling and other behavioural therapies are critical components of effective treatment for addiction.

Our program is unique in it focus on relationships. The behavioural therapist will work with the patient on how to improve interpersonal relationships, engaging those members that are important in the patient’s life such as family. It is evidential that recovery is expedited and successful when there is a strong relationship between the therapist and the patient

MEDICATION
Medication is an important element of treatment for many patients to slowly replace the addictive drugs and stabilize their lives.
The LSC program has an agreed set of drugs and medications that are professionally reviewed and approved before they are endorsed by our Medical team of consultants.

PATIENT MONITORING
Through continuous monitoring of any potential drug and alcohol use during treatment, such as urinalysis, the team can help the patient withstand urges to use drugs. This distracts the patient from attempts as they know that they are being monitored. As non-compliance can quickly be detected, early evidence of drug use can be managed by treatment adjustments.  Relapses are expected and the medical team are engaged to attend to the psychiatric illness and addiction, as medications may be required to counter the illness.

SPECIAL RELATED TREATMENT
Addicted or drug-abusing individuals with co-existing mental health disorders should have both disorders treated in an integrated way and not as isolated illnesses

SUPPORT PROGRAMS
Recovery from any disorder but more so drug addiction can be a long-term process and frequently requires multiple episodes of treatment.  As with other chronic illnesses, relapses to drug use can occur during or after successful treatment episodes. Participation in self-help support programs during and following treatment often helps maintain abstinence.