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Physical neurodisability and movement clinics

Clinic information
ClinicLocationClinic days and frequencyStaff
Severe movement neurodisability Children's Neurosciences Centre (Newcomen Centre), St Thomas' Hospital Weekly on Tuesday and Wednesday mornings Dr Charlie Fairhurst and Susie Turner, physiotherapist
Lower limb movement Level 0 – Ocean, Evelina London Children's Hospital Weekly on Thursday mornings Dr Charlie Fairhurst, Susie Turner and Anita Patel, physiotherapists
Upper limb movement Children's Neurosciences Centre (Newcomen Centre), St Thomas' Hospital Weekly.

Wednesday afternoons

(first and second Wednesday of the month)

Thursday afternoons (every third, fourth and fifth Thursday of the month)
Dr Charlie Fairhurst and Chris Colbourne, occupational therapist
Saliva loss Level 0 – Ocean, Evelina London Children's Hospital Alternate Tuesday afternoons Dr Charlie Fairhurst and Rebecca Murphy, speech and language therapist

More information about our clinics

Severe movement neurodisability

In this clinic we consider all aspect of your child’s care, focussing on your child’s needs, care and comfort.

We can also focus on specific medical difficulties seen in children with complex disabilities such as:

  • seizures
  • dystonia
  • sleep problems
  • bowel and reflux difficulties
  • bone density problems
  • pain management.

We provide interventions and treatments to reduce muscle spasms, help with activities of daily living, assist with your child's use of equipment and reduce pain.

Lower limb movement

The lower limb movement service provides specialist assessment, advice and treatment on issues surrounding your child’s movement, especially in relation to their walking.

This may involve interventions such as botulinum toxin A (botox) injections, changes in medication, recommendations to therapy programmes or referrals to other services as appropriate.

In our clinic we have a large room with video cameras so we can video your child walking if we need to.

We work in partnership with Great Ormond Street Hospital, and children from the south Thames region are initially assessed by us with regards to consideration for selective dorsal rhizotomy.

Upper limb movement

In this clinic we look at functional problems in hand use. Our assessments help guide your child's treatment plans, which we organise in conjunction with your local therapy team, to try and maximise your child's ability in two-handed tasks.

We provide many specialist interventions, including botulinum toxin A injections. We sometimes liaise with our orthopaedic colleagues on how best to support you.

Saliva loss

Saliva control difficulties can have a marked effect on the quality of life for many children and their families. In this clinic we look at potential causes and what we can do to help.

We will develop a care plan for your child, starting with management techniques, then if necessary what medicines can help and possible intervention with botulinum toxin injections. We sometimes liaise with our ear, nose and throat (ENT) colleagues about surgical procedures.


For the severe movement, upper limb movement and saliva loss clinics, please call 020 7188 4003.

For the lower limb movement clinic, please call 020 7188 4660.

How to find us

We run clinics on the ground floor of Evelina London and in the Children's Neurosciences Centre (Newcomen Centre) in St Thomas' Hospital.

We also run outreach clinics in south London.

Level 0 – Ocean
Evelina London Children's Hospital
Westminster Bridge Road
London SE1 7EH

How to get to Evelina London

Children’s Neurosciences Centre (Newcomen Centre)
1st floor, staircase B, South Wing
St Thomas' Hospital
Westminster Bridge Road
London SE1 7EH

Map of First Floor, South Wing, St Thomas' Hospital (PDF 219Kb)

©  Guy's and St Thomas' NHS Foundation Trust.
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