The William Quarrier Scottish Epilepsy Centre provides the only residential assessment and treatment centre in Scotland for adults with epilepsy.
We are an Independent Hospital operated by Quarriers Charity providing services to patients and clinicians across Scotland. Our modern 12 bed in-patient facility provides flexible, patient-centred residential assessment for adults aged 16 years and over.
We offer multidisciplinary in-patient assessment to people with complex diagnostic and treatment needs. The William Quarrier Scottish Epilepsy Centre provides clinical review and diagnostic assessment such as EEG, ambulatory EEG and videotelemetry besides the ability to initiate or withdraw medications in a safe monitored environment. The centre also provides outpatient and telemedicine clinics.
Our team consists of a consultant neurologist, a consultant neuropsychiatrist, a consultant neurophysiologist, a clinical nurse specialist, a clinical neuropsychologist, clinical physiologists and experienced nursing staff.
The William Quarrier Scottish Epilepsy Centre is located in Govan, Glasgow a few minutes away from the Southern General Hospital.
Tel: 0141 445 7750
- Patients can be referred to the Scottish Epilepsy Centre for:
- Diagnostic clarification where difficulties exist.
- Prolonged in-patient video telemetry and ambulatory EEG monitoring.
- Review of treatment in a safe healthcare environment.
- Management review of complex epilepsies.
- Functional assessment to inform future care needs.
- Specific psychological evaluations and interventions.
- Nurse Specialist outreach service.
- Continued medical care for people with severe epilepsy.
- Usual monitoring techniques have failed to secure a diagnosis
- There are multiple event types, where events resolve on hospital admission, or when events are too sparse to capture in the context of a 5 day admission
- Drug changes need to take place in the context of high seizure frequency and patient vulnerability, in particular where patients are on multiple AED, and where patients with a diagnosis of psychogenic have risk factors for epilepsy and may be high risk.
- Behavioural factors (usually in the context of learning disability) preclude standard video EEG monitoring, the unit can provide expert clinical monitoring and CCTV footage of attacks (the unit is CCTV monitored throughout public areas).
- Where epilepsy is accompanied by behavioural issues, particularly when the two interact
- When it is unclear how much seizure activity is going on
- When usual measures have not allowed confidence in patient compliance with AED
- Where pseudoseizures are diagnosed, the unit psychologist can also provide a specialist assessment and formulation, with recommendation for management.
Referrals can be accepted from consultants associated with epilepsy care. We may also accept referrals from other medical practitioners where there is a difficulty accessing appropriate services locally
All referrals to the Centre are reviewed by Scottish Epilepsy Centre clinical staff and multi disciplinary team prior to admission.
All referrals require support, approval and funding from the appropriate NHS authority.
If you have a patient you would like to refer to The William Quarrier Scottish Epilepsy Centre, please refer in writing to the Consultant Neurologist, The William Quarrier Scottish Epilepsy Centre, 20 St Kenneth Drive, Glasgow G51 4QD.
Funding for assessment at the The William Quarrier Scottish Epilepsy Centre is organised via extra contractual funding which must be authorised by the patient's local NHS board.
For more details contact our Administrator. Maureen Watson is available Monday to Friday, from 9am to 5pm on telephone no: 0141 445 7750 email: email@example.com
If you would like to discuss a possible referral or to find out more about the service we provide, please contact the Administrator and ask to speak to:
Head of Clinical Services Gerard Gahagan - firstname.lastname@example.org
Epilepsy Specialist Nurse Joanne Hill - email@example.com
Unit Manager Clare McDade - firstname.lastname@example.org
Alternatively you can contact the The William Quarrier Scottish Epilepsy Centre directly on telephone no: 0141 445 7750
- Establish and substantiate diagnosis of epilepsy
- Initiate optimal pharmacotherapy for epilepsy
- Withdraw sub-optimal pharmacotherapy in a safe in-patient setting
- Rationalise pharmacotherapy
- Promptly deal with adverse effects of medications
- Address psychological and cognitive issues by the centre's psychology service
- Identify and address behavioural issues in patients with epilepsy with or without learning difficulties
- Provide simultaneous multi-disciplinary care with input from neurologists, neurophysiologists, nurses, psychologists and support staff
What the Scottish Epilepsy Centre offers patients with psychogenic non-epileptic seizures PNES:
- Establish and substantiate the diagnosis of PNES
- Ensure safe withdrawal of anti-epilepsy medications
- Identify and address psychological, cognitive and behavioural issues
- Initiate psychological therapy
- Establish clear strategies for management of patients' PNES in the community and minimisation of unnecessary utilisation of health care resources in the community and in hospitals.
The service design is established to provide medium term admissions (2-8 weeks average around 4 weeks) to facilitate complex assessments unsuitable for short term intervention available in specialist NHS neurological assessment services.
Prior to admission the length of assessment is planned in agreement with a Specialist Consultant and the referring NHS Health Board.
A number of variant factors influence the actual admission period. For patients assessed for diagnostic or clarification assessment the inpatient stay can be dependent on patient experiencing the variety of events that require clarification. In addition these events may need captured on EEG and/ or video to ensure accuracy of evaluation. In addition individual therapeutic responses to medication changes can be a factor.
Where extensions are required over pre agreed timescale, authority is sought by funding NHS board.
Medical and nursing support is provided by expert and experienced staff. These include:
Dr. Maria Oto - Consultant Neuropsychiatrist
Dr. Oto is a Consultant Neuropsychiatrist and specialist in epilepsy. She has published widely and is on the editorial board of the European Epilepsy journal 'Seizure'. She is an expert in diagnostic issues, treatment of epilepsy and psychogenic nonepileptic and psychiatric co morbidities and epilepsy. Dr Oto was previously Medical Director at the The William Quarrier Scottish Epilepsy Centre.
Dr. Saif Razvi - Consultant Neurologist
Dr. Razvi is a consultant neurologist and specialist in epilepsy at the Institute of Neurological Sciences, Glasgow. He also provides epilepsy services to NHS Ayrshire and Arran. His interests include treatment-resistant epilepsy and the use of telemedicine in the assessment of epilepsy and related disorders.
Dr. Aline Russell - Consultant Neurophysiologist
Dr. Russell is a consultant neurophysiologist at the Institute of Neurological Sciences, Glasgow. Her interests include diagnostic video EEG and the assessment of patients for potential epilepsy surgery.
Julia Hampshire - Clinical Physiologist (Neurophysiology)
Julia joined the The William Quarrier Scottish Epilepsy Centre as the clinical physiologist in 2005. She trained in neurophysiology in London, and worked for many years in the Department of Clinical Neurophysiology at the National Hospital for Neurology and Neurosurgery, having an early interest in videotelemetry and ambulatory EEG monitoring.
James Anderson - Clinical Psychologist
James has significant experience in the assessment and management of patients in complex health settings. He is interested in developing the research programme within the Centre and therapeutic interventions for people with complex epilepsy and non epileptic attacks.
Joanne Hill - Epilepsy Nurse Specialist
Joanne worked in the community as an Epilepsy and Learning Disability Nurse Specialist before becoming the Epilepsy Nurse Specialist at the The William Quarrier Scottish Epilepsy Centre. She has considerable experience working with patients who have a range of complex diagnostic issues and coordinates inpatient and outpatient care, working closely with the medical team as a nurse prescriber.
Gerard Gahagan – Head of Clinical Services
Gerard is a manager from a nursing background with extensive experience in the voluntary sector and the NHS. Gerard has experience of quality and project management at a senior level. He is responsible for the overall management of the The William Quarrier Scottish Epilepsy Centre, coordinating and supporting the function of the multi-disciplinary team.
Clare McDade - Unit Manager
Clare is a learning disabilities nurse with an interest in epilepsy. She has many years of nursing experience at the The William Quarrier Scottish Epilepsy Centre. She previously worked in the community as manager of a head injury project. As Deputy Manager she is responsible for inpatient services
For all general enquiries to the centre contact:
The William Quarrier Scottish Epilepsy Centre, 20 St Kenneth Drive, Glasgow G51 4QD
Tel: 0141 445 7750 or email email@example.com