NCG - Information for referrers

Who is eligible for NCG funded treatment?

The NCG service at the Centre for Anxiety Disorders and Trauma is available to anybody in England and Scotland, aged 18 years or over, who meets the following criteria:

 

Eligibility
Previous (Cognitive) Behaviour Therapy To be eligible, the person must have completed two or more sets  of cognitive or cognitive behavioural or behaviour therapy
Previous medication

To be eligible, the person must have had two or more trials of SRI antidepressant medication plus one of the following:

  • augmentation with a neuroleptic medication or clomipramine
  • higher than BNF-recommended doses of an SRI medication
  • a combination of an SRI with a tricyclic anti-depressant medication
  • for BDD, augmentation of SRI medication is not a requirement
Yale-Brown Obsessive Compulsive Scale (YBOCS) A YBOCS score of 30 or more: indicating that the OCD or BDD is severe

These criteria follow the guidelines for the treatment of OCD set down by the National Institute for Clinical Excellence (NICE). Please feel free to contact us should you wish to discuss these criteria or any aspect of the service.

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Referring to the NCG service

CADAT welcomes referrals from Community Mental Health Teams in England and Scotland. Referral letters should include:

You may like to download and complete the attached NCG criteria form to send in with the referral letter. It is important that referrals include as much information as possible about the service user’s previous psychological and pharmacological treatment.

We accept referrals by post and fax. Please see below for contact details.

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What are the waiting times?

Waiting times vary, however we aim to assess people referred to the NCG service within 4 weeks of receiving the referral.

After assessment, potential candidates for treatment under the NCG service are discussed at a meeting of all the participating NCG units. This meeting takes place once a month, which means that there may be a short delay between assessment and confirmation of treatment under the NCG service.

Once NCG eligibility is confirmed at the monthly meeting, treatment will begin within approximately 4 weeks, depending on therapist availability.

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What does treatment at the Centre for Anxiety Disorders And Trauma (CADAT) involve?

CADAT is an outpatient CBT clinic; we have no facilities for treating people on an inpatient basis. Please see below for details on other units offering NCG treatment on an inpatient basis.

Treatment at CADAT is typically comprised of a minimum of 12 CBT sessions, each lasting one to two hours, once weekly. The sessions will include at least one home visit wherever possible, and will be followed by 3 follow-up sessions at longer than weekly intervals.

However, there is flexibility in this arrangement – people may be seen more intensively or at greater intervals and over a longer period of time if appropriate. In some instances we will carry out intensive treatments where all of the therapy sessions are completed over the course of 4–5 days.

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Contact details

In writing:
Dr. Blake Stobie
NCG Outpatients Service
Centre for Anxiety Disorders and Trauma
99 Denmark Hill
London
SE5 8AZ

Telephone: 020 3228 2102 (main admin office)
Fax: 020 3228 5215 (please mark for the attention of the NCG service)
Email: blake.stobie@kcl.ac.uk
Web: Centre for Anxiety Disorders and Trauma

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Other units offering NCG services for OCD and BDD

Please click on the links below for information on NCG services offered by other units at a number of different trusts.

Service Contact person
Anxiety Disorders Residential Unit, Bethlem Hospital
(Adult residential unit)
Mr. Simon Darnley/Dr. David Veale
The Bethlem Royal Anxiety Disorders Residential Unit (ADRU)
Alexandra House
Monks Orchard Road
Beckenham
Kent BR3 3BX
Priory Hospital North London
(Adult or adolescent inpatients)
Dr. David Veale
The Priory Hospital North London
Grovelands House
The Bourne
Southgate
London N14 6RA
Springfield Hospital OCD/BDD service
(Adult outpatients)
Dr. Lynne Drummond
Springfield University Hospital
Teak Tower and Heather Ward
61 Glenburnie Road
Tooting
London SW17 7DJ
National and Specialist CAMHS - Obsessive Compulsive Disorder Clinic
(Adolescents with OCD/BDD and significant co morbidity)
Dr. Isobel Heyman
The Maudsley Hospital
Michael Rutter Centre for Children and Adolescents
Maudsley Hospital
Denmark Hill
London SE5 8AZ
Queen Elizabeth II Hospital
(Medication reviews)
Professor Naomi Fineberg
OCD Specialist Service
Queen Elizabeth II Hospital
Howlands
Welwyn Garden City
Hertforshire AL7 4HQ

Please click here for further information regarding the above units as well as information about treatment outcomes.

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