Rapid Access Specialist Neurological Physiotherapy Service

NHS Greater Glasgow and Clyde

The Neurological Rapid Access Physiotherapy (NRAP) service in Greater Glasgow and Clyde is a discharge to assess model that provides specialist outpatient neurological physiotherapy for those who were medically fit for discharge, or were in crisis and risk of admission. This allows for people with Functional Neurological Disorder (FND) to experience a better and timely transition from acute to community care.

People with FND often remain in acute care longer than necessary while waiting for community rehab services to take over their care. Typically, people are admitted to the acute neurology wards for specialist management as there is a lack of coordinated support in communities. This is a very expensive model of care and is often not the best environment for successful progression and management of this group.

The NRAP service partnered with local community services to optimise care and provide seamless transfer of care when required. The service aims to deliver rehabilitation services that would normally be offered within a hospital setting at home. This transitional support can maximise independence, promote self-management and support a return to work and activity, while looking at changes in service delivery and the benefits for people.

Through this service no-one remained in an acute service bed when their needs could be met by the Neurological Rapid Access Physiotherapy (NRAP) service.


  • What was the approach?
  • What was the impact?
  • What was the learning?
  • What are the next steps?

For further information on this project please contact: hcis.inquireseevit@nhs.scot