Clinical Health Psychology
Stephanie Carty, Head of Health Psychology
0300 422 8523
9am - 5pm (Mon - Fri)
Our teams work with both inpatients and outpatients to help them understand and better manage the impact of their health problems.
While many people find their own way of dealing with health-related difficulties, very often a little support at times of change when dealing with new and sometimes difficult situations, will prevent other problems from happening later.
We work with a wide range of patients in a number of specialty areas including:
Read more about the Brain Injury service
Chronic Fatigue Syndrome (CFS/ME) service
The specialist CFS/ME service for Bristol, North Somerset and Gloucestershire is based at Southmead Hospital. A small satellite service runs at Gloucestershire Royal Hospital. For further information, including GP referral criteria, please visit Bristol Chronic Fatigue Syndrome / ME Service.
The psychology service to neurology aims to promote the psychological well-being of adults living with chronic neurological conditions and their families. Inpatients and outpatients are seen for assessment and therapeutic intervention.
The neurology service mainly focuses on detailed neuropsychological assessment and the provision of psychological care to people diagnosed with Multiple Sclerosis, Motor Neurone Disease, Epilepsy, Huntington's Disease and Parkinson's Disease. We also support patients with medically unexplained symptoms, including non-epileptic attack disorder.
Clinical services provided include
- Neuropsychological assessment of people with suspected cognitive dysfunction
- Assessment of mental capacity in relation to medical, social, financial or other substantial decisions
- Psychological assessment and support of people (and their families) diagnosed with Multiple Sclerosis, Motor Neurone Disease, Huntington's disease, Parkinson's disease, epilepsy and other neurological conditions
- All people newly diagnosed with Motor Neurone Disease are routinely seen for help with adjustment
- Treating mood related problems secondary to neurological disease
- Attending ward rounds and multi-disciplinary team meetings
- Staff training in psychological care of neurology patients and supporting nursing staff with management of cognitive, emotional and behavioural difficulties in the acute setting
- For patients with Parkinson’s Disease the 3 session ‘Living with Parkinson’s’ Group provides information and support to patients and carers on managing the psychological aspects of the condition. The course includes session on adjusting to the diagnosis, coping with sleep problems and fatigue and the management of emotional changes including anxiety and depression. In addition a session is dedicated to the understanding and management of potential cognitive problems associated with Parkinson’s.
- Running relaxation strategies groups see referral form
- Running memory strategies, single session classes see referral form
Health outcomes are routinely collected to assess the following:
- Reduction in distress
- Increased sense of control (self-efficacy)
- Increased knowledge
How to refer to Neurology Psychology
Referrals can be made by letter or by using the referral form and send it to:
Health Psychology Department (Neurology Service), Beacon House, Gloucestershire Royal Hospital
Tel. 0300 422 8523 Fax: 0300 422 8137
General and old age medicine
The psychology service to General and Old Age Medicine (GOAM) includes the psychological assessment of, and therapeutic input to, inpatients and outpatients under the care of a GOAM consultant at our hospitals. Patients can, however, be referred by any member of the MDT.
Clinical services provided include:
- Neuropsychological assessment of people with suspected cognitive impairment to inform diagnosis and care
- Assessment of mental capacity in relation to medical, social, financial or other substantial decisions
- Assessment of mood in older adults with health issues
- For patients with Parkinson’s Disease the three-session ‘Living with Parkinson’s’ Group provides information and support to patients and carers on managing the psychological aspects of the condition. The course includes session on adjusting to the diagnosis, coping with sleep problems and fatigue and the management of emotional changes including anxiety and depression. In addition, a session is dedicated to the understanding and management of potential cognitive problems associated with Parkinson’s.
- Therapeutic input for outpatients for those managing a variety of health conditions, such as Parkinson's Disease and dementia, including:
- Information provision and emotional support
- Individual psychological therapy to support specific issues such as low mood and anxiety, including those contributing to recurrent falls
- Brief relaxation strategies groups to facilitate the development of stress-management techniques referral form attached
- Single-session memory groups to provide information and advice on managing memory difficulties see attached leaflet
Referrals can be made either by letter or by sending the attached referral form to: Health Psychology Department (GOAM Service), Beacon House, Gloucestershire Royal Hospital, by fax: 0300 422 8137 or by telephone: 0300 422 8523
The Pain Self Management service is for adults with long-term benign pain. We help people develop strategies to manage their pain to find a better quality of life. The multi-disciplinary team includes nurses, physiotherapists, occupational therapists and psychologists who are based in Gloucester, Cheltenham and Hereford. We use physical rehabilitation cognitive behaviour therapy and mindfulness approaches.
Read more about the Pain Management Service
Specialist weight management
Read more about the specialist weight management service (SWMS).
Cancer, palliative care and haematology
Cancer and palliative care psychologists
The Cancer and Palliative Care Psychologists are a small team of three clinical psychologists based at Cheltenham General and Gloucestershire Royal Hospital.
Their aim is to provide a specialist psychological service for in and outpatients or their close family members or carers who are either:
- experiencing significant psychological difficulties as a result of cancer diagnosis, cancer treatment or life after treatment
- experiencing significant psychological difficulties coping with a life-threatening condition where a curative approach is no longer an option
The psychologists work closely with Site Specific Cancer teams, the Oncology Department, as well as inpatient and community Specialist Palliative Care teams.
How to refer to cancer and palliative care psychologists
Referrals can be made to the psychologists either through the cancer, oncology or palliative care teams or directly to the Health Psychology Department at Beacon House, Gloucestershire Royal Hospital.
Tel: 0300 422 8523 (please see referral criteria within current annual report, below)
The haematology psychologist provides a dedicated service to the haematology multi-disciplinary teams to support in and outpatients, close family members and carers who are coping with significant psychological difficulties associated with the diagnosis and treatment of haematological cancers. This includes helping patients and families prepare and cope with the psychological impact of bone marrow transplantation.
How to refer to the haematology psychologist
Referrals can be made to the haematology psychologist either via the haematology teams at Cheltenham General or Gloucestershire Royal Hospital or directly on 0300 422 8117 (please note that messages may not be picked up everyday)
Cancer, palliative care and haematology psychologists also have the following leaflets available at our hospitals to provide more information about their services:
Psychologists are trained to understand thoughts, emotions and behaviours. Living with a chronic illness can be difficult to cope with for anyone. You can deal with some of these difficulties yourself or with help and support from your family, friends and perhaps your Renal team. For some particular problems, it can be helpful to talk about with a Psychologist. For example, some people might say things like:
- “I’m struggling to get my head around the different treatment choices”
- “Everything is about my illness now; I’m losing touch with who I am”
- “I get scared about going for treatment"
- “I feel sad a lot of the time”
You may meet with the Renal Psychologist once or you may be offered several sessions. Some people prefer to come to these sessions alone and some prefer to work alongside a close family member. You can discuss this with the Psychologist and choose what will work best for you. The aim of therapy is to help people to make more sense of their illness and to enhance their coping strategies so that they can manage their illness and lives more effectively.
The Renal Psychologist also works closely with the medical team and, with your permission, may liaise with your Consultant, Renal Nurse or Renal Dietician to help them to understand how to provide the best care and support for your needs.
How to contact us:
If you would like to meet with the Renal Psychologist, please ask any member of your Renal team to refer you.
The Renal Psychologist also offers sessions within the quarterly Young Adult Clinic. If you are aged between 16 - 30 years old and you would prefer to see the Psychologist in the Young Adult Clinic, then please let Dr Jenkin or any other member of the Young Adult Team know.
Information for prospective students
Who are placements suitable for?
You are welcome to apply, as long as you wish to gain valuable and varied experience towards your career. In particular, we welcome applications from these students who are seeking placements:
- undergraduate BSc sandwich year students
- postgraduate MSc students
- clinical psychology trainees.
Unfortunately, we do not offer placements to students who are under 18 years of age.
What is my minimum commitment?
We ask for a minimum commitment of 3 months, of at least 3 days per week, in order to be able to offer any meaningful experience. It is common for undergraduate BSc sandwich students to work 4 day weeks, starting in September and ending in June of the following year, (with these placements normally totalling 160 working days).
Unfortunately, we do not offer placements which last fewer than 3 months and 3 days a week.
Which services may offer placements?
- Older Adults
- Specialist Weight Management Service
- Pain Management
- Palliative Care
- Paediatric Diabetes
When and how should I apply?
The deadline for applications is 15th November each year. Please ensure you contact us before this date, sending us a CV and covering letter to Mark Giles and Andrew Champion. Interviews are most likely to be conducted in the second week of January.
Aileen Thomson, Consultant Clinical Psychologist: 0300 422 8552 (for enquiries relating to older adults, acute stroke, brain injury & neurology services)
Polly Ashworth, Consultant Clinical Health Psychologist: 0300 422 8469 (for enquiries relating to pain management, rheumatology & chronic fatigue)
Hilly Webb-Peploe, Consultant Clinical Psychologist: 0300 422 8523 (for enquiries relating to palliative care, cancer, haematology, renal medicine and paediatric diabetes)
Stephanie Carty (Head of Health Psychology and Service Lead SWMS and the Staff Support Service) / Gail Bohin, Clinical Psychologist (clinical lead for SWMS): 0300 422 8110 (for enquiries relating to bariatric surgery & specialised weight management services).
Take a look at our latest referral guidelines to find out who can refer to health psychology.