Tell us about your clinical interests

Supporting Patients with Facial Palsy

We are keen to hear from health professionals who support patients affected by facial palsy, whatever the cause. We list NHS Multidisciplinary Teams publicly on our dedicated Health Professionals website, and keep a separate, private register of other health professionals working with this patient group — so we can tell patients about professionals local to them, and put professionals in touch with others who may be working nearby. We do not make service or clinician recommendations. We do not give out email addresses to patients. We are also very keen to hear from medical students with an interest in facial palsy. In addition, we are also interested in hearing from clinicians or retired clinicians with a personal connection to facial palsy who would like to volunteer for Facial Palsy UK.

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This field is for validation purposes and should be left unchanged.

Are you located in the UK?(Required)

Yes

Are you currently treating patients with facial palsy as part of your role?(Required)

Yes, routinely

Occasionally / not my main specialty

No - retired or different specialty

What is/was your clinical role?(Required)

Are you?(Required)

Fully qualified

A Medical Student

This determines which questions you'll see next. Select Medical Student option for any student training to work as a health professional. You can tell us more about your studies below.

Medical Student Details

What is your role / year of study, and institution?(Required)

Your Practice

Do you work(Required)

Within the NHS

Privately

Both

What is your professional role description?(Required)

What specialism does this fall under?(Required)

Clinic address including postcode(Required)

Address type(Required)

NHS clinic

Private clinic

Do you work from more than one clinic location?(Required)

Yes

Second Clinic Location

More About You

Are you a member of any of these professional bodies connected to facial palsy?

Sir Charles Bell Society

Facial Therapy Specialists International

BAPRAS Head and Neck Special Interest Group

Select all that apply

Are there any other professional bodies or special interest groups you are a member of with relevance to facial palsy?

Are you a member of a Multidisciplinary team (MDT) for Facial Palsy?(Required)

Yes

Specialist MDT Clinic Details

The following questions are about your Multidisciplinary Team clinic specifically.

Who is in the MDT?(Required)

If Other, please specify who else is in your MDT

How often do the MDT clinics run?(Required)

Weekly

Fortnightly

Monthly

Other

Which patient groups are seen in your MDT clinics?(Required)

Adults

Paediatrics

Both

Does the MDT accept out-of-area referrals?(Required)

Yes

Yes, but this is likely to change in future

No, out of area is not funded

How long do you estimate it takes for a new referral to receive an MDT appointment?(Required)

< 3 months

< 6 months

6 - 12 months

> 12 months

What operations/treatments/therapies/tests does your service offer?(Required)

Eye/brow surgery

Other surgery (smile surgeries etc.)

Botulinum Toxin injections

Specialist facial therapy - all facial palsy patients

Specialist facial therapy - restricted to surgical patients only

Psychology - all facial palsy patients

Psychology - restricted to surgical patients only

Psychology - family therapy

EMG testing on site

Please select which eyelid procedures your service offers

Platinum weights

Gold weights

Lower eyelid surgery

Brow lifts

Please select which other surgery types your service offers

Face lift

Static sling

Nerve grafts/transfer

Temporalis/mini-temporalis transfer

Anterior belly of diagastric transfer

Nerve repairs, transfers and grafting

Free muscle flaps

Selective neurolysis (neurectomy) and myectomy

How can a patient be referred to the MDT?

Please include any details a GP may need to make a referral and state whether e-referrals can be made.

Service provision

The following questions are about the services you provide.

Do you provide?(Required)

Diagnosis and medical management

Surgery

None of the above

What operations/treatments do you offer?

Eye/brow surgery

Other surgery (smile surgeries etc.)

Please select which eyelid procedures you offer

Platinum weights

Gold weights

Lower eyelid surgery

Brow lifts

Please select which other surgery types you offer

Face lift

Static sling

Nerve grafts/transfer

Temporalis/mini-temporalis transfer

Anterior belly of diagastric transfer

Nerve repairs, transfers and grafting

Free muscle flaps

Selective neurolysis (neurectomy) and myectomy

Facial Therapy

Are you trained in Specialist Facial Therapy to treat disorders of the facial nerve?(Required)

Yes

Where did you undertake your specialist facial therapy training?(Required)

This should be where you received specialist training in disorders of the facial nerve.

It would be helpful if you tell us more about your training here

What do you offer at your clinic?(Required)

Facial Physiotherapy

Speech and Language therapy

Specialist Facial Therapy (a combination of PT and SLT approaches as required)

Other

If Other, please specify

Which age groups are seen in therapy clinics?(Required)

Adults

Paediatrics

Both

How often do the therapy clinics run?(Required)

How long do you estimate it takes for a new referral to receive a therapy appointment?(Required)

Botulinum Toxin Services

Do you personally administer Botulinum Toxin injections to patients with facial palsy and/or hemifacial spasm?(Required)

Yes - I treat patients with facial palsy

Yes - I treat patients with hemifacial spasm

Yes - I treat both these patient groups

Which age groups are seen in Botox clinics?(Required)

Adults

Paediatrics

Both

How often do Botox clinics run?(Required)

How long do you estimate it takes for a new referral to receive a botox appointment?(Required)

Patient population, experience and outcome measures

Which patients do you mostly see?(Required)

Adults

Children

Approximately how many patients with facial palsy do you see per year?(Required)

Please give your best estimate.

How many years have you been working in this field?(Required)

Which causes of facial palsy do you have experience treating?(Required)

Bell's palsy

Ramsay Hunt syndrome

Tumour-related (e.g. acoustic neuroma)

Traumatic

Post-surgical

Congenital (e.g. Moebius syndrome)

Stroke-related central facial weakness

Other

Select all that apply.

If Other, please specify

Do you use a standardised outcome measure to assess facial function or quality of life?(Required)

Yes

Which outcome measure(s) do you use?(Required)

Sunnybrook Facial Grading System

House-Brackmann Scale

eFACE

FaCE Scale

Other

If Other, please specify

How do you keep your practice up to date with current developments in facial palsy care?(Required)

Attend specialist conferences or courses

Member of a professional body with facial-palsy-specific standards

Participate in a national audit or registry (even if not facial-palsy specific)

Regular case discussion or peer review

Other

Select all that apply.

If Other, please specify

How can a patient be referred to you directly?(Required)

Please give details for NHS and/or private referrals where relevant. If adults/paediatrics are different please include all details.

What else may be available at your NHS hospital for patients with facial palsy?

Chemodenervation, e.g. Botulinum Toxin

Oculoplastic surgery

Plastic surgery

Psychology - all facial palsy patients

Psychology - restricted to surgical patients only

Psychology - family therapy

Specialist facial therapy - all facial palsy patients

Specialist facial therapy - restricted to surgical patients only

EMG testing on site

This question is being asked because you have stated you are not part of an MDT.

Is there anything else your private clinic offers?

i.e. that hasn't been mentioned above

If you are registered with any private health insurers, e.g. BUPA, please give details below.

Are there any restrictions on funding for your services? E.g. you can only treat patients who have facial palsy as a result of surgery.

Would you be interested in being linked up with other specialists in your local geographical area? This could be useful for forming an MDT.(Required)

Yes

Your Contact Details

Do you require Facial Palsy UK leaflets for your clinic or placement? (UK only)

Yes

Where shall we send leaflets?

Is there any other information you would like to give us?

Were you aware of Facial Palsy UK before today?(Required)

Yes

Facial Palsy UK provides an essential service to those affected by facial palsy, through the provision of information and support, promotion of best practice; and engagement in high quality research.

Your name(Required)

First Last

Email address(Required)

Phone number

We would recommend only sharing if you are also a volunteer/prospective volunteer for FPUK, we will not share outside the organisation.

NHS Secretary name

NHS Secretary email address

NHS Secretary phone number

Would you like to be added to our mailing list?(Required)

Yes

Would you be interested in finding out about volunteering opportunities with Facial Palsy UK?(Required)

Yes

Please send this form to others you know of who may be interested in providing their details by sharing this link: facialpalsy.org.uk/clinical interests

For details of our privacy policy please visit: facialpalsy.org.uk/policies/privacy