Experience, Dedication, Value

Our Approach

NES Hand Therapy training runs courses in Golders Green, North London as well as being hosted around the UK and worldwide.  Bespoke courses covering topics of your choice can be provided in your workplace, both within the UK and internationally.  Nicola, Elaine and Sarah are all practising hand therapists and therefore draw on their recent clinical cases as well as their years of experience to keep the training current and varied.

NES teaches all aspects of hand therapy, including knowledge and skills and is engaged by several suppliers of hand therapy consumables to teach splinting theory and techniques. A maximum ratio of 1:12  delegates is recommended to ensure that everyone receives personal attention.

All delegates receive extensive lecture notes for each course.  Aims and pre-course reading lists are provided for BAHT validated courses. Each course has a detailed evaluation form to ensure we continue to meet your needs.

A BAHT certificate is awarded to each participant on passing the assessment process of a validated course. This provides modular points towards the qualification “Accredited Hand Therapist, BAHT”.

Certificates of attendance are given for BAHT non-validated courses.

BAHT Validated Courses

What is BAHT?

The British Association of Hand Therapists (BAHT) is a registered charity whose aim is to advance and promote the study and general knowledge of the treatment of the hand.  BAHT aims to encourage high standards of care, education and research in the field of hand rehabilitation. Membership of BAHT is open to Occupational Therapists and Physiotherapists with a special interest in hand rehabilitation.

NES Hand Therapy Training has been teaching BAHT validated courses since 1994, helping the new generation of hand therapists acquire the skills and knowledge they need to practice competently and gain their qualification “Accredited Hand Therapist (BAHT)”.

The path to becoming an Accredited Hand Therapist (BAHT) is  explained fully on the BAHT website (www.hand-therapy.co.uk).

The simplest route is to attend and pass a Level I course in the first two years of clinical practice in the field followed by three Level II courses.  Finally, a Level III ( e.g. a written assignment or a masters module) needs to be completed.

II

Classroom Based Courses: BAHT Level I

This course is ideal if you have just started a hand therapy rotation or wish to specialise in this field and is aimed at occupational therapists and physiotherapists who have less than two years’ experience in hand therapy.

Level I courses follow a syllabus set by BAHT . The course is three days and covers anatomy, assessment, skills for treatment of common conditions and complications. The course has a one hour exam taken on the final afternoon.

Please link to www.hand-therapy.co.uk for full details and guidelines for BAHT Level I courses.

IIII

Classroom Based Courses: BAHT Level II

BAHT Level II courses are three days on a specialist subject, e.g. PIPJ, Wrist, Fractures, Rheumatology. There are many courses available covering the breadth of skills and knowledge needed by more experienced hand therapists.

There is a written exam on the final day and a written assignment to complete within six weeks of the course.

For the Assignment – Vancouver referencing must be used and a guide can be downloaded here. There are guidelines for writing your project and how marks are allocated.

For more details on BAHT guidelines please visit their official website at:  hand-therapy.co.uk

BAHT Bursaries

Participants are encouraged to apply for BAHT bursaries as a financial assistance option to participate in BAHT validated courses.

Application forms and other paperwork for bursaries can be found in the Bursaries section on the BAHT website: www.hand-therapy.co.uk

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Upcoming Classroom Based Courses

BAHT Level I: Intro to Hand Therapy

BAHT Level I: Introduction to Hand Therapy This course is ideal if you have just started a hand therapy rotation or wish to get into this field. BAHT Level I courses follow a set syllabus and are therefore similar wherever

BAHT Level I: Intro to Hand Therapy

BAHT Level II: PIPJ

Proximal interphalangeal joint (PIPJ) This course teaches the detailled anatomy of the PIPJ and its’ interaction with the joints distal and proximal to it.  The biomechanics are explained and common conditions are covered.  There is a strong emphasis on clinical reasoning for

BAHT Level II: PIPJ

BAHT II Validated Courses

Designed for occupational therapists and physiotherapists who have more than two years’ experience in Hand Therapy or have passed their BAHT Level I.

View All Scheduled Courses
  • Hand assessment

    All hand therapists spend much of their time assessing their patients.  This three day course teaches the concepts of assessment such as reliability and validity with evidence for each of the assessments commonly used.  Time is spent on the course, often in small groups, looking at assessment of key areas such as range of motion, sensation, dexterity, function, oedema, grip strength and pain. This course will help hone your skills to make your data more dependable and help you develop standardised assessments in your department.

  • Splinting the hand

    At level II, all hand therapists, OTs and physios alike, are given equal access to splinting skills.  This three day course covers basic principles, functional anatomy and applies these to practice.  All therapists will make many splints over the three days, designed to gradually expand splinting skills.  The course teaches the pattern making method of splinting with a strong emphasis on clinical reasoning and evidence (including compliance), for a variety of hand conditions and injuries .  By the end of the course, all therapists will feel confident to make appropriate, comfortable and aesthetically pleasing splints from a variety of different materials. As with all NES Level II courses, all teaching is evidence based.

  • Wrist

    This course covers the detailed anatomy and biomechanics of the wrist.  It aims to help the therapist to assess undiagnosed conditions, confirm diagnosis and understand the principles used to treat common conditions.  Conditions discussed includes carpal and forearm fractures, carpal instabilities and soft tissue problems (such as TFCC tears and scapholunate dissociation).   Much time is spent learning about recent theories for rehabilitation including  wrist proprioception and strengthening.  As with all NES Level II courses, all teaching is evidence based.

  • PIPJ

    This course teaches the detailed anatomy of the PIPJ and its interaction with the joints distal and proximal to it.  The biomechanics are explained and common conditions are covered.  There is a strong emphasis on clinical reasoning for treatment of the problem PIPJ including management of stiffness, alternative splinting strategies and the merits of surgery.  By the end of the three days, therapists should feel confident in their diagnostic skills, knowledge and practical application of therapy.  As with all NES Level II courses, all teaching is evidence based.

  • Acquired conditions

    This is a Level II course which covers a broad syllabus.  The course covers hand and forearm anatomy as well as work related upper limb disorders, compression syndromes, congenital hand anomalies, OA and RA, Dupuytren’s, triggers and ganglions.  There are taught and small group seminar sessions to learn the skills needed to effectively treat these conditions and their complications.  There is an emphasis on clinical reasoning to ensure that once you return to your clinical practice, you are able to manage the most complex cases.  As with all NES Level II courses, all teaching is evidence based.

  • Trauma

    The course is grounded in anatomy – to ensure that therapists understand the rationale for treatment.  Assessment of the hand following trauma and core treatment skills (such as exercise, activity therapy, wound management, treatments for minimising oedema and splinting) are then discussed and time spent practising newly learned skills.  Common conditions are presented including the relevant anatomy, injuries, surgical management and therapy for flexor and extensor tendons, fractures, peripheral nerve injuries and complex trauma.  There is also time spent on the two most common complications namely stiffness and CRPS.  All presentations are evidence based and there is a strong emphasis on clinical reasoning to ensure that as a therapist you are able to apply your knowledge and skills once you return to your clinical setting.

  • The Rheumatoid Hand

    This three day course teaches the normal anatomy in order that therapists understand the changes that occur in the rheumatoid hand.  Assessment of the rheumatoid hand is discussed and the biomechanics of the deformities taught.  Conservative and surgical management of common deformities such as swan neck deformities and ulnar drift are taught along with tendon ruptures and other secondary effects of RA.  Therapists spend time in small seminar groups learning joint protection techniques and considering the particulars of splinting the rheumatoid hand. An emphasis is placed on clinical reasoning.  As with all NES Level II courses, all teaching is evidence based.

  • Fractures

    This course includes anatomy of the forearm, wrist and hand, types of fractures and bone healing.  Triage of these injuries will be taught with sessions on interpretation of X-Rays.  Core skills for the therapist will be covered including management of oedema, scars, use of activity and exercise, stiffness and CRPS.  Each anatomical area will be investigated with regard to possible fractures and their management including forearm, carpal, metacarpal and digital fractures.  As with all NES Level II courses, all teaching is evidence based.

  • Management Soft Tissue Injuries (tendons and ligaments)

    This course covers anatomy and assessment for soft tissue trauma including flexor and extensor tendons and ligament injuries/ dislocations of the hand. Treatment methods including scar stiffness and oedema management, soft tissue techniques, splinting and activity are covered in taught and small seminar groups.  The emphasis is on clinical reasoning through case studies and workshops.  As with all NES Level II courses, all teaching is evidence based.

  • Work Related Upper Limb Disorders

    This course includes anatomy of the upper limb nervous system as well as general anatomy of the hand and wrist. It covers assessment and management of tendon, nerve and joint conditions. The course teaches details of ergonomics with practical workshops for safe work practices, both desk and non-desk based,  as well as hand therapy modalities and complications; such as soft tissue mobilisation, Kinesiotaping, wrist proprioception and motor imagery. The emphasis is on clinical reasoning through case studies and workshops.  As with all NES Level II courses, all teaching is evidence based.

Masterclasses

In addition to our BAHT-validated courses, we also run both Masterclasses & custom tailored Bespoke courses.  Our Masterclasses are pre-built courses that cover a wide range of hand therapy topics. Our Bespoke courses are custom built using topics requested by individual departments or services.  NES is very flexible in their approach to education and can design courses to suit a variety of learning needs.  One, two or all three teachers can be involved in the training depending on the numbers involved (we aim for a ratio of 1:12 delegates depending on the topic).  These courses enable your department and colleagues to identify learning needs and request a tailor made course for your team in your workplace. All delegates receive extensive lecture notes for each course.

  • In-Service Training at your place of work
  • Training for you and external therapists at your venue
  • A one or two day version of a three day validated course
  • One, two, three or four days on a topic of your choice
  • Clinical reasoning courses

Masterclasses

Our Masterclasses & custom tailored Bespoke courses are excellent value for money as many of you can be trained simultaneously. You may also generate income for your department by inviting fee paying delegates.  We have all the equipment required to teach you including assessment tools, splinting equipment and audio-visual aids.  Additionally, BAHT Level II courses may be adapted to suit your training needs without the BAHT assessment process

The following courses can be run over one, two, three or four days to suit individual services.

If you’re interested in viewing sample programs for any of the courses listed below, please contact us

  • Splinting - Thermoplastic and Neoprene

    NES believes that splinting is easy but splinting well takes a life time to master. We also believe that clinical reasoning helps the process of matching the needs of the patient with the splint that you fabricate. Come on one of our splinting courses to have fun and challenge yourself to improve your practice. NES runs a popular 3 day BAHT validated splinting course. Select subjects from this longer course to match your specific needs or follow the previously used programme. We can design a course to cover all or a selection of assessment, conservative management, or post-surgical management.  This will enable therapists to become aware of the current literature and investigate the clinical reasoning.

    We have taught splinting subjects including:

    • Neoprene splinting
    • Introduction to static splinting
    • Dynamic and static progressive splinting
    • Splinting the wrist
    • Splinting the PIPJ
    • Splinting the OA and RA hand

    The Splinting Companies are usually very supportive of NES splinting courses and will probably help us with providing materials for any course you would like us to run for you.  We have the equipment and can access the consumables

  • The Rheumatoid Hand

    Hand therapists need to be multi skilled when treating patients with rheumatoid arthritis. Assessment of the R.A. hand is an art. Conservative management techniques include joint protection, exercise, splinting and functional restoration. Treatment regimes for the complex surgical procedures, including MCPJ and PIPJ arthroplasties, are varied. NES runs a popular 3 day BAHT validated RA course. Select subjects from this longer course to match your specific needs or follow the previously used programme. We can design a course to cover all or a selection of assessment, conservative management or post-surgical management. This will enable therapists to become aware of the current literature and investigate the clinical reasoning. You could consider combining this with Osteoarthritis – in particular OA thumb management.

  • The PIPJ

    The PIPJ continues to be a challenge for hand therapists. Learn the detailed anatomy and apply the biomechanics to the deformities or injuries that occur. NES runs a popular 3 day BAHT validated PIPJ course. Select subjects from this longer course to match your specific needs or follow the previously used programme. We can design a course to cover all or a selection of assessment, conservative management or post-surgical management. This will enable therapists to become aware of the current literature and investigate the clinical reasoning. There are plenty of practical sessions including splinting the PIPJ and management of the stiff PIPJ.

  • The Wrist

    The anatomy and biomechanics of the wrist elude many hand therapists.  With a good understanding of this and thorough assessment skills, hand therapists have a great deal to offer patients with wrist pathology and can apply the theory to injury and instability. .  NES runs a popular 3 day BAHT validated Wrist course. Select subjects from this longer course to match your specific needs or follow the previously used programme. We can design a course to cover all or a selection of assessment, conservative management or post-surgical management.  This will enable therapists to become aware of the current literature and investigate the clinical reasoning.

  • Hand and Upper Limb Assessment

    All hand therapists spend much of their time assessing the hand and upper limb.  Without good assessment, it is impossible to set treatment goals and evaluate effectiveness.  You need to look at your techniques in relation to the reliability and validity of the tools you are using as well as standardising your techniques.  NES runs a popular 3 day BAHT validated Assessment course. Select subjects from this longer course to match your specific needs or follow the previously used programme. We can design a course to cover all or a selection of hand and upper limb assessment.  This will enable therapists to become aware of the current literature and investigate the clinical reasoning.

  • Complications following Trauma

    Despite our best efforts, many of our patients will develop complications such as persistent oedema, stiffness of a single joint or a whole hand, CRPS, pain or reduced function.  Looking in depth at the pathophysiology, causes and management of these complications will enable the hand therapist to apply the skills and the reasoning to treat these challenging scenarios. . Select subjects to match the specific needs of your caseload. We can design a course to cover all or a selection of assessment, conservative management, or post-surgical management of complications.  This will enable therapists to become aware of the current literature and investigate the clinical reasoning.

  • Differential Diagnosis

    Hand Therapists are expected to develop autonomous decision making in triage, diagnosis and decision on appropriate management of a wide range of hand and wrist conditions/ injuries. This course is ideal if you wish to become more proficient at examining the wrist and hand and gain the ability to eliminate potential causes and diagnose the correct specific problem. NES runs successful one or 2 day courses. Select subjects to match your specific needs or follow the previously used programme. We can design a course to cover all or a selection of hand and wrist diagnoses.  This will enable therapists to become aware of the current literature and investigate the clinical reasoning.

  • Peripheral Nerve Injuries

    Lacerations and compressions to peripheral nerves can be devastating injuries for our patients.  A thorough understanding of anatomy and recovery potential of a nerve, assessment and treatment of injury and compression from brachial plexus to the hand is essential in advising patients about realistic rehabilitation. Techniques for sensory assessment can be included as well as workshops on sensory re-education, desensitisation and splinting. NES runs popular 3 day BAHT validated Acquired conditions / WRULD courses. Select subjects from this longer course to match your specific needs or follow the previously used programme. We can design a course to cover all or a selection of assessment, conservative management or post-surgical management.  This will enable therapists to become aware of the current literature and investigate the clinical reasoning.

  • Tendon Injuries

    All therapists spend much of their time treating tendon injuries. Therapists need detailed knowledge of the relevant anatomy, mechanics of injury and surgery but with an emphasis on the therapeutic regimes used and clinical reasoning for managing challenging cases. NES runs a popular 3 day BAHT validated Tendon injury course. Select subjects from this longer course to match your specific needs or follow the previously used programme. We can design a course to cover all or a selection of assessment, conservative management or post-surgical management.  This will enable therapists to become aware of the current literature and investigate the clinical reasoning.

  • Hand Trauma

    Much time is spent treating trauma to the hand.  All hand therapists need to have excellent knowledge of hand and upper limb anatomy as well as healing on which to base all clinical reasoning.  Knowledge of tendon, nerve, fracture and ligament injuries as well as complex multi-trauma will enable the hand therapist to treat each individual patient most appropriately. NES runs a popular 3 day BAHT validated Trauma course. Select subjects from this longer course to match your specific needs or follow the previously used programme. We can design a course to cover all or a selection of assessment, conservative management or post-surgical management.  This will enable therapists to become aware of the current literature and investigate the clinical reasoning.

  • Congenital Hand Anomalies

    Knowledge about and treatment for congenital hand anomalies can be difficult to access due to the ultra specialisation of this field.  An overview of classification of congenital hand anomalies, the psychology involved – particularly for the parents -, key roles for the hand therapist, assessing the paediatric hand, and the most commonly seen anomalies will enable the therapist to treat these challenging and long term patients.  NES runs a popular 3 day BAHT validated Acquired Conditions course which included a section on Congenital Hand Anomalies. Select subjects from this longer course to match your specific needs or follow the previously used programme. We can design a course to cover all or a selection of assessment, conservative management or post-surgical management.  This will enable therapists to become aware of the current literature and investigate the clinical reasoning.

  • Work Related Upper Limb Disorders

    People with work related upper limb disorders are increasingly being sent to hand therapy for treatment.  The topics we could cover include an overview of terms used and history of WRULDs, possible causation, potential pathologies, physical risk factors, psychosocial risk factors, theories of WRULDs and treatment – including ergonomics.  The clinical conditions include the common nerve, tendon and joint problems such as CTS, De Quervains tenovaginitis and OA thumb. NES runs popular 3 day BAHT validated Acquired Conditions and WRULD courses. Select subjects from this longer course to match your specific needs or follow the previously used programme. We can design a course to cover all or a selection of assessment, conservative management or post-surgical management.  This will enable therapists to become aware of the current literature and investigate the clinical reasoning.

  • The Thumb

    The thumb produces challenging assessment and management due to its complexity and importance in function. Learning the detail of  anatomy, functional role and assessment of the thumb as well as a selection of acquired and traumatic conditions such as tendon injuries, ulnar collateral injuries, fractures, De Quervains tenovaginitis, Trigger thumb, digital and peripheral nerve injuries, splinting the thumb and arthritis.  NES runs popular 3 day BAHT validated Acquired Conditions, Trauma, Tendon, RA and Assessment courses. Select subjects from these longer courses to match your specific needs or follow a  previously used programme. We can design a course to cover all or a selection of assessment, conservative management or post-surgical management.  This will enable therapists to become aware of the current literature and investigate the clinical reasoning.

  • Mobilisations

    This course is aimed at therapists already working in the field of hand therapy who wish to learn the anatomy, biomechanics and theories of mobilisation techniques. Time will be spent looking at indications and contra-indications of using mobilisations as well as plenty of time practising mobilisations of the IPJs, MCPJs and wrist. NES runs popular ½ day to 3 day courses.  Select subjects from these courses to match your specific needs or follow the previously used programme. We can design a course to cover beginner and more advanced mobilisations and for a range of joint and conditions.  This will enable therapists to become aware of the current literature and investigate the clinical reasoning.

  • Fractures

    Hand fractures are the most common injury presenting to the A&E departments. Knowledge of the anatomy of the forearm, wrist and hand, types of fractures and bone healing, as well as triage of forearm, carpal, metacarpal and digital fractures will be taught with sessions on interpretation of X-Rays.  Core skills include management of oedema, scars, use of activity and exercise, stiffness and CRPS.  NES runs a popular 3 day BAHT validated Fractures course. Select subjects from this longer course to match your specific needs or follow the previously used programme. We can design a course to cover all or a selection of assessment, conservative management or post-surgical management.  This will enable therapists to become aware of the current literature and investigate the clinical reasoning.

  • Imaging for the Hand and Wrist

    An opportunity to understand the theory behind using different imaging for the hand and wrist including MRI, X-ray, CT, diagnostic ultrasound and bone scan.  Specific views and clinical reasoning behind choosing these views will be considered.  Interpreting all these images will be discussed using cases relating to the digits, hand, thumb and wrist.  There will be an opportunity to develop clinical reasoning in relation to surgery and therapy for some of these cases.  NES includes this topic in the BAHT validated Fractures and Wrist courses. Select subjects from this longer course to match your specific needs or follow the previously used programme. We can design a course to cover all or a selection of imaging interpretation, traumatic and acquired conditions.  This will enable therapists to become aware of the current literature and investigate the clinical reasoning.

Is your organisation interested in hosting an NES course?

Contact us today for pricing and scheduling information on our bespoke  & BAHT validated classroom based courses.