Referrals are received from Consultants within Barnsley Hospital and out of area from centres where more complex hand surgery is undertaken. Some patients may get referred back for their post-operative therapy following surgery elsewhere. These include the Plastic Surgery Department at Northern General Hospital (Sheffield), Pinderfields (Wakefield), Leeds and Rotherham. Specific links with Physiotherapy and Occupational Therapy at the Northern General Hospital aim to provide seamless continuity of care for Barnsley patients following their surgery in Sheffield. Treatment is on a one-to-one basis and is dependant upon the presenting problem Following an initial assessment, patients are given an individual treatment programme, which may include the following: Management of pain Management of swelling Wound/scar treatment Joint mobilisations Soft tissue mobilisations Specific exercises Strengthening/loading programmes Splinting Electrotherapy Close links are maintained with the referring consultant and other members of the care team. Best practice is maintained with a strong commitment to continual professional development, British Association of Hand Therapists guidelines and benchmarking with other local treatment centres.