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Current national state of rehabilitation prescriptions

Network MTC Received Y/N (68%)

Northern (Newcastle North East & Cumbria)

Royal Victoria Infirmary Newcastle

Yes

Northern (Middlesbrough& South Tees)

James Cook University Hospital Middlesborough

Yes

West Yorkshire Leeds General Infirmary Yes

North Yorkshire & Humberside Hull Royal Infirmary Yes

Lancashire & South Cumbria Royal Preston Hospital -

Greater Manchester Manchester collaborative MTC Yes (Salford)

Cheshire and Merseyside Liverpool Collaborative MTCYes (Warrington and Halton

Hospitals)

South Yorkshire

Northern General Hospital Sheffield and

Yes

Royal Hallamshire Hospital -

NW Midlands & North WalesUniversity Hospital of North Staffordshire, Stoke on Trent

-

Birmingham BC, Hereford & Worcs

Queen Elizabeth Hospital Birmingham -

Central England University Hospital Coventry -

East Midlands Queen’s Medical Centre Nottingham Yes

East of England Addenbrookes, Cambridge Watford

Thames Valley John Radcliffe Hospital Oxford YesSevern Southmead Hospital YesNorth West London St Mary’s Hospital London -

North East London and Essex Royal London Hospital Yes

South West London and Surrey St George’s Hospital London Yes

South East London Kent & Medway

King’s College Hospital London -

Sussex Royal Sussex County Hospital Brighton -

Wessex Southampton General Hospital Yes

Peninsula Plymouth Derriford Yes

Content of the RP

• TARN criteria

• Type of injury

• RCS-ET

• Function

• Discharge plans

• BSRM Specialist RP• Outcome measures

• Type of Injury

• Pre-injury information

• RCS-ET

• Checklist

• Function at a glance

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Aims

Integrated Rehabilitation

Record

Electronic Rehabilitation Prescription

Service Evaluation &

National Audit

IRMAIntegrated rehabilitation

management application

Vision

Converge on a useful RP dataset

Improve continuity of care

Enable research into rehabilitation

Streamline rehab referral process

Personalise support after discharge

IRMAIntegrated rehabilitation

management application

Example screenshot

Allows for completion of HQIP Audit

Many options on assessment forms

Dashboards for users

Successes

IRMAIntegrated rehabilitation

management application

Challenges

Information Governance delays

Organisational change management

Ownership within certain trusts

Speed of technical development

Developed a useful RP dataset

Speeding up referrals

Good engagement with clinicians

Pull from some Trauma Units

Growing high quality dataset

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WHO ICFTARNNCASRI ORION NICE DAYONE

RPNeed vs get

PT copy

RPDependency

measuresDirectory

PT interfaceLibrary

RP, Specialist RP,

Need vs getDependency

measure

EB minimum dataset –patient needs

Library /PT information

AFTERTRAUMA

Library /PT informationPT Support

Clinician info

EB dataset

Patient generated RP

PT support

How do all of these interact and work together?

MEDICAL RECORDS AND THERAPY SPECIFIC DOCUMENTATION

TQUINS

Rehab Prescription vs Therapy report

• What is it?

• Who is it for?

• Can outcome be compared/ benchmark?

• What do the patients want?