UK organisation of TBI Care – post-

acute and community perspectives Andrew Bateman, NeuroRehab Manager

Oliver Zangwill Centre for Neuropsychological Rehabilitation

www.ozc.nhs.uk

Twitter @ozcboss

http://www.scoop.it/u/andrew-bateman

May 2015

Cambridgeshire Community Services NHS Trust: providing services across Cambridgeshire, Luton, Norfolk, Peterborough and Suffolk

Helen asked to me to say something about….

• Key characteristics of transitions of care

• Post-acute care and rehabilitation of TBIs

• Levels

• Resources

• local practices

Increasing

recognition of

importance of patient

and family

perspectives

“it’s not a pathway

it’s an obstacle

course”

lived experience out

of hospital

Cambridgeshire Community Services NHS Trust: providing services across Cambridgeshire, Luton, Norfolk, Peterborough and Suffolk

Cambridgeshire Community Services NHS Trust: providing services across Cambridgeshire, Luton, Norfolk, Peterborough and Suffolk

Charities UKABIF Neurological Alliance DT/Brain Injury Rehab Trust CBIT Headway Stroke Association Young Epilepsy

NHS and Social Care organisations Strategic Clinical Networks NHS Trusts NHS Foundation Trusts NHS Social Enterprise Trusts

Universities Professional Bodies BSRM CSP COT Scholarly societies Society for Research in Rehabilitation, CAHPR, PRS, WFNR, SIGS,…

Private sector Indpendent Neurological Providers Alliance Residential units Personal Injury Solicitors Case management companies

A Recovery Pathway

Acute Episode

A&E ITU Acute Intervention

RRR

Acute Trust Rehab ‘Step Down’ General Rehab Services

Acute Rehab Team

OT

SW

Legal

CC Rehab Ward Rehab Team

Community Rehabilitation Services

SLIDE FROM JOHN ETHERINGTON PRESENTATION TO SCN

BrainNAV www.brainnav.info is registering as a Charitable Incorporated Association It will remain not for profit and provide access to the Directory and entries free of charge There is a funding challenge, currently being addressed through sponsorship of services mapping for areas/regions that is acknowledged within the Directory …. service providers and law firms cannot be the sole sponsor and ‘own’ the Directory

Other directories & databases are available!

• http://www.braininjurygroup.co.uk/about-us/

• TRAUMA AUDIT AND RESEARCH NETWORK www.tarn.ac.uk

• UKROC is receiving data from a wide network

• BRITISH PSYCHOLOGICAL SOCIETY (if you want a psychologist)

• NHS CHOICES, MAP OF MEDICINE,

• Develop and support new workplace incentives to promote employee health and cut sickness-related unemployment

• Manage systems – networks of care – not just organisations.

• Out-of-hospital care needs to become a much larger part of what the NHS does.

• Need to evaluate new care models to establish which produce the best experience for patients and the best value for money.

• Primary and Acute Care Systems

• “Multispecialty Community Provider”.

FIVE YEARS FORWARD VIEW

SLIDE FROM JOHN ETHERINGTON PRESENTATION TO SCN

What we have done in Cambridgeshire

• Evelyn Community Head Injury Service led by Rehab Consultant Dr Judith Allanson

Thank you and questions

Keep the conversation going on twitter @ozcboss

Cambridgeshire Community Services NHS Trust: providing services across Cambridgeshire, Luton, Norfolk, Peterborough and Suffolk