Northern (Newcastle North East & Cumbria) · 2019-03-07 · Northern (Newcastle North East & Cumbria) Name of MTC/s in Network: Royal Victoria Infirmary (RVI) James Cook University

Major Trauma Network

Audit Questionnaire Summary

Major Trauma Network:

Northern (Newcastle North East & Cumbria)

Name of MTC/s in Network:

Royal Victoria Infirmary (RVI) James Cook University Hospital

Consultant in Rehabilitation Medicine:

Laura Graham – based at Walkergate Park Hospital Rehab Unit and MTC – RVI

Network Director Role

Designated deputy (if no CRM):

n/a

Designated CRM PA’s for work based in MTC (inc funding source):

3 Trauma PAs funded by MTC

Designated CRM PA’s for work based in TU (inc funding source):

No designated sessions

Named person in Director role

(inc funding source):

Laura Graham (CRM) – Director role CRM – Director of trauma role – No funded

sessions

Total Number of CRM’s in Trauma Network:

4 in Network (1 in MTC – 3 designated sessions, 3 in TU – No designated sessions)

Presence of CRM in trauma ward round at MTC: Visits MTC 3 times a week Ward round twice a week

Method of Rehabilitation Prescription

Completion:

Paper format – completed by MDT with CRM input for all patients with ISS ≥9. Commenced within 72 hours and completed once patient

clinically stable

Standard Measures routinely used:

Basic Rehab Prescription – RCS Specialist Rehab Prescription – RCS-ET (all) & Full

Patient Categorisation tool (PCAT) if going to Level 1 unit

Number of Rehabilitation Units routinely taking patients from MTN:

On site for S Tees MTC – 16 Level 2 beds – James Cook

Level 1 Off site – Walkergate Park Hospital Level 2 Off site – Cumberland Infirmary - Carlisle

& Sunderland Infirmary

Number of Trauma Units in MTN:

8 Trauma Units in MTN Northumbria specialist emergency care centre

Cumberland Infirmary – Carlisle Queen Elizabeth Hospital – Gateshead

Sunderland Infirmary North Tees

University Hospital of Durham Darlington Memorial

South Tyneside CRM = Consultant in Rehabilitation Medicine

MTC – Major Trauma Centre

MTN – Major Trauma Network

TU – Trauma Unit




Northern (Middlesbrough and South Tees)


James Cook University Hospital Royal Victoria Hospital


2 vacant posts (JCUH)

Designated deputy (if no CRM): Alison Carter – Trauma Rehabilitation

Co-ordinator No Network Director Co-ordinator role


Nil – waiting to fill vacancy


Nil

Named person in Director role (inc funding source):

Laura Graham (CRM) – Director of Trauma Rehab 1PA

Charles Greenough -Spinal Consultant – Clinical Director for Rehabilitation (JCUH)

Total Number of CRM’s in Trauma Network: 2 – Full time in Spinal Injury Unit based in JCUH

MTC

Presence of CRM in trauma ward round at MTC:

No CRM input in MTC other than Spinal cord injury

– Care of Elderly Consultant attends neuro rehab weekly meeting on rehab ward – attended by

Registrar


Completion:

Paper format completed by Trauma Rehabilitation Co-ordinator/designated

therapists without CRM input for all patients with ISS≥8. Commenced within 48 hours and

completed within 4-5 days


Basic Rehabilitation Prescription RCS-ET Specialist Rehabilitation Prescription – RCS-ET. Patient Categorisation and FIM+FAM used on

rehab ward

Number of Rehabilitation Units routinely taking

patients from MTN:

On site – Level 1 – 24 beds for spinal injuries + 4 HDU

On site – Level 2 – 18 beds on James Cook Neuro rehab

Off site – Level 1 - Walkergate Park


2 Trauma Units in MTN University Hospital of North Tees

Royal Victoria Hospital

CRM = Consultant in Rehabilitation Medicine



TU – Trauma Unit




West Yorkshire


Leeds Teaching Hospital


Matthew Smith (CRM) based at Leeds Teaching

Hospital

Designated deputy (if no CRM): n/a


5 PA’s funded by MTC


No funded sessions


Matthew Smith (CRM) Clinically involved in MTC 7.5 Pas

CRM is the Director of Network/Trauma Rehab – 0.5PA

Total Number of CRM’s in Trauma Network: 7 (0 in MTC, Some for TU but not designated

sessions)

Presence of CRM in trauma ward round at MTC: CRM visits MTC every day to “touch base”. Daily ward rounds on MTC but CRM does not attend.

See new referrals within one day


Completion:

Mixture of paper and electronic format completed by MTC team without CRM input for all patients with ISS≥9. Commenced within 48

hours of admission and completed at discharge

Standard Measures routinely used: Basic rehabilitation prescription – None

Specialist rehabilitation prescription – not used UKROC completed on rehab units but not MTC


patients from MTN:

On site – None Off site – level 1 – None

Off site – level 2 (4) Level 2A Chapel A (Neuro rehab), Level 2A Airedale Hospital Ward 5

Level 2A Ward 4 Dewsbury District Hospital Spinal unit at Pinderfields Hospital


6 Trauma Units in MTN Airedale Hospital NHS Foundation Trust

Bradford Royal Infirmary Harrogate District Hospital

Huddersfield Royal Infirmary Leeds General Infirmary

Pinderfields General Hospital CRM = Consultant in Rehabilitation Medicine



TU – Trauma Unit




North Yorkshire and Humberside


Hull and East Yorkshire Hospitals NHS Trust – Hull Royal Infirmary


Abayomi Salawu (CRM) based at Castle Hill Hospital Director Co-ordinator role for Network

taken on by default



2 PAs part of Critical Rehab



Abayomi Salawu – Network Director – by default – no funded

sessions Director of Trauma Rehab – no funded sessions

and Clinical Lead for Trauma Rehab – no funded sessions


3 Dr Salawu – MTC / Hull and East Yorkshire

Hospitals Dr Riaz – Northern Lincolnshire and Goole NHS

Trust Community based service Dr Platts – Northern Lincolnshire and Goole NHS

Trust Community based service

Presence of CRM in trauma ward round at MTC: CRM visits MTC up to twice a week. This includes

rehab ward round on the trauma ward.


Completion:

Electronically completed by individual therapists without CRM input for all patients on the trust MTC tracker who are deemed MTC patients. Commenced within 5 days of admission and

completed at the same time as started.


Basic Rehabilitation Prescription – Minimum data set completed at MTC for majority of

patients. Specialist rehab prescription completed for

those patients who require ongoing rehab in specialist unit. (Ward 29)

UKROC minimum data set completed on Ward 29 rehab unit.


patients from MTN:

On site (MTC) – None Off site – Level 1 – None

Off site – Level 2

Ward 29 Castle Hill Hospital (15 beds)

Goole Neuro –rehabilitation Centre (access only via CCG approval)


4 Trauma Units in MTN York Hospital

Scarborough Hospital Diana Princess of Wales Hospital – Grimsby

Scunthorpe General Hospital CRM = Consultant in Rehabilitation Medicine



TU – Trauma Unit




Lancashire and South Cumbria


Royal Preston Hospital


David Shakespeare

(based at Royal Preston Hospital)



2 CRM – 1.9 WTE


1 – total designated session


Director of Network – Nil Director of Trauma Rehab and Clinical Lead –

CRM – total designated sessions funded by MTC

Total Number of CRM’s in Trauma Network: 3 CRMs (2 in MTC and 1 in TU)

Presence of CRM in trauma ward round at MTC: CRM visits MTC daily (on site) attends weekly

MTC ward round


Completion:

Paper format completed by MTC team without CRM input for all patients. Commenced within

72 hours of admission and completed in line with best practice time line.

Standard Measures routinely used: Basic Rehabilitation Prescription – None

Specialist Rehabilitation Prescription – Not used UKROC dataset completed by local arrangements

Number of Rehabilitation Units routinely taking patients from MTN:

On site – Level 1 - 13 beds On site – Level 2 – 12 beds Off site – Level 2 – None

Off site – Level 2 (1) Rakehead Rehab Centre - Burnley


4 Trauma Units in MTN Furness General Hospital – Barrow

Royal Lancaster Infirmary Royal Blackburn Hospital

Blackpool Teaching hospital CRM = Consultant in Rehabilitation Medicine



TU – Trauma Unit




Greater Manchester

Name of MTC/s in Network

Salford Royal Manchester Royal Infirmary

University Hospital of South Manchester


Krystyna Walton (Salford Royal)

1PA Network Director Co-ordinator Role



12 in Network (10 WTE)


7 PA’s paid by MTC

Additional through neuro rehab (20 extra beds)

Designated CRM PA’s for work based in TU

6 CRMs– ad hoc for neuro rehab



Krystyna Walton (1 funded PA)


3-5 times per week at the Salford Royal. In addition we have daily presence, & on call at

SRFT by RM registrars & consultants. At Manchester Royal Infirmary there is CRM

presence x2 per week


Completion:

Electronically by MTC with CRM input for patients with ISS score ≥9. Commenced within 24 hours of admission and completed within 4 calendar days + TARN criteria and by discharge


Basic Rehab prescription – None Full PCAT, RCS-E, Trauma Impairment, NPDS &

UK FIM+FAM


patients from MTN:

On site – Level 1 & Hyper-acute (This is at SRFT only. SRFT is the GM Level 1 provider. If MRI or UHSM patients need services based at SRFT, we

facilitate a prompt transfer) Level 1 off site – None

Level 2 off site – 4


3 Trauma Units in MTN Royal Albert Edward Infirmary – Wigan

Royal Oldham Hospital Stepping Hill Hospital – Stockport

The TUs in the Greater Manchester Network are designated as such for acute life-saving

interventions & stabilisation prior to MTC transfer




Cheshire and Merseyside


Aintree Walton Centre Royal Liverpool


Ganesh Bavikatte (based at Walton Centre) Clinical Lead for Network & MTC

& Rehab Network



No funding from MTC. Received from Rehab Service


2 CRMs in TU – no designated session. Ad hoc


No CRM in Director Role. Band 7/8 Director co-ordinator of network. No Director of Trauma.

Ganesh is clinical lead for Rehab


5+1 due to start. (3+1 in MTC – 1 PA for trauma, 2 in TU on Ad hoc basis)

Presence of CRM in trauma ward round at MTC: Based in MTC. At least weekly ward round


Completion:

Paper format at present but plan to be electronic. Completed by MDT with CRM.

Commenced within 24 hours of admission and completed in 48-72 hours. Not always completed

if on-going rehab pathway


Basic Rehab Prescription – In the Acute setting the RCS-ET and individual

outcome measures are used. Once in the rehabilitation network patients will

get all outcome data indicated below: Barthel and sometimes NPDS

Specialist Rehab Prescription – Full patient categorisation, RCS-E, Trauma Impairment, NPDS

and sometimes UK FIM+FAM & Barthel Full UKROC submitted by rehab teams


patients from MTN:

On site at Walton Centre – 10 Hyper-acute and 20 Level 1

Off site – Level 1 – Nil Off site – Level 2 – (3) St Helen’s, Broadgreen &

Clatterbridge St Cyril’s provides independent beds for some

patients but are not part of the Network


7 Trauma Units in MTN Whiston, Arrow Park, Wirral, Warrington,

St Helen’s, Southport & Countess of Chester CRM = Consultant in Rehabilitation Medicine



TU – Trauma Unit




Yorkshire


Sheffield Northern General


Sachin Watve based at Northern General Hospital

No Network Director or trauma rehab co-ordinator role Involved at Executive level Acts as Clinical Lead for trauma – no funded

session



Full time funded by MTC


1 session – not in job plan


No Director role


5 in Network ( 3 in MTC and 2 in TU – all full time)

Presence of CRM in trauma ward round at MTC: Visits MTC at least 3 times per week. No

designated ward round/MDT meeting on MTC


Completion:

Paper format completed by MTC team with CRM input for all patients with ISS≥9. Commenced within 72 hours of admission and completed

within 4 days


Basic Rehab Prescription – probably has RCS-E Specialist Rehab Prescription – do not use

(Sheffield Rehab unit submit data to UKROC)


patients from MTN:

On site – 14 Level 2b beds Off site – Level 1 – None

Off site – Level 2 – 2 units Barnsley & Doncaster


4 Trauma Units in MTN Rotherham

Barnsley Doncaster

Chesterfield CRM = Consultant in Rehabilitation Medicine



TU – Trauma Unit




North West Midlands and North Wales


Royal Stoke University Hospital


Alex Ball – based at North Staffordshire Rehabilitation Centre, Haywood Hospital,

Stoke on Trent 1 designated Tri-Network Director

Co-ordinator role



11 PA’s funded by MTC 37 PA’s funded by rehab


Currently None (Agreed Business case for 7)



Alex Ball (CRM) – Director of Network – 1 designated session to cover Tri-Network

No Director of Trauma Rehab – Clinical lead only – no funded sessions

Total Number of CRM’s in Trauma Network: 5 in Network ( 2 in MTC – 11 designated

sessions)


Visits daily Mon-Fri (No weekend cover but moving towards this)

Ward round 3 times per week


Completion:

Electronically – MDT complete with/without CRM for patients with ISS≥8 or “TARN +ve”.

Commenced within 24 hours of admission (72 at weekends) and completed on discharge/transfer

to other unit


Basic Rehab Prescription – RCS-E Specialist Rehab Prescription – RCS-ET


patients from MTN:

On site – None Level 1 off site – None

Level 2 off site – 1 North Staffordshire Rehabilitation Centre, Haywood Hospital (Take

Category A patients)


5 Trauma Units in MTN Royal Shrewsbury Hospital

Mid Cheshire Foundation Trust Wrexham Maelor Hospital

Ysbyty Gwynedd (Bangor Hospital) Ysbyty Glan Clwyd




TU – Trauma Unit




Birmingham, Black Country, Hereford and Worcester


Queen Elizabeth Hospital – Birmingham


Dr SG Sturman

Consultant Neurologist (Neurorehabilitation)



10 PAs funded by MTC 5 PAs purchased for CRM sessions by SLA with Birmingham Community Healthcare NHS Trust


None





Total Number of CRM’s in Trauma Network: 10 in Network (1.5 in MTC) – 11 designated

sessions, 1 in TU – 1 designated session)


Attends Major Trauma MDT, Daily ward visits Mon-Fri (No weekend cover)

Ward rounds with therapists and nursing teams 5 times per week.


Completion:

Electronically – various clinicians complete for all patients with ISS ≥8 or “TARN +ve” or identified on “Major Trauma Tracker”. Commenced within

48 hours of admission and completed at transfer/discharge

Standard Measures routinely used: Basic Rehab Prescription – RCS-ET & Barthel

Specialist Rehab Prescription – RCS-ET, Barthel


patients from MTN:

On site – None Level 1 off site – 1 (Moseley Hall Hospital)

Level 2 off site – 1 (West Park Rehab Hospital – can take Category A patients)


8 Trauma Units in MTN Hereford Hospital, Worcester Royal,

Royal Wolverhampton, Alexandra Hospital – Redditch,

Heart of England Foundation Trust Walsall Manor Hospital, Russell’s Hall Hospital –

Dudley, Sandwell Hospital CRM = Consultant in Rehabilitation Medicine



TU – Trauma Unit




Central England


University Hospital Coventry & Warwick (UHCW)


Alex Ball – based at North Staffordshire Rehabilitation Centre, Haywood Hospital, Stoke

on Trent 1 designated Tri-Network Director Co-ordinator

role


Designated CRM PA’s for work based in MTC


5 PAs funded by MTC 35 Pas funded by rehab


1 designated session






4 in Network (4 in MTC – 5 sessions, 1 in TU – 1 session)

Presence of CRM in trauma ward round at MTC: Daily visit Mon-Fri

Ward round 6 times per week


Completion:

Paper format – completed by MDT +/- CRM. Completed for all “TARN +ve” patients and those with ISS≥8. Commenced on admission-72 hours

of admission and completed on transfer/discharge from MTC

Standard Measures routinely used: Basic Rehab Prescription – RCS-E

Specialist Rehab Prescription – RCS-ET Full UKROC at rehab units


patients from MTN:

On site – 12 Level 2b Beds Level 1 Off site – CERU – Leamington Spa

Level 2 Off site - None


2 Trauma Units in MTN Northampton Hospital

Kettering Hospital CRM = Consultant in Rehabilitation Medicine



TU – Trauma Unit

1




East Midlands


Nottingham, Queens Medical Centre


Dr Haboubi – based at Queens Medical Centre.

CRM and Clinical Lead for Trauma rehab



2 CRMs in MTC – currently 4 designated session to be increased to 8 paid by MTC


6 CRM’s in TU - ? number of designated session


Director role held by Band 8 Physiotherapy Manager. ? funding source

Total Number of CRM’s in Trauma Network: 8 CRM’s

Presence of CRM in trauma ward round at MTC: Visits 3 times per week – to be increased to 5

times per week. Attends ward round twice a week


Completion:

Basic Rehab Prescription is completed electronically by the MTC team with CRM input

for all patients. It is commenced within 72 hours. Specialist Rehab prescription not currently

completed

Standard Measures routinely used: Basic Rehab Prescription – RCS & dependency

tools


patients from MTN:

On – site - None Off site –Level 1 (1) Leicester Brain Injury Unit Off site – Level 2 (3) Linden Lodge Nottingham,

Kings Lodge Derby & Ashby Ward Lincoln


6 Trauma Units with the MTN Chesterfield Royal Hospital

Sherwood Forrest Hospital (King’s Mill) Royal Derby Hospital

Leicester Royal Infirmary Lincoln County

Boston Pilgrim Hospital CRM = Consultant in Rehabilitation Medicine



TU – Trauma Unit

2




East of England


Addenbrooke’s Hospital


Fahim Anwar (based at Addenbrooke’s Hospital ) Clinically involved in MTC – 9PA sessions Director Co-ordinator role held by Kate

McGlashan – 2Pas



10 PA sessions funded by MTC and a further 20 by rehab services


No CRM in trauma units


Network Director Co-ordinator role and Director of Trauma Rehabilitation – Kate McGlashan 2

funded PA’s


7 in Network (3 in MTC – 20 PA’s & 4 in TU ?how many PA’s)

Presence of CRM in trauma ward round at MTC: Full time spent in MTC

Ward rounds 6 times per week (daily Mon-Sat)


Completion:

Electronically completed by MTC with CRM input. Commenced with 48 hours of admission.

Completion should be prior to discharge but compliance poor

Standard Measures routinely used: Basic Rehabilitation Prescription – RCS-E

Specialist Rehab Prescription – RCS-ET, NPDS Full UKROC completed by Level 2b rehab unit


patients from MTN:

On-site – 8 Level 2b rehab beds Off site – 8 Level 1 Units. Colman Centre –

Norwich, Northwick Park, Stoke Mandeville, Princess Royal Spinal injuries – Sheffield, St Andrews – Northampton, Leamington Spa,

Blackheath Neuro rehab & Leicester ABI Off site – Level 2 (1) Blackheath (occasionally)


12 Trauma Units in MTN Queen Elizabeth, Norfolk & Norwich, James

Paget, West Suffolk Hospital, Ipswich Hospital, Colchester Hospital, Broomfield Mid Essex, Princess Alexandra, Lister Hospital, Luton &

Dunstable, Bedford Hospital & Peterborough City Hospital.




TU – Trauma Unit




Thames Valley


John Radcliffe Hospital - Oxford


Derick Wade (Based at Oxford Centre for Enablement)

Ad hoc Network Director Co-ordinator Role


Total Number of CRM’s in Trauma Network: 10 (including Spinal and trauma) Currently three

posts are vacant, including trauma post


Nil


Nil



Derick Wade (Ad hoc - No funded PA)

Presence of CRM in trauma ward round at MTC: None. no regular ward round


Completion:

Paper form completed by individual therapists without CRM input for all patients with ISS ≥9. Commenced within 24-48 hours of admission,

completed at discharge


Basic Rehab Prescription - RCS & Barthel Index Specialist Rehab Prescription – not implemented


patients from MTN:

On site – Nil Level 1 off site – (3) National Spinal Injuries

Centre, Burns Unit – Stoke Mandeville & Oxford Centre for Enablement

Level 2 off site – (2) Royal Berkshire & Bucks Neurological Unit – Caversham Unit Reading


4 Trauma Units in MTN Stoke Mandeville Hospital Royal Berkshire Hospital Milton Keynes Hospital Wexham Park Hospital

Great Western Hospital (shared with Bristol network)




TU – Trauma Unit




Severn

Name of MTC/s in Network: Southmead Hospital, Bristol Bristol Children’s Hospital


None currently directly in either MTC. Dr Angus Graham has sessions at NBT contracted

to private neuro rehab- BIRU) these are mainly to asses patients for BIRU rather than general

rehab management


Debbie Cleary/Melissa Varia – Major Trauma Interview with Melissa - Rehabilitation Job share

Co-ordinators (Melissa completed audit) Cover: Annie Thornton/Louise Hichens


Interviews 05/07/2016 for two full-time CRM posts based in MTC

- funding from MT best practice tariff


1 CRM – unknown designated sessions/funding


No current Director of rehabilitation for the Network. See above regarding interviews one of the posts will have this responsibility. This will be

funded solely by Major Trauma Best Practice Tariff.


2 CRMs in Network – 0 in MTC (although due to change in next few months as above), 1 in

Trauma Unit and 1 in Specialist Rehabilitation Centre

Presence of CRM in trauma ward round at MTC: None - no formal ward round currently again see above. Daily ward rounds (weekdays initially) are

in both CRM job plans.

Method of Rehabilitation Prescription Completion:

Electronically completed (on Trust system) by MT team without CRM input for all patients with ISS ≥8. Commenced within 48 hours of admission

(or up to 96 hours if patient unwell) and completed at discharge/transfer. Pilot project

using patient held record ongoing (PKB).

Standard Measures routinely used: RCS-E and Barthel completed on initiation of RP

and D/C currently.


patients from MTN:

On- site – Nil Off site – Level 1 (2)– Non NHS – Frenchay Brain

Injury Rehabilitation Unit (BIRU) – Bristol Duke of Cornwall Spinal Cord Injury

Centre – Salisbury Off site – Level 2 (?3) BIRT, Chalkdown House –

Swindon Neuro rehab/Lydeard Ward, Dene Barton Community Hospital (old Triscombe ward

Musgrove Park)

Gloucester Brain Injury team – Gloucester Royal Hospital (not known to UKROC)


6 Trauma Units in MTN Gloucester Royal Hospital

Royal United Hospital – Bath Great Western Hospital – Swindon

Yeovil District Hospital Musgrove Park Hospital – Taunton

University Hospitals Bristol- Bristol Royal Infirmary

(NB Cheltenham Hospital and Western General Hospital are Local Emergency Hospitals)




TU – Trauma




North West London


St Mary’s Hospital NHS Trust


Ajoy Nair (based at Hillingdon Hospital) Network Director Co-ordinator role x 1PA



1– 1PA funded by MTC


3 CRMs in TU number of sessions/funding Brent CCG Robertson House 1 CRM 1WTE Harrow CCG NWP Regional Rehab Unit 2

CRMWTE H+F/K+C/West CCG 0.6 WTE CRM will increase to 1WTE in April 2017.


Ajoy Nair (CRM) Director co-ordinator of Network x1 PA and Director of Trauma Rehab x1

PA


4

Presence of CRM in trauma ward round at MTC: CRM visits MTC weekly. Does not attend MTC

ward rounds


Completion:

Electronically completed by either MTC team or individual therapist without CRM input.

Commenced within 48 hours of admission to trauma ward (or 25 days if not on trauma ward)

and completed within 48 hours of discharge from trauma ward (or 25 days if not on trauma

ward)


Basic Rehabilitation Prescription - RCS-E

Specialist Rehabilitation Prescription – not used UKROC dataset completed by accepting rehab

units


patients from MTN:

On site – None Off site – Level 1 RHRU Northwick Park, Royal

Hospital for Neuro-disability (Putney), Wolfson Neuro rehab & RNRU Homerton, Blackheath, Lishman, Frank Cooksey ( Kings)( NHS England

London commissioned beds) Off site – Level 2 Charing Cross Neuro rehab,

Robertson House, Alderbourne/Daniels Unit – Hillingdon, Royal Free Rehab Unit & Hackney All

units are shared with other diagnostic categories.

Off site –Level 3 Athelone House, Clayponds

All units provide services to other diagnositic categories for example Stroke and progressive

neurological illness.


6 Trauma Units in MTN Ealing Hospital

Hillingdon Hospital West Middlesex Hospital

Chelsea & Westminster Hospital Watford General Hospital Northwick Park Hospital




TU – Trauma Unit




North East London & Essex


Royal London Hospital


Clarence Liu – Neurologist and Neuro-rehabilitation Consultant – based

at Neurosciences Barts & Homerton (RNRU). No Network Director Co-ordinator role



Ad hoc sessions – no funded PAs


No designated funded session



No Network Director Co-ordinator role No Director of Trauma Rehab


3 in Network ( 1 in MTC – no designated sessions, 2 in TU no designated sessions)

Presence of CRM in trauma ward round at MTC: Visits MTC ad hoc – once per week

No CRM present at meetings or ward round


Completion:

Completed on a spreadsheet – 4 basic RP data points without CRM input for all TARN trauma

patients. Commenced within 72 hours of admission and completed within 25 days of

discharge

Standard Measures routinely used: Basic Rehab Prescription

Specialist Rehab Prescription – Do not use


patients from MTN:

On site – None Off site – Level 1 – One (Neuro Rehab Unit,

Homerton) Off site – Level 2 - Three units: Royal Free –

Edgware, St Pancreas, Hackney


14 Trauma units in MTN 5 in Essex – Basildon, Southend, Broomfield,

Colchester & Princess Alexandra 9 in London – Queens Romford, Homerton, Royal

Free, North Middlesex, Whittington, Chase Farm/Barnet, UCH, Newham & Whipps Cross




TU – Trauma Unit




South West London & Surrey


St George’s University Hospitals NHS Foundation Trust


Sancho Wong (Ad hoc intervention in MTC – ward assessment for patients referred to level 1

neurorehab beds) (not interviewed)

Designated deputy (if no CRM): Lucy Silvester

Therapy Consultant for Major Trauma


Ad hoc intervention – no designated sessions


No designated sessions


Lucy Silvester (8b Consultant Therapist) Funded by MTC (1 PA/week)


1 CRM (Fiona Song)

Presence of CRM in trauma ward round at MTC: CRM liaises with Lucy Silvester but does not

attend


Completion:

Electronically completed by MTC without CRM input for all Major Trauma patients. Commenced within 72 hours of admission and completed on

discharge from MTC.

Standard Measures routinely used: Combined Rehab Prescription – RCS-ET, Patient

Categorisation


patients from MTN:

On site – Hyper-acute beds x10 (Wolfson) Off site – Level 1 Wolfson Neurorehabilitation

Centre and all other London centres

Off site – level 2 (4) Bradley Unit – Surrey

Queen Elizabeth Foundation – Banstead Queen Mary’s – Roehampton (includes Douglas

Bader Unit for prosthetic rehab), Amputee rehab – Lambeth Community Care

Centre LSCIC, Stanmore


7 Trauma Units in MTN Frimley Park, St Helier, St Peter’s, Croydon

University Hospital, Royal Surrey, East Surrey & Kingston




TU – Trauma Unit




South East London, Kent and Medway

Name of MTC/s in Network: Kings College Hospital London


Emer McGilloway (based at Kings College Hospital)

Designated deputy (if no CRM): Jacqui Wakefield – Consultant Therapist (audit

questionnaire completed by Jacqui & Emer)


No designated CRM session in MTC


No designated CRM session in Trauma Units


Jacqui Wakefield – Director of Trauma Rehab – 2PA for trauma; 1 PA Director role plus 1PA

clinical into trauma Dr Emer McGilloway –Clinical Lead

Rehabilitation, Clinical Lead Acute Trauma Rehab Services- 1PA

Total Number of CRM’s in Trauma Network: 2 CRM in Network: 1 CRM for MTC,

1 CRM for Specialist rehabilitation unit


Ward round with CRM present once weekly MDM with Consultant Therapist

Neurorehabilitation, therapists and Trauma Co-ordinators once weekly


Completion:

Electronic format completed by Therapists and/or CRM Commenced at 48 hours and

completed at point of transfer.


Basic Rehabilitation Prescription – RCS-E and Glasgow Outcome Scale

Specialist Rehabilitation Prescription – RCS-ET and Glasgow Outcome Scale

Frank Cooksey Rehab unit submits to UKROC


patients from MTN:

King’s has a level 2a rehabilitation unit Frank Cooksey

Off site – Level 1/2a Pan London units Off site – Level 2 (1) East Kent Neuro Rehab


7 Trauma Units in MTN St Thomas’ Lewisham

Princess Royal Queen Elizabeth

Tunbridge Wells Hospital at Pembury Medway Maritime Hospital

William Harvey Hospital




Sussex


Royal Sussex County Hospital, Brighton University Hospital Trust


Aneetha Skinner – not involved in MTC (not interviewed)

0.4 CRM consultant post for major Trauma


Karen Poole – Allied Health Professions Lead, Clinical Specialist Physiotherapist in

Neurorehabilitation. Director of Trauma Rehabilitation Role for

Network. 1 designated PA. Based full time in Trauma Unit

(Conquest)


0.4 CRM to be appointed – currently with HR at BSUH

PA’s for Trauma = 3 PA’s


No designated sessions for TU’s – Will be required to provide ad hoc advice.


Karen Poole-AHP Lead at East Sussex Healthcare NHS Trust (TU)– 1 xPA

Clinical Lead post – vacant CRM post at the MTC


3 CRMs in MTN ( 1 vacant in MTC, 0 in Trauma Units , 2 based in Level 2 Rehabilitation Units

(Sussex Rehabilitation Centre and Donald Wilson House)


CRM visits MTC 3 sessions per week for trauma & neuro.

No CRM currently available to attend MTC ward round. Specialist Registrar does attend. Whilst this is the current situation the 0.4 post will be

advertised shortly.


Completion:

Mixture of paper and electronic format completed by MTC team without CRM input for all patients with ISS ≥9. Commenced within 48

hours of admission and completed at discharge. In spring 2016 the Sussex Trauma Network will

be supporting an NIHR feasibility pilot of the Electronic Prescription.

Standard Measures routinely used: Basic Rehabilitation Prescription – RCS-E and

Barthel Index Specialist Rehabilitation Prescription – not used


patients from MTN:

On site – nil Off site – Level 1 (2) Stoke Mandeville Hospital &

Royal Hospital for Neuro-disability (Putney) Off site – level 2 (2) Sussex Rehabilitation Centre

and Donald Wilson House East Sussex does not currently have Level 2

rehab beds – patients from East Sussex access level 2 via a specialist funding route or if directly admitted to Sussex Rehabilitation Centre from

the MTC.


3 Trauma Units in the MTN Conquest Hospital, East Sussex Healthcare NHS

Trust Worthing Hospital, Western Sussex NHS Trust

St Richards Hospital, Western Sussex NHS Trust CRM = Consultant in Rehabilitation Medicine



TU – Trauma Unit




Wessex


Southampton General Hospital


Caroline Hutchings



1 designated PA funded by MTC


5.9 WTE


No Director of Network Director of Trauma Rehab – Physiotherapist with

no funded sessions Clinical Lead for Trauma – Caroline (CRM)

1 funded PA

Total Number of CRM’s in Trauma Network: 9 ( 1 in MTC and 5.9 in trauma units)

Presence of CRM in trauma ward round at MTC: Visits MTC approx. 6 times per month.

Attends weekly MTC meetings


Completion:

Completed electronically for all patients. Completed by MTC without CRM input. ? when

commenced, completed on discharge.

Standard Measures routinely used: Basic Rehabilitation Prescription – None

Specialist Rehabilitation Prescription – Not used UKROC dataset completed on rehab units


patients from MTN:

On site – None Off site – Level 1 – None

Off site – Level 2 (4) Poole, Chichester, Portsmouth & Southampton


7 Trauma Units in MTN Basingstoke & North Hampshire Hospital

Dorset County Hospital NHS Foundation Trust Poole Hospital NHS Foundation Trust

Queen Alexandra Hospital Salisbury NHS Foundation Trust

St Mary’s Hospital IOW St Richard’s Hospital - Chichester




TU – Trauma Unit




Peninsula


Derriford Hospital, Plymouth


Rachel Botell (based at Derriford Hospital) Major trauma Centre Rehabilitation Lead role –

1SPA designated session. Funding available for rehabilitation medicine

consultant (10 PA job plan). Previous recruitment round unsuccessful.

Designated deputy (if no CRM): n/a - no one formally identified


1PA for SPA as clinical lead for Major Trauma rehabilitation. Nil clinical time for MTC Funded through MTC budget (via BPT)


No designated funded sessions


Jude Fewings, Consultant Therapist, Network Director of Rehabilitation (0.32 WTE/12 hours per week). Funded through Network budget (via BPT)


4.0 in Network (0.6 WTE in MTC but no funded sessions for MTC clinical work , 1 WTE in TU but no designated sessions and remainder in rehab units)

Presence of CRM in trauma ward round at MTC: No presence on trauma ward round. Pilot Weekly

ward round with CRM and MDT (not funded)

Method of Rehabilitation Prescription Completion:

Paper format completed by ward therapy team with/without CRM input.

Initiated within 72 hours of admission, but is essentially a discharge document.

Standard Measures routinely used: RCS-ET (but not always accurately), Barthel Index &

Glasgow Outcome Scale.


patients from MTN:

On site – Nil Off-site Level 1 – (1) Frenchay Brain Injury Centre

Off-site Level 2a –(3) Plym Neuro Rehab (takes most of pts)

Mardon House Level 2b– Royal Devon and Exeter Hospital Marie Therese House Level 2b – Hayle,

Cornwall


4 Trauma Units in MTN Royal Devon & Exeter Hospital

Torbay Hospital North Devon District Hospital

Royal Cornwall Hospital

Documents

Northern (Newcastle North East & Cumbria) · 2019-03-07 · Northern (Newcastle North East & Cumbria) Name of MTC/s in Network: Royal Victoria Infirmary (RVI) James Cook University