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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
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
Northern (Middlesbrough and South Tees)
Name of MTC/s in Network:
James Cook University Hospital Royal Victoria Hospital
Consultant in Rehabilitation Medicine:
2 vacant posts (JCUH)
Designated deputy (if no CRM): Alison Carter – Trauma Rehabilitation
Co-ordinator No Network Director Co-ordinator role
Designated CRM PA’s for work based in MTC (inc funding source):
Nil – waiting to fill vacancy
Designated CRM PA’s for work based in TU (inc funding source):
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
Method of Rehabilitation Prescription
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
Standard Measures routinely used:
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
Number of Trauma Units in MTN:
2 Trauma Units in MTN University Hospital of North Tees
Royal Victoria Hospital
CRM = Consultant in Rehabilitation Medicine
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma Unit
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
West Yorkshire
Name of MTC/s in Network:
Leeds Teaching Hospital
Consultant in Rehabilitation Medicine:
Matthew Smith (CRM) based at Leeds Teaching
Hospital
Designated deputy (if no CRM): n/a
Designated CRM PA’s for work based in MTC (inc funding source):
5 PA’s funded by MTC
Designated CRM PA’s for work based in TU (inc funding source):
No funded sessions
Named person in Director role (inc funding source):
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
Method of Rehabilitation Prescription
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
Number of Rehabilitation Units routinely taking
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
Number of Trauma Units in MTN:
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
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma Unit
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
North Yorkshire and Humberside
Name of MTC/s in Network:
Hull and East Yorkshire Hospitals NHS Trust – Hull Royal Infirmary
Consultant in Rehabilitation Medicine:
Abayomi Salawu (CRM) based at Castle Hill Hospital Director Co-ordinator role for Network
taken on by default
Designated deputy (if no CRM): n/a
Designated CRM PA’s for work based in MTC (inc funding source):
2 PAs part of Critical Rehab
Designated CRM PA’s for work based in TU (inc funding source):
Named person in Director role (inc funding source):
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
Total Number of CRM’s in Trauma Network:
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.
Method of Rehabilitation Prescription
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.
Standard Measures routinely used:
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.
Number of Rehabilitation Units routinely taking
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)
Number of Trauma Units in MTN:
4 Trauma Units in MTN York Hospital
Scarborough Hospital Diana Princess of Wales Hospital – Grimsby
Scunthorpe General Hospital CRM = Consultant in Rehabilitation Medicine
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma Unit
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
Lancashire and South Cumbria
Name of MTC/s in Network:
Royal Preston Hospital
Consultant in Rehabilitation Medicine:
David Shakespeare
(based at Royal Preston Hospital)
Designated deputy (if no CRM): n/a
Designated CRM PA’s for work based in MTC (inc funding source):
2 CRM – 1.9 WTE
Designated CRM PA’s for work based in TU (inc funding source):
1 – total designated session
Named person in Director role (inc funding source):
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
Method of Rehabilitation Prescription
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
Number of Trauma Units in MTN:
4 Trauma Units in MTN Furness General Hospital – Barrow
Royal Lancaster Infirmary Royal Blackburn Hospital
Blackpool Teaching hospital CRM = Consultant in Rehabilitation Medicine
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma Unit
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
Greater Manchester
Name of MTC/s in Network
Salford Royal Manchester Royal Infirmary
University Hospital of South Manchester
Consultant in Rehabilitation Medicine:
Krystyna Walton (Salford Royal)
1PA Network Director Co-ordinator Role
Designated deputy (if no CRM): n/a
Total Number of CRM’s in Trauma Network:
12 in Network (10 WTE)
Designated CRM PA’s for work based in MTC (inc funding source):
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
Named person in Director role
(inc funding source):
Krystyna Walton (1 funded PA)
Presence of CRM in trauma ward round at MTC:
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
Method of Rehabilitation Prescription
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
Standard Measures routinely used:
Basic Rehab prescription – None Full PCAT, RCS-E, Trauma Impairment, NPDS &
UK FIM+FAM
Number of Rehabilitation Units routinely taking
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
Number of Trauma Units in MTN:
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
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
Cheshire and Merseyside
Name of MTC/s in Network:
Aintree Walton Centre Royal Liverpool
Consultant in Rehabilitation Medicine:
Ganesh Bavikatte (based at Walton Centre) Clinical Lead for Network & MTC
& Rehab Network
Designated deputy (if no CRM): n/a
Designated CRM PA’s for work based in MTC (inc funding source):
No funding from MTC. Received from Rehab Service
Designated CRM PA’s for work based in TU (inc funding source):
2 CRMs in TU – no designated session. Ad hoc
Named person in Director role (inc funding source):
No CRM in Director Role. Band 7/8 Director co-ordinator of network. No Director of Trauma.
Ganesh is clinical lead for Rehab
Total Number of CRM’s in Trauma Network:
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
Method of Rehabilitation Prescription
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
Standard Measures routinely used:
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
Number of Rehabilitation Units routinely taking
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
Number of Trauma Units in MTN:
7 Trauma Units in MTN Whiston, Arrow Park, Wirral, Warrington,
St Helen’s, Southport & Countess of Chester CRM = Consultant in Rehabilitation Medicine
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma Unit
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
Yorkshire
Name of MTC/s in Network:
Sheffield Northern General
Consultant in Rehabilitation Medicine:
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
Designated deputy (if no CRM): n/a
Designated CRM PA’s for work based in MTC (inc funding source):
Full time funded by MTC
Designated CRM PA’s for work based in TU (inc funding source):
1 session – not in job plan
Named person in Director role (inc funding source):
No Director role
Total Number of CRM’s in Trauma Network:
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
Method of Rehabilitation Prescription
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
Standard Measures routinely used:
Basic Rehab Prescription – probably has RCS-E Specialist Rehab Prescription – do not use
(Sheffield Rehab unit submit data to UKROC)
Number of Rehabilitation Units routinely taking
patients from MTN:
On site – 14 Level 2b beds Off site – Level 1 – None
Off site – Level 2 – 2 units Barnsley & Doncaster
Number of Trauma Units in MTN:
4 Trauma Units in MTN Rotherham
Barnsley Doncaster
Chesterfield CRM = Consultant in Rehabilitation Medicine
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma Unit
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
North West Midlands and North Wales
Name of MTC/s in Network
Royal Stoke University Hospital
Consultant in Rehabilitation Medicine:
Alex Ball – based at North Staffordshire Rehabilitation Centre, Haywood Hospital,
Stoke on Trent 1 designated Tri-Network Director
Co-ordinator role
Designated deputy (if no CRM): n/a
Designated CRM PA’s for work based in MTC (inc funding source):
11 PA’s funded by MTC 37 PA’s funded by rehab
Designated CRM PA’s for work based in TU (inc funding source):
Currently None (Agreed Business case for 7)
Named person in Director role
(inc funding source):
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)
Presence of CRM in trauma ward round at MTC:
Visits daily Mon-Fri (No weekend cover but moving towards this)
Ward round 3 times per week
Method of Rehabilitation Prescription
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
Standard Measures routinely used:
Basic Rehab Prescription – RCS-E Specialist Rehab Prescription – RCS-ET
Number of Rehabilitation Units routinely taking
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)
Number of Trauma Units in MTN:
5 Trauma Units in MTN Royal Shrewsbury Hospital
Mid Cheshire Foundation Trust Wrexham Maelor Hospital
Ysbyty Gwynedd (Bangor Hospital) Ysbyty Glan Clwyd
CRM = Consultant in Rehabilitation Medicine
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma Unit
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
Birmingham, Black Country, Hereford and Worcester
Name of MTC/s in Network:
Queen Elizabeth Hospital – Birmingham
Consultant in Rehabilitation Medicine:
Dr SG Sturman
Consultant Neurologist (Neurorehabilitation)
Designated deputy (if no CRM): n/a
Designated CRM PA’s for work based in MTC (inc funding source):
10 PAs funded by MTC 5 PAs purchased for CRM sessions by SLA with Birmingham Community Healthcare NHS Trust
Designated CRM PA’s for work based in TU (inc funding source):
None
Named person in Director role
(inc funding source):
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: 10 in Network (1.5 in MTC) – 11 designated
sessions, 1 in TU – 1 designated session)
Presence of CRM in trauma ward round at MTC:
Attends Major Trauma MDT, Daily ward visits Mon-Fri (No weekend cover)
Ward rounds with therapists and nursing teams 5 times per week.
Method of Rehabilitation Prescription
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
Number of Rehabilitation Units routinely taking
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)
Number of Trauma Units in MTN:
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
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma Unit
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
Central England
Name of MTC/s in Network:
University Hospital Coventry & Warwick (UHCW)
Consultant in Rehabilitation Medicine:
Alex Ball – based at North Staffordshire Rehabilitation Centre, Haywood Hospital, Stoke
on Trent 1 designated Tri-Network Director Co-ordinator
role
Designated deputy (if no CRM): n/a
Designated CRM PA’s for work based in MTC
(inc funding source):
5 PAs funded by MTC 35 Pas funded by rehab
Designated CRM PA’s for work based in TU (inc funding source):
1 designated session
Named person in Director role
(inc funding source):
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:
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
Method of Rehabilitation Prescription
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
Number of Rehabilitation Units routinely taking
patients from MTN:
On site – 12 Level 2b Beds Level 1 Off site – CERU – Leamington Spa
Level 2 Off site - None
Number of Trauma Units in MTN:
2 Trauma Units in MTN Northampton Hospital
Kettering Hospital CRM = Consultant in Rehabilitation Medicine
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma Unit
1
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
East Midlands
Name of MTC/s in Network:
Nottingham, Queens Medical Centre
Consultant in Rehabilitation Medicine:
Dr Haboubi – based at Queens Medical Centre.
CRM and Clinical Lead for Trauma rehab
Designated deputy (if no CRM): n/a
Designated CRM PA’s for work based in MTC (inc funding source):
2 CRMs in MTC – currently 4 designated session to be increased to 8 paid by MTC
Designated CRM PA’s for work based in TU (inc funding source):
6 CRM’s in TU - ? number of designated session
Named person in Director role (inc funding source):
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
Method of Rehabilitation Prescription
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
Number of Rehabilitation Units routinely taking
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
Number of Trauma Units in MTN:
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
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma Unit
2
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
East of England
Name of MTC/s in Network:
Addenbrooke’s Hospital
Consultant in Rehabilitation Medicine:
Fahim Anwar (based at Addenbrooke’s Hospital ) Clinically involved in MTC – 9PA sessions Director Co-ordinator role held by Kate
McGlashan – 2Pas
Designated deputy (if no CRM): n/a
Designated CRM PA’s for work based in MTC (inc funding source):
10 PA sessions funded by MTC and a further 20 by rehab services
Designated CRM PA’s for work based in TU (inc funding source):
No CRM in trauma units
Named person in Director role (inc funding source):
Network Director Co-ordinator role and Director of Trauma Rehabilitation – Kate McGlashan 2
funded PA’s
Total Number of CRM’s in Trauma Network:
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)
Method of Rehabilitation Prescription
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
Number of Rehabilitation Units routinely taking
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)
Number of Trauma Units in MTN:
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.
CRM = Consultant in Rehabilitation Medicine
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma Unit
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
Thames Valley
Name of MTC/s in Network
John Radcliffe Hospital - Oxford
Consultant in Rehabilitation Medicine:
Derick Wade (Based at Oxford Centre for Enablement)
Ad hoc Network Director Co-ordinator Role
Designated deputy (if no CRM): n/a
Total Number of CRM’s in Trauma Network: 10 (including Spinal and trauma) Currently three
posts are vacant, including trauma post
Designated CRM PA’s for work based in MTC (inc funding source):
Nil
Designated CRM PA’s for work based in TU (inc funding source):
Nil
Named person in Director role
(inc funding source):
Derick Wade (Ad hoc - No funded PA)
Presence of CRM in trauma ward round at MTC: None. no regular ward round
Method of Rehabilitation Prescription
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
Standard Measures routinely used:
Basic Rehab Prescription - RCS & Barthel Index Specialist Rehab Prescription – not implemented
Number of Rehabilitation Units routinely taking
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
Number of Trauma Units in MTN:
4 Trauma Units in MTN Stoke Mandeville Hospital Royal Berkshire Hospital Milton Keynes Hospital Wexham Park Hospital
Great Western Hospital (shared with Bristol network)
CRM = Consultant in Rehabilitation Medicine
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma Unit
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
Severn
Name of MTC/s in Network: Southmead Hospital, Bristol Bristol Children’s Hospital
Consultant in Rehabilitation Medicine:
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
Designated deputy (if no CRM):
Debbie Cleary/Melissa Varia – Major Trauma Interview with Melissa - Rehabilitation Job share
Co-ordinators (Melissa completed audit) Cover: Annie Thornton/Louise Hichens
Designated CRM PA’s for work based in MTC (inc funding source):
Interviews 05/07/2016 for two full-time CRM posts based in MTC
- funding from MT best practice tariff
Designated CRM PA’s for work based in TU (inc funding source):
1 CRM – unknown designated sessions/funding
Named person in Director role (inc funding source):
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.
Total Number of CRM’s in Trauma Network:
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.
Number of Rehabilitation Units routinely taking
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)
Number of Trauma Units in MTN:
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)
CRM = Consultant in Rehabilitation Medicine
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
North West London
Name of MTC/s in Network:
St Mary’s Hospital NHS Trust
Consultant in Rehabilitation Medicine:
Ajoy Nair (based at Hillingdon Hospital) Network Director Co-ordinator role x 1PA
Designated deputy (if no CRM): n/a
Designated CRM PA’s for work based in MTC (inc funding source):
1– 1PA funded by MTC
Designated CRM PA’s for work based in TU (inc funding source):
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.
Named person in Director role (inc funding source):
Ajoy Nair (CRM) Director co-ordinator of Network x1 PA and Director of Trauma Rehab x1
PA
Total Number of CRM’s in Trauma Network:
4
Presence of CRM in trauma ward round at MTC: CRM visits MTC weekly. Does not attend MTC
ward rounds
Method of Rehabilitation Prescription
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)
Standard Measures routinely used:
Basic Rehabilitation Prescription - RCS-E
Specialist Rehabilitation Prescription – not used UKROC dataset completed by accepting rehab
units
Number of Rehabilitation Units routinely taking
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.
Number of Trauma Units in MTN:
6 Trauma Units in MTN Ealing Hospital
Hillingdon Hospital West Middlesex Hospital
Chelsea & Westminster Hospital Watford General Hospital Northwick Park Hospital
CRM = Consultant in Rehabilitation Medicine
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma Unit
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
North East London & Essex
Name of MTC/s in Network:
Royal London Hospital
Consultant in Rehabilitation Medicine:
Clarence Liu – Neurologist and Neuro-rehabilitation Consultant – based
at Neurosciences Barts & Homerton (RNRU). No Network Director Co-ordinator role
Designated deputy (if no CRM): n/a
Designated CRM PA’s for work based in MTC (inc funding source):
Ad hoc sessions – no funded PAs
Designated CRM PA’s for work based in TU (inc funding source):
No designated funded session
Named person in Director role
(inc funding source):
No Network Director Co-ordinator role No Director of Trauma Rehab
Total Number of CRM’s in Trauma Network:
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
Method of Rehabilitation Prescription
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
Number of Rehabilitation Units routinely taking
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
Number of Trauma Units in MTN:
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
CRM = Consultant in Rehabilitation Medicine
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma Unit
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
South West London & Surrey
Name of MTC/s in Network:
St George’s University Hospitals NHS Foundation Trust
Consultant in Rehabilitation Medicine:
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
Designated CRM PA’s for work based in MTC (inc funding source):
Ad hoc intervention – no designated sessions
Designated CRM PA’s for work based in TU (inc funding source):
No designated sessions
Named person in Director role (inc funding source):
Lucy Silvester (8b Consultant Therapist) Funded by MTC (1 PA/week)
Total Number of CRM’s in Trauma Network:
1 CRM (Fiona Song)
Presence of CRM in trauma ward round at MTC: CRM liaises with Lucy Silvester but does not
attend
Method of Rehabilitation Prescription
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
Number of Rehabilitation Units routinely taking
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
Number of Trauma Units in MTN:
7 Trauma Units in MTN Frimley Park, St Helier, St Peter’s, Croydon
University Hospital, Royal Surrey, East Surrey & Kingston
CRM = Consultant in Rehabilitation Medicine
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma Unit
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
South East London, Kent and Medway
Name of MTC/s in Network: Kings College Hospital London
Consultant in Rehabilitation Medicine:
Emer McGilloway (based at Kings College Hospital)
Designated deputy (if no CRM): Jacqui Wakefield – Consultant Therapist (audit
questionnaire completed by Jacqui & Emer)
Designated CRM PA’s for work based in MTC (inc funding source):
No designated CRM session in MTC
Designated CRM PA’s for work based in TU (inc funding source):
No designated CRM session in Trauma Units
Named person in Director role (inc funding source):
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
Presence of CRM in trauma ward round at MTC:
Ward round with CRM present once weekly MDM with Consultant Therapist
Neurorehabilitation, therapists and Trauma Co-ordinators once weekly
Method of Rehabilitation Prescription
Completion:
Electronic format completed by Therapists and/or CRM Commenced at 48 hours and
completed at point of transfer.
Standard Measures routinely used:
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
Number of Rehabilitation Units routinely taking
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
Number of Trauma Units in MTN:
7 Trauma Units in MTN St Thomas’ Lewisham
Princess Royal Queen Elizabeth
Tunbridge Wells Hospital at Pembury Medway Maritime Hospital
William Harvey Hospital
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
Sussex
Name of MTC/s in Network:
Royal Sussex County Hospital, Brighton University Hospital Trust
Consultant in Rehabilitation Medicine:
Aneetha Skinner – not involved in MTC (not interviewed)
0.4 CRM consultant post for major Trauma
Designated deputy (if no CRM):
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)
Designated CRM PA’s for work based in MTC (inc funding source):
0.4 CRM to be appointed – currently with HR at BSUH
PA’s for Trauma = 3 PA’s
Designated CRM PA’s for work based in TU (inc funding source):
No designated sessions for TU’s – Will be required to provide ad hoc advice.
Named person in Director role (inc funding source):
Karen Poole-AHP Lead at East Sussex Healthcare NHS Trust (TU)– 1 xPA
Clinical Lead post – vacant CRM post at the MTC
Total Number of CRM’s in Trauma Network:
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)
Presence of CRM in trauma ward round at MTC:
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.
Method of Rehabilitation Prescription
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
Number of Rehabilitation Units routinely taking
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.
Number of Trauma Units in MTN:
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
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma Unit
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
Wessex
Name of MTC/s in Network:
Southampton General Hospital
Consultant in Rehabilitation Medicine:
Caroline Hutchings
Designated deputy (if no CRM): n/a
Designated CRM PA’s for work based in MTC (inc funding source):
1 designated PA funded by MTC
Designated CRM PA’s for work based in TU (inc funding source):
5.9 WTE
Named person in Director role (inc funding source):
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
Method of Rehabilitation Prescription
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
Number of Rehabilitation Units routinely taking
patients from MTN:
On site – None Off site – Level 1 – None
Off site – Level 2 (4) Poole, Chichester, Portsmouth & Southampton
Number of Trauma Units in MTN:
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
CRM = Consultant in Rehabilitation Medicine
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma Unit
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
Peninsula
Name of MTC/s in Network:
Derriford Hospital, Plymouth
Consultant in Rehabilitation Medicine:
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
Designated CRM PA’s for work based in MTC (inc funding source):
1PA for SPA as clinical lead for Major Trauma rehabilitation. Nil clinical time for MTC Funded through MTC budget (via BPT)
Designated CRM PA’s for work based in TU (inc funding source):
No designated funded sessions
Named person in Director role (inc funding source):
Jude Fewings, Consultant Therapist, Network Director of Rehabilitation (0.32 WTE/12 hours per week). Funded through Network budget (via BPT)
Total Number of CRM’s in Trauma Network:
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.
Number of Rehabilitation Units routinely taking
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
Number of Trauma Units in MTN:
4 Trauma Units in MTN Royal Devon & Exeter Hospital
Torbay Hospital North Devon District Hospital
Royal Cornwall Hospital
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