Individual research recommendation details

Recommendation ID

NG40/2

Question

Rehabilitation: - What are the barriers to people with major trauma receiving early rehabilitation after rehabilitation assessment? What changes to services are needed to overcome these barriers?

Any explanatory notes
(if applicable)

Why this is important:- Major trauma often results in people living with disability that results in a reduced quality of life. It is thus imperative to maximise access to rehabilitation to speed physical and psychological recovery after injury.
A proportion of patients will have complex needs necessitating inpatient rehabilitation from a multidisciplinary team with expertise. A larger group of patients will need ongoing support, rehabilitation and re-enablement once they are discharged home. The major trauma best practice tariff advises that every patient with an Injury Severity Score of 9 or more in either a major trauma centre or a trauma unit should have their rehabilitation needs assessed, and that a rehabilitation prescription should be provided for all patients with rehabilitation needs. The rehabilitation prescription is used to document the rehabilitation needs of patients and identify how their needs should be addressed. It is unclear whether adequate inpatient and outpatient rehabilitation services for patients with major trauma exist or, if they do exist, what barriers prevent people from using them.

Source guidance details

Comes from guidance

Major trauma: service delivery

Number

NG40

Date issued

February 2016

Other details