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#NHSChangeChallenge

Rehabilitation

19 Ideas
9 Votes
92 Comments
64 Subscribers

Please outline key changes in patient care in Rehabilitation Care that have taken place so far during the Coronavirus pandemic and should be locked in to the NHS during the next phase and beyond.

We’re keen to hear about changes that may relate primarily to patients, staff, behaviours and the wider health system.

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Communication improvement between inpatient and outpatient physiotherapy services

As the outpatient team are employed by a Community Division and the inpatient team by the Secondary Care division, it was rare that we would speak or communicate. The Covid situation has forced this, which I believe is for the better. It has enabled us to share skills and ideas on a much greater scale - which is of benefit to both staff and patients.  I can see huge challenges for all branches of physio when it comes to post viral conditions - and this type of collaborative working would...

0

Improved access and communication between physiotherapy department and MDT

I have seen communication improve between ourselves and T&O. This has greatly benefited patient care and experience, but also staff learning and morale.  We have also noticed that there have been fewer barriers to communicating with GPs and other medical colleagues, such as Radiologists and Rheumatologists. It really has made things so much easier - especially as patient's have multiple co-morbidities and challenging health needs, even before COVID is factored in.

0

Introduction of Domiciliary physiotherapy service

Submitted on behalf of Hannah Mills - Advanced physiotherapy practioner Although providing some form of a service over the telephone, it really isn't a substitute for seeing people. We therefore have set up a Community MSK service. This currently is one person, but as demand increases this might increase to more.  Domiciliary physio traditionally is around functional assessment and deconditioned patients who are house bound. We may find that moving forward we have a younger population of...

0

Promotion of Self management

Submitted on behalf of Hannah Mills - Advanced Physiotherapy  As you are aware, as a health service we try to facilitate patients to independently manage their long term conditions. In the MSK service this is most likely to be the management of OA. Traditionally we, as clinicians, have been a little unsuccessful with that. Not having an option to treat has led to us being better at promoting self management - and maybe patients better at accepting it! Something, that I would like to see...

0

Physiotherapy video consultations

Submitted on behalf of Hannah Mills Advanced Physiotherapy Practitioner  Ordinarily we would run new patient clinics in either morning or afternoon blocks - using a fracture clinic model where we overbook and give a slot time, not a specific time for their appointment. On any day, approx. 90 patients could come through in a 5 hour period. This is no longer possible - for obvious reasons. Over the period of lockdown we have been providing telephone only consultations - and whilst this has...

0

Development of virtual classes and online and video resources

Enhanced sign posting to community based and online resources for management of persistent pain conditions. Alternative options and access to ESCAPE/PEAK and shoulder rehab / Low Back Pain programmes. Moving forward these resources will be available at triage to enable increased patient empowerment and self care, whilst awaiting more formal Physiotherapy input.

0
Idea thumbnail
Horizon 3

Good Boost moving from water to land

Good Boost is a social enterprise that has co-designed a rehabilitation exercise app powered by artificial intelligence (AI) to select suitable exercises for a wide range of MSK conditions. The app has been designed with land-exercises for users to complete on their own phone in the comfort of home. The exercise programs are recommended following user registration and gathering post-exercise session feedback.  The app has been co-designed with input from members of NASS, NRAS, Arthritis...

6.5 Points
30
Horizon 3

Accurx - a digital tool for patient care which writes back to the medical record

Overnight, our MSK service stopped seeing routine face-to-face patients. We needed a way to communicate and consult with them remotely. Once approved and installed, training and user guides were prepared whilst Accurx was configured to meet Service need. We can now send files and information leaflets to patients via text message (1400 sent so far) and communicate things like normal test results without needing a scheduled appointment. We are able to ask patients to send in photograph of the...

6.5 Points
5
Horizon 4

Patient choice

Ability to swap to virtual or phone should their health mean they can not attend face to face. Call to fit in same as organised appt Dedicated method of contact established Patients less fearful of DNA = discharge More control over their health treatments More compliance with appointments  Trust built between clinician and patient with long term conditions 

8 Points
4
Horizon 2

Avoiding routine doctor-only follow up in the OP clinic after stroke

Switching to mainly telephone and, where necessary, video consultations has been better for patients (more convenient, much shorter time commitment - previously patients were advised to attend the hospital an hour early just to find, and pay for, a car park- better balance of 'power' between the patient/family and doctor) and the doctors (easier scheduling, less time wasted with DNAs, easier to refer to scans/results/letters while on the phone without disengaging the patient). 

7 Points
4
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