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Rookwood and Research Dr Jenny Thomas Consultant in rehabilitation nhs.uk.

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Presentation on theme: "Rookwood and Research Dr Jenny Thomas Consultant in rehabilitation nhs.uk."— Presentation transcript:

1 Rookwood and Research Dr Jenny Thomas Consultant in rehabilitation nhs.uk

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3 Why am I here? An opportunity to talk about the service? An opportunity to talk about the service? To convince you that rehabilitation is important? To convince you that rehabilitation is important? To help me deliver a world class service? To help me deliver a world class service? To promote academic excellence? To promote academic excellence?

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5 Rookwood hospital 32 inpatients beds 32 inpatients beds Regional service for specialist neurorehabilitation Regional service for specialist neurorehabilitation Age 18 years and above Age 18 years and above Rehabilitation community setting Rehabilitation community setting Population of 1.25 million Population of 1.25 million Cardiff and vale, Gwent, RCT Cardiff and vale, Gwent, RCT All Wales service for minimally aware patients All Wales service for minimally aware patients

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7 What are we interested in? Patients and their stories Patients and their stories Safe care Safe care Appropriate care Appropriate care Minimise impairment Minimise impairment Maximising activity Maximising activity Discharging patients home Discharging patients home

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9 How do we deliver care? Patient MedicalOTSALTNursingPsycholSecretarialDieticianPhysio Social work ?

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12 Research opportunities? Busy clinical load – increasing complexity Busy clinical load – increasing complexity Emphasis on service development Emphasis on service development Restrictive job plans Restrictive job plans Emphasis on targets and waiting times Emphasis on targets and waiting times Little chance of pure academic interest Little chance of pure academic interest No emphasis on outcomes No emphasis on outcomes Funding / ethics / junior staff / admin support Funding / ethics / junior staff / admin support

13 Research opportunities Evidence base Evidence base Robust support for business cases Robust support for business cases Specific information for populations Specific information for populations Evidence for treatments especially therapeutic Evidence for treatments especially therapeutic Payment by results Payment by results

14 Research opportunities? Rich source of clinical cases Rich source of clinical cases Oncology model – every patient is a research project Oncology model – every patient is a research project Team work – expertise in complexity Team work – expertise in complexity Enthusiastic staff Enthusiastic staff Expectation that some research/ audit is done Expectation that some research/ audit is done

15 How do we deliver care? Patient MedicalOTSALTNursingPsycholSecretarialDieticianPhysio Social work Research support

16 Research opportunities? Emphasis on service development Emphasis on service development Restrictive job plans Restrictive job plans Emphasis on targets and waiting times Emphasis on targets and waiting times Busy clinical load – increasing complexity Busy clinical load – increasing complexity Little chance of pure academic interest Little chance of pure academic interest No emphasis on outcomes No emphasis on outcomes Funding / ethics / junior staff / admin support Funding / ethics / junior staff / admin support Build in research to development plans Build in research to development plans Support for allocated time / supervision Support for allocated time / supervision Improved ability to deliver Improved ability to deliver Decrease waste Decrease waste Ready supply of research material Ready supply of research material Evidence based practice Evidence based practice Publish outcomes Publish outcomes Support for practicalities Support for practicalities

17 Prioritise clinically relevant research Clinical networks linking with research networks Clinical networks linking with research networks Research champions Research champions Promote clinical academics Promote clinical academics Research as part of the clinical culture Research as part of the clinical culture

18 Culture shift? SPI – safer patient initiative SPI – safer patient initiative 1000 lives 1000 lives Bundles of care Bundles of care


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