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Why am I here?
An opportunity to talk about the service? To convince you that rehabilitation is
important? To help me deliver a world class service? To promote academic excellence?
Rookwood hospital
32 inpatients beds Regional service for specialist neurorehabilitation Age 18 years and above Rehabilitation community setting Population of 1.25 million Cardiff and vale, Gwent, RCT All Wales service for minimally aware patients
What are we interested in?
Patients and their stories Safe care Appropriate care Minimise impairment Maximising activity Discharging patients home
How do we deliver care?
Research opportunities?
Busy clinical load – increasing complexity Emphasis on service development Restrictive job plans Emphasis on targets and waiting times Little chance of pure academic interest No emphasis on outcomes Funding / ethics / junior staff / admin support
Research opportunities
Evidence base Robust support for business cases Specific information for populations Evidence for treatments especially
therapeutic Payment by results
Research opportunities?
Rich source of clinical cases Oncology model – every patient is a
research project Team work – expertise in complexity Enthusiastic staff Expectation that some research/ audit is
done
How do we deliver care?
Research opportunities?
Emphasis on service development Restrictive job plans Emphasis on targets and waiting times Busy clinical load – increasing complexity Little chance of pure academic interest No emphasis on outcomes Funding / ethics / junior staff / admin support
Build in research to development plans Support for allocated time / supervision Improved ability to deliver Decrease waste Ready supply of research material Evidence based practice Publish outcomes Support for practicalities
Prioritise clinically relevant research
Clinical networks linking with research networks
Research champions Promote clinical academics Research as part of the clinical culture
Culture shift?
SPI – safer patient initiative 1000 lives Bundles of care
