Ruth ten Hove

CSP Assistant Director

Practice & Development

Objectives

• Share the national picture and context for

community rehabilitation in England

• Update on the Alliance progress in building a

shared vision of community rehabilitation

• Expand on the role of the CSP led Alliance in

influencing the national agenda

• Opportunity for questions and discussion

CR -resources and take home messages

• Standards for COVID 19, community rehab

• National evaluation of remote consultations

• Innovations database

• PACE audit findings and workforce modelling

• Workforce development opportunities

• Opportunity for questions and discussion

What’s changing?

Safe, quality patient care

Patient need

Affordability

Service delivery models

Technology

An ageing population;rise of long-term conditions,

COVID-19 & non-communicable diseases

Increasing focus on publichealth

Increasing financial constraint; imperative to find cost-effectivesolutions to meeting rising demand

Increasing integration of health & social care

Service commissioning – increasingcompetition within a growing

plurality of providers

Person-centred care: modelsof co-production, with greater

on the whole person & self-management

Human genome;telecare; health

informatics

Increasing accountability for care’s safety,quality and value for money

More generalist professional roles, less defined by profession and more by competences

Care closer to home

Rising expectations aboutaccessibility, quality & outcomes of care

CRA Vision for community rehabilitation

Community/home firstMulti-condition approach Choice and service delivery optionsIntegration Use of the wider workforceTakes a strongly preventative approach

Blur the linesUse community assetsStrengthen personalisation approachaddresses inequalities Reinforce the right to rehab

Greater understanding of the rehab workforce Training wider workforceGreater use of support workersMore advanced practice generalistsBand 5’s and 6’s supported to develop in a structured, systematic way in and out of hospitals,

Key national enablers that will accelerate the

transformation of community rehabilitation

• NHS Long term plan

• NHS Anticipatory Care plan

• NHS Rehabilitation Commissioning guidance

• NHS Rightcare toolkit for Community rehabilitation

• HEE Mandate

• NHS Interim People Plan

NHS CR commissioning guidance for people who have:

• Had Covid-19

• Been ‘shielding’; those ‘not shielding but at risk; and also those

with additional vulnerabilities and their carers.

• Long term mental and physical health conditions, multiple co-

morbidities and those impacted from delated diagnoses and

scheduled treatments

• LTCs who have functionally declined due to lack of access to

rehab facilities

• Avoided accessing health services and now at greater risk

• Had to deal with the physical and mental effects of lockdown

NHS CR commissioning guidance

‘There is an important opportunity to work collaboratively across

systems to deliver rehabilitation services which are integrated, person

centred and better meet the needs of populations’.

• Integration of NHS Rightcare CR toolkit

• Regional/ICS rehabilitation leadership infrastructure

• Virtual hub to streamline referrals

• Universal utilisation of the Rehabilitation prescription

• Opportunity for innovation

Call to action goes here

Include Hashtags, web links etc.(Sara mentioned: We do quarterly member survey with thousands of members.

Our CR campaign is currently funded by a charitable bid to carry out insight with commissioners, patients, members

and carers. All of this is happening as we speak).

Catherine contacts here for ICSP community rehab group