JRSM > Volume 97, Number 8 > Pp. 384-389

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Mapping rehabilitation resources for head injury

J D Pickard FRCS FMedSci  ¹ H M Seeley MSc BA  ¹ S Kirker MD FRCPI  ² C Maimaris FRCS FSAEM  ³ K McGlashan MBBS MRCP  ⁴ E Roels MD  ⁴ R Greenwood MD FRCP  ⁵ C Steward BSc MBA  ⁶ P J Hutchinson PhD FRCS  ¹   G Carroll MSc FFPHM  ⁶

¹ Academic Neurosurgery, Addenbrooke's Hospital, Cambridge
² Lewin Stroke & Rehabilitation Unit, Addenbrooke's Hospital, Cambridge
³ Accident & Emergency Department, Addenbrooke's Hospital, Cambridge
⁴ District Rehabilitation Centre, Colman Hospital, Norwich
⁵ Regional Neurological Rehabilitation Unit, Homerton Hospital, London
⁶ East of England Specialised Commissioning Group, Cambridge, UK

Correspondence to: Professor J D Pickard, Academic Neurosurgery, Box 167, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ, UK E-mail: jdpsecretary{at}medschl.cam.ac.uk

Several reports have pointed to the unevenness in the UK of services for rehabilitation after head injury. A study was conducted in the Eastern Region of England to define the key stages in recovery and rehabilitation, by an iterative process of questionnaire, interview and consensus conference. Findings were translated into a draft set of maps showing current availability of services which were revised after feedback. Working groups then developed a set of definitions and classification codes for each stage of rehabilitation which were likewise disseminated for feedback. The maps were then redrafted to correspond with the definitions together with a flowchart of potential head injury rehabilitation services. The definitions were piloted at a regional neurosurgery unit and a rehabilitation hospital. Core services for neurorehabilitation region-wide were found to be variable and uncoordinated with fragmented and inequitable allocation of resources. The definitions and mapping system that emerged from this study should facilitate the design of care pathways for patients and identify gaps in the services.

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