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We are an evidence based service which adheres to the highest quality standards including national and government guidelines. We work in the community with people who have suffered a head injury, usually as a result of stroke or a traumatic brain injury.
Disciplines Available:
> Clinical Neuropsychology
> Occupational Therapy
> Physiotherapy
> Speech & Language Therapy
> Rehabilitation Assistant
Inclusion criteria:
> A single incident, non progressive acquired brain injury including stroke
> Aged over 16 years
> Living within one* hour£s travel time of Homerton University Hospital. [* It is sometimes possible to provide assessment / intervention for clients outside this criteria following funding agreement for increased travel time.]
We aim to increase clients£ independence, communication and involvement in work, study, leisure activities and interpersonal relationships. Goals are decided between clients, their relatives/carers and the therapists, ensuring that each treatment package is individualised to suit a client£s particular needs.
Typical active treatment involves the therapists and rehabilitation assistant seeing a client in his/her own environment or another community setting at least once a week; this may last from three to six months and sometimes longer depending upon timescales for their rehabilitation goals. We also provide clinical neuropsychology to the client and in some instances to their families. Follow-on treatment involves contact with the client once a month to ensure that the rehabilitation strategies introduced are continued over the long-term.
What the team can offer:
> Multidisciplinary Assessments Reports
> Neuro _ Psychology Reports
> Uni-disciplinary work (Clinical Neuro-Psychology only)
> Treatment programmes e.g. Vocational rehabilitation
> Brain injury education (e.g. for clients, family/friends, carers/support workers, employers)
> Geographical Service Criteria
Who is eligible: Clients registered with a GP in
> Barking & Dagenham
> Enfield
> Haringey
> Havering
> Redbridge
> Waltham Forest
> West Essex
> Southwest Essex
> Southeast Essex
> Mid Essex
> We can also accept private referrals from case managers
Powell J, Heslin J,Greenwood R. Community based rehabilitation after severe traumatic
brain injury: a randomised controlled trial.J Neurol Neeurosurg Psychiatry 2002;72:193-202.
The RNRU Outreach Teams Clinical Neuro-Psychologist is currently conducting a research titled "Exploration of psychological and cognitive predictors of outcome in a community dwelling sample of individuals with acquired brain injury using using mood and quality of life (QOLIBRI) measures".
The RNRU Outreach Team works in close collaboration with the RNRU inpatient unit.
- The RNRU Outreach Team recieves referrals from a variety of Health Care Professionals. We also work in close collaboration with vairous community organisations such as Headway , Different Strokes, the Stroke Association and local Personal Development Centres.
Publicly funded
- individually commissioned
Privately funded (anyone can purchase)
This Service was mapped by ABI London. See HERE for more information
Patient description
Medically stable, able to actively participate with and benefit from therapy. Will include spectrum of initial severity of injury with a small minority derived from Code 05 category
Sites
Domiciliary or day hospital
Description of rehabilitation input
Interdisciplinary co-ordinated management therapy aimed at community re-integration/inclusion by enhancing independence, wellbeing, & assist return to work/education. In collaboration with Social Services, neuropsychiatry, voluntary and statutory services. Includes treatment of patients in their own homes, or with live-in carers.
Patient description
Medically stable, living in community, aiming to enter/return to employment
Sites
Outpatient clinic – acute or community hospital or other community location
Description of rehabilitation input
Multidisciplinary diagnostic and triage clinic, including expert medical input, with specialist brain injury nurse and/or neuropsychological assessment and support and follow-along available. Education, emotional and social support, both for patient and family. Liaison with/advice to GP and employer.
Patient description
Medically stable, living in community, aiming to enter/return to employment
Sites
Domiciliary, community-based or residential
Description of rehabilitation input
Interdisciplinary programme addressing all aspects of occupational activity, including, specialist assessment, work preparation, job search, job coaching and workplace support, and employer/college education and support.
Patient description
Medically stable. Able to live in the community alone or with others.
Sites
Client's home/the community
Description of rehabilitation input
Enablement, support and care to develop social skills, stamina, confidence, attention & leisure pursuits, sorting out benefits, day supervision & respite care. Specific attention paid to Community involvement & integration (further education etc), Personal social development and empowerment and structuring activity towards achieving goals. Includes support that may be purchased with a personal budget.
Patient description
Medically stable. Wanting to engage further with the community, alone or with others.
Sites
All sites
Description of rehabilitation input
Organised activity in the community offering opportunities to to develop social skills, stamina, confidence, attention & leisure pursuits, Specific attention paid to: Community involvement & integration (further education etc), Personal social development and empowerment Structured daytime activity within the individual's competency framework. Includes Day activities, Day Centres, clubs and activity that may be purchased with a personal budget.
Patient description
Medically stable. Wanting to engage further with the community, alone or with others.
Sites
All sites
Description of rehabilitation input
Services that assist people with disabilities to travel in their local community or further afield.
Level 3A (other local specialist services): Treat patients with Category C needs and is led/supported by consultants trained in specialties other than rehabilitation medicine
RNRU Specialist ABI Outreach Team
Location and Contact detailsRNRU Specialised ABI Outreach Team RNRU Homerton University Hospital , Homerton Row, London Greater London E9 6SR Telephone: 020 8510 7967 Email: zoe.gallimore@homerton.nhs.uk http://www.homerton.nhs.uk/rnru/outreach |
Type of organisation
Descripton of organisation
miles (straight line)miles (approximate road distance) Entry last updatedMar 24, 2015 |
Further Details
The RNRU Specialist ABI Outreach Team provides interdisciplinary, specialist, community based rehabilitation services for adults with single incident, non-progressive acquired brain injury in Greater London and parts of Essex.We are an evidence based service which adheres to the highest quality standards including national and government guidelines. We work in the community with people who have suffered a head injury, usually as a result of stroke or a traumatic brain injury.
Disciplines Available:
> Clinical Neuropsychology
> Occupational Therapy
> Physiotherapy
> Speech & Language Therapy
> Rehabilitation Assistant
Inclusion criteria:
> A single incident, non progressive acquired brain injury including stroke
> Aged over 16 years
> Living within one* hour£s travel time of Homerton University Hospital. [* It is sometimes possible to provide assessment / intervention for clients outside this criteria following funding agreement for increased travel time.]
We aim to increase clients£ independence, communication and involvement in work, study, leisure activities and interpersonal relationships. Goals are decided between clients, their relatives/carers and the therapists, ensuring that each treatment package is individualised to suit a client£s particular needs.
Typical active treatment involves the therapists and rehabilitation assistant seeing a client in his/her own environment or another community setting at least once a week; this may last from three to six months and sometimes longer depending upon timescales for their rehabilitation goals. We also provide clinical neuropsychology to the client and in some instances to their families. Follow-on treatment involves contact with the client once a month to ensure that the rehabilitation strategies introduced are continued over the long-term.
What the team can offer:
> Multidisciplinary Assessments Reports
> Neuro _ Psychology Reports
> Uni-disciplinary work (Clinical Neuro-Psychology only)
> Treatment programmes e.g. Vocational rehabilitation
> Brain injury education (e.g. for clients, family/friends, carers/support workers, employers)
> Geographical Service Criteria
Who is eligible: Clients registered with a GP in
> Barking & Dagenham
> Enfield
> Haringey
> Havering
> Redbridge
> Waltham Forest
> West Essex
> Southwest Essex
> Southeast Essex
> Mid Essex
> We can also accept private referrals from case managers
Services available
| ABI Specialist | National | Regional | Local | |
|---|---|---|---|---|
| Advice |
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| Clinical psychology |
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| Community support |
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| Family Support |
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| Information |
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| Neurology |
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| Neuropsychology |
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| Occupational Therapy |
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| Physiotherapy |
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| Psychology |
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| Rehabilitation Consultant |
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| Speech & Language Therapy |
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| Training (for clients/patients) |
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| Training (for families/carers) |
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| Training (for staff) |
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| Vocational Support |
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| Voluntary Activity |
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National = country wide, Regional = offering a
service within 150 miles, Local = offering a service within 50
miles
This service adheres to the following Regulatory Frameworks / is affiliated to the following bodies:
The RNRU Outreach Team closely adheres to quality requirements 1,2,5,6,and 7 of the NHS Service Framework for Long Term Conditions. The National Clinical Guidelines for Stroke and NICE guidelines. The RNRU Outreach Team is the only evidence based service in the country. Published research paper referenced below:Powell J, Heslin J,Greenwood R. Community based rehabilitation after severe traumatic
brain injury: a randomised controlled trial.J Neurol Neeurosurg Psychiatry 2002;72:193-202.
The RNRU Outreach Teams Clinical Neuro-Psychologist is currently conducting a research titled "Exploration of psychological and cognitive predictors of outcome in a community dwelling sample of individuals with acquired brain injury using using mood and quality of life (QOLIBRI) measures".
The RNRU Outreach Team works in close collaboration with the RNRU inpatient unit.
Referrals can be made by
| GP |
|
| Consultant |
|
| Healthcare Professional |
|
| Self/Advocate/Family |
|
| Other professional eg Social Care/Case Manager |
|
- The RNRU Outreach Team recieves referrals from a variety of Health Care Professionals. We also work in close collaboration with vairous community organisations such as Headway , Different Strokes, the Stroke Association and local Personal Development Centres.
How are services paid for?
Publicly funded
- individually commissioned
| Regularly | Sometimes | Never | |
|---|---|---|---|
| NHS | | | |
| Social Care Services | | | |
| Jointly funded by NHS & Social Care Services | | | |
Privately funded (anyone can purchase)
Typical duration that a service is offered
We tailor the length of the rehabilitation process to suit the clients identified goals and their particular needs. A typical duration maybe anywhere from 4 months to a year in duration.This Service was mapped by ABI London. See HERE for more information
Services available are defined by the following EHIG Rehabilitation Codes
For an explanation of the codings please click hereREHAB AT HOME
[Code 70]Patient description
Medically stable, able to actively participate with and benefit from therapy. Will include spectrum of initial severity of injury with a small minority derived from Code 05 category
Sites
Domiciliary or day hospital
Description of rehabilitation input
Interdisciplinary co-ordinated management therapy aimed at community re-integration/inclusion by enhancing independence, wellbeing, & assist return to work/education. In collaboration with Social Services, neuropsychiatry, voluntary and statutory services. Includes treatment of patients in their own homes, or with live-in carers.
BRAIN INJURY CLINIC
[Code 85]Patient description
Medically stable, living in community, aiming to enter/return to employment
Sites
Outpatient clinic – acute or community hospital or other community location
Description of rehabilitation input
Multidisciplinary diagnostic and triage clinic, including expert medical input, with specialist brain injury nurse and/or neuropsychological assessment and support and follow-along available. Education, emotional and social support, both for patient and family. Liaison with/advice to GP and employer.
HELP GETTING BACK TO WORK
[Code 90]Patient description
Medically stable, living in community, aiming to enter/return to employment
Sites
Domiciliary, community-based or residential
Description of rehabilitation input
Interdisciplinary programme addressing all aspects of occupational activity, including, specialist assessment, work preparation, job search, job coaching and workplace support, and employer/college education and support.
SUPPORT AT HOME
[Code 115]Patient description
Medically stable. Able to live in the community alone or with others.
Sites
Client's home/the community
Description of rehabilitation input
Enablement, support and care to develop social skills, stamina, confidence, attention & leisure pursuits, sorting out benefits, day supervision & respite care. Specific attention paid to Community involvement & integration (further education etc), Personal social development and empowerment and structuring activity towards achieving goals. Includes support that may be purchased with a personal budget.
SOMETHING TO DO
[Code 120]Patient description
Medically stable. Wanting to engage further with the community, alone or with others.
Sites
All sites
Description of rehabilitation input
Organised activity in the community offering opportunities to to develop social skills, stamina, confidence, attention & leisure pursuits, Specific attention paid to: Community involvement & integration (further education etc), Personal social development and empowerment Structured daytime activity within the individual's competency framework. Includes Day activities, Day Centres, clubs and activity that may be purchased with a personal budget.
TRANSPORT
[Code 130]Patient description
Medically stable. Wanting to engage further with the community, alone or with others.
Sites
All sites
Description of rehabilitation input
Services that assist people with disabilities to travel in their local community or further afield.
This service is defined by the NMDS (National Minimum Data Set) codes as:
For an explanation of the NMDS, please click hereLevel 3A (other local specialist services): Treat patients with Category C needs and is led/supported by consultants trained in specialties other than rehabilitation medicine
