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Rookwood and Research

Rookwood and Research. Dr Jenny Thomas Consultant in rehabilitation jennifer.thomas@cardiffandvale.wales.nhs.uk. 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?

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Rookwood and Research

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  1. Rookwood and Research Dr Jenny Thomas Consultant in rehabilitation jennifer.thomas@cardiffandvale.wales.nhs.uk

  2. 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?

  3. 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

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

  5. How do we deliver care?

  6. 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

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

  8. 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

  9. How do we deliver care?

  10. 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 Research opportunities?

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

  12. Culture shift? • SPI – safer patient initiative • 1000 lives • Bundles of care

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