evaluation of low set-up of care awareness state programme care booklet rehabilitation/ training end of life care Clinical Comments Social/discharge Complex Active discharge planning No major planning requiring liaison with discharge issues, issues requiring community social worker, taken care of by extensive multi-agency district nurse, family/allocated negotiation occupational therapist to social worker arrange care package Safeguarding concerns No safeguarding identified high risk Potential safeguarding concerns – concerns moderate to – low risk Clinical Comments Family support Major family distress Routine family support No significant issues requiring frequent needs (met by planned family problems support or crisis meetings) intervention Clinical Comments Emotional Demanding situation Somewhat challenging Minimal or no pressure on staff requiring highly situation but manageable emotional experienced staff/extra pressure on staff support for staff Clinical Comments Vocational Specialist vocational Moderate vocational No significant rehabilitation rehabilitation needs support such as: needs for such as: work visits or vocational support multi-disciplinary employer liaison vocational support for other assessment roles e.g. homemaker/ support for parenting return to work Clinical Comments Medico-legal Complex medico-legal Standard medico-legal No significant issues issues requiring issues such as: medico-legal interaction with the legal Mental capacity issues system such as: evaluation
evaluation of low awareness state rehabilitation/ end of life care set-up of care programme care booklet training Clinical Comments Social/discharge planning Complex issues requiring extensive multi-agency negotiation Safeguarding concerns identified – high risk Active discharge planning requiring liaison with community social worker, district nurse, occupational therapist to arrange care package Potential safeguarding concerns – moderate to low risk No major discharge issues, taken care of by family/allocated social worker No safeguarding concerns Clinical Comments Family support Major family distress issues requiring frequent support or crisis intervention Routine family support needs (met by planned meetings) No significant family problems Clinical Comments Emotional pressure on staff Demanding situation requiring highly experienced staff/extra support for staff Somewhat challenging situation but manageable Minimal or no emotional pressure on staff Clinical Comments Vocational rehabilitation Specialist vocational rehabilitation needs such as: multi-disciplinary vocational assessment support for return to work Moderate vocational support such as: work visits or employer liaison support for other roles e.g. homemaker/ parenting No significant needs for vocational support Clinical Comments Medico-legal issues Complex medico-legal issues requiring interaction with the legal system such as: Standard medico-legal issues such as: Mental capacity evaluation No significant medico-legal issues
Complex_Neurological_Rehabilitation_-_referral_documents-1.docx