Access to specialist medical M 2 Specialist medical / psychiatric intervention equipment for assessment /monitoring etc. for diagnosis or management/procedures – (Requiring in-patient hospital care in (DGH or specialist) Type of medical / surgical intervention M 3 Potentially unstable medical /psychiatric condition required: (Requiring 24 hr availability of on-site acute medical / psychiatric cover) Medical Surgical Trauma M 4 general medical / surgical problem Psychiatric Other…………………………… (Requiring general emergency medical / surgical intervention, but can be managed in DGH setting) Orthopaedic / trauma M 5 Post-acute care with active acute trauma needs – Neurology neurosurgery Vascular (Requiring acute step-down coordinated trauma care) Abdominal / Cardiothoracic Plastics/ burns ENT / Max-fax M 6 Hyper-acute trauma needs - extended range trauma care Urology Rehabilitation Medicine (Requiring hyper-acute coordinated trauma care only available in MTC) CARE AND SUPPORT NEEDS Describes the approximate of intervention required for basic self-care or level of risk (For all centres: score both care and risk and use highest score) CARE: Standard rehab needs RISK: Cognitive behavioural needs C 0 Largely independent in basic care R 0 No risk activities C 1 Requires help from 1 person R 1 Low risk – standard observations only for most basic care needs But requires escorting outside the unit C 2 Requires help from 2 people R 2 Medium risk above standard observations OR – managed under MHA section for most basic care needs C 3 Requires help from people R 3 High risk above standard observations ≥3 – for basic care needs AND managed under MHA section C 4 Requires constant 1:1 supervision R 4 Very high risk
Access to specialist medical equipment for assessment /monitoring etc. M 2 Specialist medical / psychiatric intervention – for diagnosis or management/procedures (Requiring in-patient hospital care in (DGH or specialist) M 3 Potentially unstable medical /psychiatric condition (Requiring 24 hr availability of on-site acute medical / psychiatric cover) Type of medical / surgical intervention required: Medical Surgical Trauma Psychiatric Other…………………………… M 4 general medical / surgical problem (Requiring general emergency medical / surgical intervention, but can be managed in DGH setting) M 5 Post-acute care – with active acute trauma needs (Requiring acute step-down coordinated trauma care) Orthopaedic / trauma Neurology neurosurgery Vascular Abdominal / Cardiothoracic Plastics/ burns ENT / Max-fax Urology Rehabilitation Medicine M 6 Hyper-acute trauma needs - extended range trauma care (Requiring hyper-acute coordinated trauma care only available in MTC) CARE AND SUPPORT NEEDS Describes the approximate of intervention required for basic self-care or level of risk (For all centres: score both care and risk and use highest score) CARE: Standard rehab needs RISK: Cognitive behavioural needs C 0 Largely independent in basic care activities R 0 No risk C 1 Requires help from 1 person for most basic care needs R 1 Low risk – standard observations only But requires escorting outside the unit C 2 Requires help from 2 people for most basic care needs R 2 Medium risk – above standard observations OR managed under MHA section C 3 Requires help from ≥3 people for basic care needs R 3 High risk – above standard observations AND managed under MHA section C 4 Requires constant 1:1 supervision R 4 Very high risk
Complex_Neurological_Rehabilitation_-_referral_documents-1.docx