complex best Standard interests consent/best decisions interests decisions court of LPoA, advance protection care planning applications DoLs/PoVA applications Litigation issues Complex mental capacity/consent issues Clinical Comments Specialist Highly specialist Moderate specialist No equipment equipment/ equipment/facilities equipment needs such as: needs facilities required such as: Adapted Bespoke assistive wheelchair/seating Basic off the shelf technology Electric standing equipment only Highly specialist Treadmill/harness Standard exercise needs training facilities e.g. Bespoke Assisted cycling plinth, bike, tilt orthotics e.g. motor-med table, parallel bars Electronic Splinting/casting assistive technology Assisted ventilation Clinical Comments Therapy Intensive coordinated Therapy teams Less intensive type/intensity therapy programmes specialising in complex therapy required neurological conditions Short Up to 5 therapy Moderate to intensive rehabilitation disciplines involved in therapy programmes programmes therapy required Rehabilitation More than 25 hours Up to 4 disciplines may be required total therapy time per involved in therapy as part of a week specific diagnostic 20-25 hours of total (e.g. stroke) – High intensity staffing therapy time per week treatment by a ratios required ie 2 or local specialist more to treat at one team time
complex best interests decisions court of protection applications DoLs/PoVA applications Litigation issues Complex mental capacity/consent issues Standard consent/best interests decisions LPoA, advance care planning Clinical Comments Specialist equipment/ facilities Highly specialist equipment/facilities required such as: Bespoke assistive technology Highly specialist needs Bespoke orthotics Electronic assistive technology Assisted ventilation Moderate specialist equipment needs such as: Adapted wheelchair/seating Electric standing Treadmill/harness training Assisted cycling e.g. motor-med Splinting/casting No equipment needs Basic off the shelf equipment only Standard exercise facilities e.g. plinth, bike, tilt table, parallel bars Clinical Comments Therapy type/intensity Intensive coordinated therapy programmes required Up to 5 therapy disciplines involved in therapy More than 25 hours total therapy time per week High intensity staffing ratios required ie 2 or more to treat at one time Therapy teams specialising in complex neurological conditions Moderate to intensive therapy programmes required Up to 4 disciplines involved in therapy 20-25 hours of total therapy time per week Less intensive therapy Short rehabilitation programmes Rehabilitation may be required as part of a specific diagnostic (e.g. stroke) – treatment by a local specialist team
Complex_Neurological_Rehabilitation_-_referral_documents-1.docx