Rehabilitation, Reablement & Recovery

What are the indicators for good quality community services?

In 2014 the Wessex Strategic Clinical Network recognised that there was considerable variation in the quality and delivery of out of hospital rehabilitation and reablement across the locality. 

They also recognised that whilst there were many markers and standards of quality for the delivery of in-patient care there was a paucity of generic standards for helping commissioners (and providers) design and define the essentials of good quality community rehabilitation.

A Quality Guidance Document [QGD] was developed by a steering group of clinicians, service users, voluntary sector organisations, commissioners and public health leads across the Wessex region. The document established a set of general principles and quality requirements for adult, out of hospital, rehabilitation, reablement and recovery, the principles of which were designed not to be disease specific but to be applicable across a range of physical and mental health conditions. 

The four key quality areas being prioritised by stakeholders were:

  1. Movement out of Hospital
  2. Accessing services
  3. Supported self-management
  4. Quality outcome measures and supported quality indicators

quality_guidance_document_image.PNGTo access the Quality Guidance Full Document – Click picture icon to access document

RRR_Quality_Guidance_image.PNGTo access the Quality Guidance Quick Reference guide – Click picture icon to access document

How to Benchmark your Rehabilitation, Reablement and Recovery Service?

Following development of the Rehabilitation, Reablement and Recovery Quality Guidance Document the Wessex Strategic Clinical Network developed an audit tool based upon the quality guidance standards. This tool is free to download and allows commissioners and providers in the NHS, voluntary sector and private sector to benchmark their existing services to validate areas of good practice and identify areas for development

click_icon.pngTo access the Benchmarking Tool – click icon

The following document is a report that provides detailed examples of methodologies and results from the three organisations that took part in the benchmarking exercise.  

RRR_Benchmarking_Initial_Report_image.PNGTo access the Benchmarking Report – Click picture icon to access document

How do we treat the person not the condition?

Allied Health Solutions (AHS) on behalf of the Wessex Strategic Clinical Network developed a Menu of Health and Wellbeing tool to support commissioners and providers in developing and implementing a holistic approach to managing population health.

Within the MoHeW Tool you will find information on:

  • Underlying principles & conceptual framework
  • Statistics & data
  • Approaches to Health & Wellbeing
  • Economic evaluation
  • Useful links & resources
  • References 

To access the Models of Health & Wellbeing Tool – Click picture icon to access document

Wessex Rehabilitation Steering Groups - Contacts

Dr Hayden Kirk Wessex Rehabilitation Steering Group Chair Hayden.kirk@solent.nhs.uk
Dr Jane Williams Clinical Programme Director for Integrated Rehabilitation Jane.Williams1@southernhealth.nhs.uk
June Davis MoHeW - Project Lead and Director, Allied Health Solutions Junedavis@alliedhealthsolutions.co.uk
Julia Mardo Benchmarking - Project Manager julia.mardo@wessex.hee.nhs.uk

Acknowledgements

Our grateful thanks go to all staff and patient representatives that have provided support, advice and encouragement to the outputs of both the Benchmarking and MoHeW Projects.

Special thanks to Liz Cullen (Wessex SCN), June Davis (MoHeW) and Julia Mardo (Benchmarking) for their due diligence and dedication in taking forward the commissioning, consultation & development of both projects. 

Wessex Rehabilitation Steering Group Model of Health & Wellbeing Steering Group

Supported Self-Management – Wessex SCN Project & Event

The NHS spends 70% of its budget supporting people living with long term conditions – a staggering statistic – and yet many people don’t feel that they have the knowledge, skills and confidence to manage their own health and well-being successfully. To meet this challenge NHS England is promoting the Patient Activation Measure (PAM) as a key national strategic initiative to support the 1.5 million people with long term conditions to live more independently.

What is Patient Activation?

Patient activation describes the knowledge, skills and confidence a person has in managing their own health and healthcare. It is a good predictor of health outcomes, and can be raised through targeted interventions.

 The concept of patient activation is linked to the principle of person-centred care. It enables the delivery of personalised care that supports people to recognise and develop their own strengths and abilities. Supporting people to develop capability to manage their own health and care by giving them information they can understand and act on, and providing them with support that is tailored to their needs, underpins the concept of patient activation.

 

What is the Patient Activation Measure (PAM)?

The PAM provides a simple, evidence-based mechanism for establishing the capacity of individuals to manage their health – and then using that information to optimise the delivery of care. PAM is a validated, 13 point questionnaire with multiple choice answers. It measures how activated an individual is. The PAM generates an activation level for that individual, at that point in time. For further information please see ‘The Wessex PAM User Guide’

The project outcome:

A steering group of clinicians, voluntary sector organisations, commissioners and public health leads across the Wessex region, piloted the PAM in services. This led to the group producing a ‘The Wessex PAM User Guide’ on patient activation and on how services can implement PAM. On 28th March 2017 the project team held a ‘supported self-management‘ half day learning event. This event comprised of national and regional speakers, sharing of good practice and sharing the ‘The Wessex PAM User Guide’.

 

The next steps:

At the supported self-management event, we launched a PAM competition. The competition is aimed at clinical teams within Wessex, working with people with long term conditions. The steering group is seeking to work with clinical teams to better support self-management, through using the PAM. For further information please see documents-

For further information please contact louise.johnson@rbch.nhs.ukcarl.adams@nhs.net,  esther.clift@nhs.net

#WessexPAM

PAM User Guide