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Early discharge and rehabilitation in paediatric acquired brain and neurological injury: a transferable model
  1. Rachel Keetley1,
  2. Laura Kelly1,
  3. William P Whitehouse1,2,
  4. Sophie Thomas1,2,
  5. Emily Bennett1,
  6. Gabriel Chow1,
  7. Alison Fletcher1,3,
  8. Jane Williams1
    1. 1Department of Paediatric Neurosciences, Nottingham Children’s Hospital, Queen’s Medical Centre, Nottingham, UK
    2. 2School of Medicine, Queen’s Medical Centre, University of Nottingham, Nottingham, UK
    3. 3De, The Children’s Trust, Tadworth Court, Tadworth, UK
    1. Correspondence to Dr Jane Williams, Department of Paediatric Neurosciences, Nottingham Children’s Hospital, Queen’s Medical Centre, Nottingham NG7 2UH, UK; jane.williams2{at}nuh.nhs.uk

    Abstract

    Children and young people who require rehabilitation following sustaining an acquired brain injury often experience long lengths of stay (LOS) and potentially poorer recovery outcomes due to limited access to therapy and little proactive discharge planning. After stakeholder enquiry we launched a new team and pathway with a primary aim to reduce LOS. The secondary aims were to pilot an outreach model, reduce cost and improve patient and family satisfaction. We achieved a significantly improved change in quality care with a financial gain and increased patient and family satisfaction.

    • paediatric neurorehabilitation
    • LOS
    • satisfaction
    • outreach

    This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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    Footnotes

    • Funding RK was awarded a CLHARC Silver Scholarship in 2018.

    • Competing interests None declared.

    • Patient consent Not required.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data sharing statement As a team we have no previous research published on this subject. We routinely collect data on our patients which are only available to clinicians in our organisation according to strict access guidelines.

    • Collaborators Dr Andrea Venn, Honorable Associate Professor in Epidemiology and Medical Statistics, University of Nottingham.

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