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Evelyn Community Head Injury Service




Location and Contact details


for referrals currently; Box 120, Addenbrookes, Cambridge,
for attending service; Davison House, Brookfields Hospital Site, Mill road, cambrudge
Cambridge
Cambridgeshire
CB2 0QQ

Telephone: 01223 723177

Email: echis@ccs.nhs.uk

http://in development

Type of organisation

  • NHS Service

Descripton of organisation

  • Acute Hospital
  • Out patient
  • Community Based Service

miles (straight line)
miles (approximate road distance)

Entry last updated

Dec 5, 2011

Further Details

The Evelyn Community Head Injury service offers Community based neruorehabiliation for adults with traumatic brain injury aged 18 and over living in Cambridgehsire. The team is based at the Old Chapel, Brookfields Hospital, Mill road, Cambridge. Referrals can be made via the neurotrauma Clinic ( box 167/120), Addenbrookes, Cambridge.
The clinical team includes a Consultant in Neurorehabilitation; a Clinical Psychologist; an Assistant Psychologist; a Speech and Language Therapist and an Occupational Therapist. We have close links with Headway; the Oliver Zangwill Centre; the physiotherapists in the locality community rehabiliation teams and The Physical and sensory discability team at the County Council. We aim to help people make the best recovery they can by offering information, advice and support using the following;
a. individual holisitic assessments to define client centred, goal directed, rehabilitation plans
b.1;1 therapy;
c.group sessions;
d.coordination of multi agency case conferences;
e.family work and carer training;
f.close working with employers where appropriate;
g.providing a forum for multi-agency discussion of complex cases.

Services available

ABI Specialist National Regional Local
Advice yes no yes no
Case Management yes no no yes
Clinical psychology yes no no yes
Community support yes no no yes
Counselling yes no no yes
Family Support yes no no yes
Information yes no no yes
Neuropsychology yes no no yes
Occupational Therapy yes no no yes
Psychology yes no no yes
Speech & Language Therapy yes no no yes
Training (for clients/patients) yes no no yes
Vocational Support yes no no yes
National = country wide, Regional = offering a service within 150 miles, Local = offering a service within 50 miles

This service adheres to the following Regulatory Frameworks / is affiliated to the following bodies:

NHS governance procedures in place.
Service hosted by Cambridge Community Services.
working closely with Headway Cambridgeshire; individual staff members of national professional organisations as well as UKABIF.

Referrals can be made by

GP yes
Consultant yes
Healthcare Professional no
Self/Advocate/Family no
Other professional eg Social Care/Case Manager no

- Currently referrals are directed vis the Addnebrookes neurotrauma clinic. This may be reviewed as the service is developed.
People can refer themselves if they have been treated in the service already.

How are services paid for?

yes Publicly funded - free at point of access
Regularly Sometimes Never
NHS yesnono
Social Care Services ???
Jointly funded by NHS & Social Care Services ???

yes Charitably funded (no payment required)

- The Evelyn trust have funded the set up of this service as part of a 5 year neurorehabiliaiton project. As the service is hosted by CCS so is part of hte NHS.

Typical duration that a service is offered


Most patients have 3-6 months of weekly / 2X weekly sessions, than many will be offered attendance at a series of weekly groups for a further 6 months to year.
All will be offered annual review with decision then as to best follow up plan.


This Service was mapped by Eastern Region ABI. See HERE for more information

Services available are defined by the following EHIG Rehabilitation Codes

For an explanation of the codings please click here

A BRAIN INJURY REHAB UNIT

[Code 60]
Patient description
Medically stable, but low awareness or response persists beyond eg 3 weeks after sedation withdrawn, ICP corrected and medically stable. Able to benefit from medical and physical therapy to prevent complications and support recovery.

Sites
Community hospital or specialist inpatient

Description of rehabilitation input
Assessment/active rehabilitation phase which needs to be distinguished from long term care, although planning care increasingly important aim after some (eg 6) months. Patients may go to active participation unit if they improve sufficiently.

REHAB AT HOME

[Code 70]
Patient description
Medically stable, able to actively participate with and benefit from therapy. Will include spectrum of initial severity of injury with a small minority derived from Code 05 category

Sites
Domiciliary or day hospital

Description of rehabilitation input
Interdisciplinary co-ordinated management therapy aimed at community re-integration/inclusion by enhancing independence, wellbeing, & assist return to work/education. In collaboration with Social Services, neuropsychiatry, voluntary and statutory services. Includes treatment of patients in their own homes, or with live-in carers.

BRAIN INJURY CLINIC

[Code 85]
Patient description
Medically stable, living in community, aiming to enter/return to employment

Sites
Outpatient clinic – acute or community hospital or other community location

Description of rehabilitation input
Multidisciplinary diagnostic and triage clinic, including expert medical input, with specialist brain injury nurse and/or neuropsychological assessment and support and follow-along available. Education, emotional and social support, both for patient and family. Liaison with/advice to GP and employer.

HELP GETTING BACK TO WORK

[Code 90]
Patient description
Medically stable, living in community, aiming to enter/return to employment

Sites
Domiciliary, community-based or residential

Description of rehabilitation input
Interdisciplinary programme addressing all aspects of occupational activity, including, specialist assessment, work preparation, job search, job coaching and workplace support, and employer/college education and support.

CONTINUING REHAB WHEN YOU NEED IT

[Code 100]
Patient description
Medically stable, but permanent disability

Sites
Domiciliary, residential or nursing home, respite unit

Description of rehabilitation input
Life long prevention of avoidable complications involving residual physical, cognitive, emotional and behavioural problems, on a domiciliary, outpatient or respite basis.

SUPPORT AT HOME

[Code 115]
Patient description
Medically stable. Able to live in the community alone or with others.

Sites
Client's home/the community

Description of rehabilitation input
Enablement, support and care to develop social skills, stamina, confidence, attention & leisure pursuits, sorting out benefits, day supervision & respite care. Specific attention paid to Community involvement & integration (further education etc), Personal social development and empowerment and structuring activity towards achieving goals. Includes support that may be purchased with a personal budget.

SOMETHING TO DO

[Code 120]
Patient description
Medically stable. Wanting to engage further with the community, alone or with others.

Sites
All sites

Description of rehabilitation input
Organised activity in the community offering opportunities to to develop social skills, stamina, confidence, attention & leisure pursuits, Specific attention paid to: Community involvement & integration (further education etc), Personal social development and empowerment Structured daytime activity within the individual's competency framework. Includes Day activities, Day Centres, clubs and activity that may be purchased with a personal budget.

This service is defined by the NMDS (National Minimum Data Set) codes as:

For an explanation of the NMDS, please click here

Level 2 (local specialist rehabilitation services): Treat patients with Category B needs (and some Category A needs) and is led/supported by a consultant trained and accredited in rehabilitation medicine

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