The Rehab Champion; providing seamless rehabilitation for patients

Rebecca McConell

Background to the Project

Holywell Hospital is a community hospital whereby a majority of patients transferred from Ysbyty Glan Clwyd arrive for the purpose of rehabilitation.  At the beginning of 2021 the Nursing, Physiotherapy and Occupational Therapy teams got to together for a brainstorming session to identify ways we could assist and improve current delays in the provision of rehabilitation.  One of the issues raised was patient awareness and lack of understanding of the reason for the admission to the community hospital so we composed a patient evaluation questionnaire to enable us to address the patient’s specific concerns.

The Project

The aim of our innovation project is to provide a seamless rehabilitation service for patients transferring from the acute setting to the community hospital and reduce the delay between a purposeful therapy contact by introducing Rehab Champions onto the ward.

How this will be achieved

The Rehab Champion will support the patient by adopting a 24 hour approach to their rehabilitation plan, encouraging independence as much as possible and communicating information to colleagues with regards to current therapy requirements at ward level. This will be achieved through the introduction of a therapy Care Plan which informs each individuals patients rehab need which is then communicated to the wider team and owned by the patient. This tool will ensure there are no opportunities for missed therapy intervention as the care plan will be accessible to everyone involved in the patients care (staff, the patient, family / NOK) and will be updated at every opportunity.

Anticipated benefits

The anticipated benefits of a Rehab Champion will include a person centred agreement in terms of patients rehab goals, improve patient understanding and engagement with their rehab journey, additional support from family members / NOK, a potential reduction in length of stay and hospital acquired deconditioning and decline and the adoption of a philosophy of coproduction with patients rehab plan.