Major Trauma Network Audit Questionnaire Summary Major Trauma Network: Northern (Newcastle North East & Cumbria) Name of MTC/s in Network: Royal Victoria Infirmary (RVI) James Cook University Hospital Consultant in Rehabilitation Medicine: Laura Graham – based at Walkergate Park Hospital Rehab Unit and MTC – RVI Network Director Role Designated deputy (if no CRM): n/a Designated CRM PA’s for work based in MTC (inc funding source): 3 Trauma PAs funded by MTC Designated CRM PA’s for work based in TU (inc funding source): No designated sessions Named person in Director role (inc funding source): Laura Graham (CRM) – Director role CRM – Director of trauma role – No funded sessions Total Number of CRM’s in Trauma Network: 4 in Network (1 in MTC – 3 designated sessions, 3 in TU – No designated sessions) Presence of CRM in trauma ward round at MTC: Visits MTC 3 times a week Ward round twice a week Method of Rehabilitation Prescription Completion: Paper format – completed by MDT with CRM input for all patients with ISS ≥9. Commenced within 72 hours and completed once patient clinically stable Standard Measures routinely used: Basic Rehab Prescription – RCS Specialist Rehab Prescription – RCS-ET (all) & Full Patient Categorisation tool (PCAT) if going to Level 1 unit Number of Rehabilitation Units routinely taking patients from MTN: On site for S Tees MTC – 16 Level 2 beds – James Cook Level 1 Off site – Walkergate Park Hospital Level 2 Off site – Cumberland Infirmary - Carlisle & Sunderland Infirmary Number of Trauma Units in MTN: 8 Trauma Units in MTN Northumbria specialist emergency care centre Cumberland Infirmary – Carlisle Queen Elizabeth Hospital – Gateshead Sunderland Infirmary North Tees University Hospital of Durham Darlington Memorial South Tyneside CRM = Consultant in Rehabilitation Medicine MTC – Major Trauma Centre MTN – Major Trauma Network TU – Trauma Unit
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Northern (Newcastle North East & Cumbria) · 2019-03-07 · Northern (Newcastle North East & Cumbria) Name of MTC/s in Network: Royal Victoria Infirmary (RVI) James Cook University
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Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
Northern (Newcastle North East & Cumbria)
Name of MTC/s in Network:
Royal Victoria Infirmary (RVI) James Cook University Hospital
Consultant in Rehabilitation Medicine:
Laura Graham – based at Walkergate Park Hospital Rehab Unit and MTC – RVI
Network Director Role
Designated deputy (if no CRM):
n/a
Designated CRM PA’s for work based in MTC (inc funding source):
3 Trauma PAs funded by MTC
Designated CRM PA’s for work based in TU (inc funding source):
No designated sessions
Named person in Director role
(inc funding source):
Laura Graham (CRM) – Director role CRM – Director of trauma role – No funded
sessions
Total Number of CRM’s in Trauma Network:
4 in Network (1 in MTC – 3 designated sessions, 3 in TU – No designated sessions)
Presence of CRM in trauma ward round at MTC: Visits MTC 3 times a week Ward round twice a week
Method of Rehabilitation Prescription
Completion:
Paper format – completed by MDT with CRM input for all patients with ISS ≥9. Commenced within 72 hours and completed once patient
Patient Categorisation tool (PCAT) if going to Level 1 unit
Number of Rehabilitation Units routinely taking patients from MTN:
On site for S Tees MTC – 16 Level 2 beds – James Cook
Level 1 Off site – Walkergate Park Hospital Level 2 Off site – Cumberland Infirmary - Carlisle
& Sunderland Infirmary
Number of Trauma Units in MTN:
8 Trauma Units in MTN Northumbria specialist emergency care centre
Cumberland Infirmary – Carlisle Queen Elizabeth Hospital – Gateshead
Sunderland Infirmary North Tees
University Hospital of Durham Darlington Memorial
South Tyneside CRM = Consultant in Rehabilitation Medicine
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma Unit
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
Northern (Middlesbrough and South Tees)
Name of MTC/s in Network:
James Cook University Hospital Royal Victoria Hospital
Consultant in Rehabilitation Medicine:
2 vacant posts (JCUH)
Designated deputy (if no CRM): Alison Carter – Trauma Rehabilitation
Co-ordinator No Network Director Co-ordinator role
Designated CRM PA’s for work based in MTC (inc funding source):
Nil – waiting to fill vacancy
Designated CRM PA’s for work based in TU (inc funding source):
Nil
Named person in Director role (inc funding source):
Laura Graham (CRM) – Director of Trauma Rehab 1PA
Charles Greenough -Spinal Consultant – Clinical Director for Rehabilitation (JCUH)
Total Number of CRM’s in Trauma Network: 2 – Full time in Spinal Injury Unit based in JCUH
MTC
Presence of CRM in trauma ward round at MTC:
No CRM input in MTC other than Spinal cord injury
– Care of Elderly Consultant attends neuro rehab weekly meeting on rehab ward – attended by
Registrar
Method of Rehabilitation Prescription
Completion:
Paper format completed by Trauma Rehabilitation Co-ordinator/designated
therapists without CRM input for all patients with ISS≥8. Commenced within 48 hours and
completed within 4-5 days
Standard Measures routinely used:
Basic Rehabilitation Prescription RCS-ET Specialist Rehabilitation Prescription – RCS-ET. Patient Categorisation and FIM+FAM used on
rehab ward
Number of Rehabilitation Units routinely taking
patients from MTN:
On site – Level 1 – 24 beds for spinal injuries + 4 HDU
On site – Level 2 – 18 beds on James Cook Neuro rehab
Off site – Level 1 - Walkergate Park
Number of Trauma Units in MTN:
2 Trauma Units in MTN University Hospital of North Tees
Royal Victoria Hospital
CRM = Consultant in Rehabilitation Medicine
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma Unit
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
West Yorkshire
Name of MTC/s in Network:
Leeds Teaching Hospital
Consultant in Rehabilitation Medicine:
Matthew Smith (CRM) based at Leeds Teaching
Hospital
Designated deputy (if no CRM): n/a
Designated CRM PA’s for work based in MTC (inc funding source):
5 PA’s funded by MTC
Designated CRM PA’s for work based in TU (inc funding source):
No funded sessions
Named person in Director role (inc funding source):
Matthew Smith (CRM) Clinically involved in MTC 7.5 Pas
CRM is the Director of Network/Trauma Rehab – 0.5PA
Total Number of CRM’s in Trauma Network: 7 (0 in MTC, Some for TU but not designated
sessions)
Presence of CRM in trauma ward round at MTC: CRM visits MTC every day to “touch base”. Daily ward rounds on MTC but CRM does not attend.
See new referrals within one day
Method of Rehabilitation Prescription
Completion:
Mixture of paper and electronic format completed by MTC team without CRM input for all patients with ISS≥9. Commenced within 48
hours of admission and completed at discharge
Standard Measures routinely used: Basic rehabilitation prescription – None
Specialist rehabilitation prescription – not used UKROC completed on rehab units but not MTC
Number of Rehabilitation Units routinely taking
patients from MTN:
On site – None Off site – level 1 – None
Off site – level 2 (4) Level 2A Chapel A (Neuro rehab), Level 2A Airedale Hospital Ward 5
Level 2A Ward 4 Dewsbury District Hospital Spinal unit at Pinderfields Hospital
Number of Trauma Units in MTN:
6 Trauma Units in MTN Airedale Hospital NHS Foundation Trust
Bradford Royal Infirmary Harrogate District Hospital
Huddersfield Royal Infirmary Leeds General Infirmary
Pinderfields General Hospital CRM = Consultant in Rehabilitation Medicine
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma Unit
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
North Yorkshire and Humberside
Name of MTC/s in Network:
Hull and East Yorkshire Hospitals NHS Trust – Hull Royal Infirmary
Consultant in Rehabilitation Medicine:
Abayomi Salawu (CRM) based at Castle Hill Hospital Director Co-ordinator role for Network
taken on by default
Designated deputy (if no CRM): n/a
Designated CRM PA’s for work based in MTC (inc funding source):
2 PAs part of Critical Rehab
Designated CRM PA’s for work based in TU (inc funding source):
Named person in Director role (inc funding source):
Abayomi Salawu – Network Director – by default – no funded
sessions Director of Trauma Rehab – no funded sessions
and Clinical Lead for Trauma Rehab – no funded sessions
Total Number of CRM’s in Trauma Network:
3 Dr Salawu – MTC / Hull and East Yorkshire
Hospitals Dr Riaz – Northern Lincolnshire and Goole NHS
Trust Community based service Dr Platts – Northern Lincolnshire and Goole NHS
Trust Community based service
Presence of CRM in trauma ward round at MTC: CRM visits MTC up to twice a week. This includes
rehab ward round on the trauma ward.
Method of Rehabilitation Prescription
Completion:
Electronically completed by individual therapists without CRM input for all patients on the trust MTC tracker who are deemed MTC patients. Commenced within 5 days of admission and
completed at the same time as started.
Standard Measures routinely used:
Basic Rehabilitation Prescription – Minimum data set completed at MTC for majority of
patients. Specialist rehab prescription completed for
those patients who require ongoing rehab in specialist unit. (Ward 29)
UKROC minimum data set completed on Ward 29 rehab unit.
Number of Rehabilitation Units routinely taking
patients from MTN:
On site (MTC) – None Off site – Level 1 – None
Off site – Level 2
Ward 29 Castle Hill Hospital (15 beds)
Goole Neuro –rehabilitation Centre (access only via CCG approval)
Number of Trauma Units in MTN:
4 Trauma Units in MTN York Hospital
Scarborough Hospital Diana Princess of Wales Hospital – Grimsby
Scunthorpe General Hospital CRM = Consultant in Rehabilitation Medicine
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma Unit
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
Lancashire and South Cumbria
Name of MTC/s in Network:
Royal Preston Hospital
Consultant in Rehabilitation Medicine:
David Shakespeare
(based at Royal Preston Hospital)
Designated deputy (if no CRM): n/a
Designated CRM PA’s for work based in MTC (inc funding source):
2 CRM – 1.9 WTE
Designated CRM PA’s for work based in TU (inc funding source):
1 – total designated session
Named person in Director role (inc funding source):
Director of Network – Nil Director of Trauma Rehab and Clinical Lead –
CRM – total designated sessions funded by MTC
Total Number of CRM’s in Trauma Network: 3 CRMs (2 in MTC and 1 in TU)
Presence of CRM in trauma ward round at MTC: CRM visits MTC daily (on site) attends weekly
MTC ward round
Method of Rehabilitation Prescription
Completion:
Paper format completed by MTC team without CRM input for all patients. Commenced within
72 hours of admission and completed in line with best practice time line.
Standard Measures routinely used: Basic Rehabilitation Prescription – None
Specialist Rehabilitation Prescription – Not used UKROC dataset completed by local arrangements
Number of Rehabilitation Units routinely taking patients from MTN:
On site – Level 1 - 13 beds On site – Level 2 – 12 beds Off site – Level 2 – None
Off site – Level 2 (1) Rakehead Rehab Centre - Burnley
Number of Trauma Units in MTN:
4 Trauma Units in MTN Furness General Hospital – Barrow
Royal Lancaster Infirmary Royal Blackburn Hospital
Blackpool Teaching hospital CRM = Consultant in Rehabilitation Medicine
MTC – Major Trauma Centre
MTN – Major Trauma Network
TU – Trauma Unit
Major Trauma Network
Audit Questionnaire Summary
Major Trauma Network:
Greater Manchester
Name of MTC/s in Network
Salford Royal Manchester Royal Infirmary
University Hospital of South Manchester
Consultant in Rehabilitation Medicine:
Krystyna Walton (Salford Royal)
1PA Network Director Co-ordinator Role
Designated deputy (if no CRM): n/a
Total Number of CRM’s in Trauma Network:
12 in Network (10 WTE)
Designated CRM PA’s for work based in MTC (inc funding source):
7 PA’s paid by MTC
Additional through neuro rehab (20 extra beds)
Designated CRM PA’s for work based in TU
6 CRMs– ad hoc for neuro rehab
Named person in Director role
(inc funding source):
Krystyna Walton (1 funded PA)
Presence of CRM in trauma ward round at MTC:
3-5 times per week at the Salford Royal. In addition we have daily presence, & on call at
SRFT by RM registrars & consultants. At Manchester Royal Infirmary there is CRM
presence x2 per week
Method of Rehabilitation Prescription
Completion:
Electronically by MTC with CRM input for patients with ISS score ≥9. Commenced within 24 hours of admission and completed within 4 calendar days + TARN criteria and by discharge