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Brain Injury: Service Standards and Quality Indicators

The aim of this document is to lay down standards for people of all ages who have suffered an acquired brain injury (ABI).

At the heart of these standards is a desire to improve the care experience for those who have an acquired brain injury. This is based on the view that patient/carer experience is one of the most powerful levers for service and quality improvement.

In developing these standards patient, families and carers can expect:

  1. Clear information about care and care services including that provided by the independent sector.
  2. Integrated care, which is co-ordinated between inpatient and community rehabilitation services, including that provided by the independent sectors.
  3. A comprehensive assessment of needs and involvement in all care decisions.
  4. Flexible personalised care, which addresses needs, in as far as resources permit.
  5. A written and shared care plan which includes clear details of care being provided by all those involved in its provision.
  6. Regular reviews.
  7. Carer assessment.
  8. Effective transitional care and support.
  9. Upon discharge from services, contact information to re-engage support if needed.

Service Standards and Quality Indicators

Care Pathways for Children, Inpatient and Adult Community Services

The care pathways approach encompasses earlier recognition of patients with acquired brain injury, specialist inpatient care and rehabilitation, co-ordinated case management and community rehabilitation approaches to treatment, care and support.

ABI Inpatient Care Pathway: Neurorehabilitation

The pathway is designed to facilitate the smooth transition of clients through the stages of rehabilitation after acute presentation. It is a person centred pathway, which focuses on improving access, timely assessment and individually tailored interventions.

ABI Adult Community Care Pathway

The pathway is designed to facilitate the smooth transition of clients through the stages of rehabilitation after inpatient care. The primary aim of this pathway is to improve the continuity and co-ordination of care across the various disciplines and sectors who are involved, clarifying expectations for service users.

This pathway will operate collaboratively to provide safe and effective services with both the ABI Inpatient Care Pathway and the ABI Children and Young People’s Pathway within the framework of RABIIG Brain Injury Service Standards and Quality Indicators

ABI Pathway for Children and Young People

The purpose of the pathway is to improve and develop services for all children up to the age of 18 years (aged 19 years if attending special school) with ABI in Northern Ireland.

The pathway addresses mild to moderate and moderate to severe Acquired Brain Injury.

Brain Injury Support in NI – Information Pack

Recognising the need for local, accurate and relevant information to help patients, families and carers get the best from brain injury services and support in Northern Ireland, The Guide ‘Brain Injury Support in Northern Ireland’ was produced. It was written by RABIIG’s parents and carers with advice from voluntary organisations. The suite of 8 leaflets has been developed to help patients, families and carers get the best from brain injury services and support in NI.

Content includes:

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An Information Leaflet on Brain Injury

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Arrival at Hospital and Early Treatment for Moderate to Severe ABI

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Discharge and Leaving Hospital

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Recovery and Early Rehabilitation

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Rehabilitation

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Acquired Brain Injury in Children and Young People

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Family Dynamics and Caring Responsibilities

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Support Services Available