Rehabilitation service directory
For more information on the organisations that support your rehabilitation journey, please view our service directory.
A residential setting where a number of older people live, usually in single rooms, and have access to on-site care services. Since April 2002 all homes in England, Scotland and Wales are known as ‘care homes’, but are registered to provide different levels of care.
A home registered simply as a care home will provide personal care only – help with washing, dressing and giving medication.
A home registered as a care home with nursing will provide the same personal care but also have a qualified nurse on duty twenty-four hours a day to carry out nursing tasks. These homes are for people who are physically or mentally frail or people who need regular attention from a nurse.
Some homes, registered either for personal care or nursing care, can be registered for a specific care need, for example dementia or terminal illness.
All homes provide meals and staff on call at all times.
A charity is an organization set up to provide help and raise money for those in need. Most charities focus on people with particular problems. Services provided by a charity are either paid for from donations to the charity, or can be paid for by other organisations such as the NHS.
Community Services are those provided outside a hospital setting, often in the place where people live.
A Day Centre is a service managed by the local council, NHS or voluntary or private body, where people who are socially isolated can attend during the day to meet other people, have meals and take part in activities.
In many places, transport to and from the day centre is provided and some basic personal care may be available.
Inpatient services are provided to patients who are admitted or staying in a hospital. It is the opposite of Outpatient services.
Intermediate care beds
Intermediate care is care provided to acute care patients who are medically stable but too dependent to be treated in long term healthcare settings such as home, outpatients clinics, or care homes.
Intermediate Care beds are an interim between acute hospital beds and home or care homes.
Level 1 rehabilitation
Level 1 or ‘Tertiary specialised’ rehabilitation services are high cost / low volume services, which provide for patients with highly complex rehabilitation needs following illness or injury, that are beyond the scope of their local general and specialist services.
These are normally provided in co-ordinated service networks planned over a regional population of 1 to 3 million through collaborative (specialised) commissioning arrangements.
Each specialised rehabilitation unit in London has its own particular specialisms such as managing patients requiring complex medical care, tracheostomies, challenging behavioural issues etc. Please check individual service specifications for more details to ensure that patients are referred to the most appropriate service(s).
Level 1 services may be further divided into:
- High Dependency – a complex caseload with mainly high physical dependency
- High Risk – a complex caseload of mainly ‘walking wounded’ patients with cognitive / behavioural problems who may be a danger to themselves or others, and/or at risk of wandering / absconding.
Level 2 rehabilitation
Level 2 or ‘local specialised’ rehabilitation services provide for patients with rehabilitation needs following illness or injury, that can be managed in localised specialist services. These patients do not require Level 1 services, or are being managed until a Level 1 service is available
These are normally provided in co-ordinated service networks covering a catchment population of circa 500K and taking a mixed group of patients.
Do you really need to ask?!
Outpatient services are provided to patients are not an Inpatient, i.e not admitted or staying in a hospital. Outpatient services are usually provided in the outpatient section of a hospital or in an outpatient clinic.
Outreach services are that that provide a service in a location other that the organisation’s own premises. Sometimes that care is provided in the patient’s own home, but more likely it is provided in another facility where the patient is staying.
Private Care is not paid for by the NHS, but is either paid for by individuals, charities or insurance companies on their behalf.
However, companies that are private, not owned or run by the NHS, may provide care that is paid for the NHS.
Single point of contact
A Single Point of Contact is a person, department or organisation serving as the coordinator or focal point of information concerning an activity or program. For patients with complex rehabilitation needs, the Single Point of Contact can be very useful in identifying how those needs can be met.
Slow stream rehabilitation
Slow stream rehabilitation refers to a model of service delivery provided to individuals whose recovery is considered to be slow or prolonged, and who are often regarded as being inappropriate for traditional, intensive rehabilitation, in particular those with severe to very severe brain injuries.
There is increasing evidence that these individuals have significant potential for recovery, even several years after injury, when provided with effective rehabilitation. As such, there is increasing recognition of the role that appropriately timed and individually-tailored rehabilitation can play for people with severe brain injuries in optimising their function, supporting their independence and maximising their quality of life. Slow stream rehabilitation has been identified as an important factor in avoiding entry into residential care for these individuals.
These services provide a helpful website, often with information and advice for patients and relatives.