Rehabilitation patients (FOI)

Request

Can you please tell me (as at 10th January 2022):-

A

How many rehabilitation patients are currently in the general hospital?

B

How many rehabilitation patients are currently registered as receiving help in the community via the reablement team?

C

From the people receiving help in the community. How many are receiving treatment every day as advised in all recognised guidelines of health excellence?

D

How many beds (proper beds that people sleep in) are available to stroke and rehabilitation patients in the ward set up to replace Samares Ward? I would like the actual number open as at this date, not what might be available and which never seem to materialise.

E

How many beds are in private rooms as was enjoyed in Samares Ward which ensured that patients were not disturbed by other patients during the night?

F

How many patients have been referred for stroke and TIA's in the last year (up to and including 10th January 2022) - even if not admitted to hospital?

G

What is the length of the average stay of patients who have been admitted for rehab during this period?

H

How many of the patients who have had strokes, TIAs or needed rehab have made a formal complaint about their treatment?

I

How many patients who have been sent home have been helped with equipment necessary for their recovery?

J

How many patients who have been sent home are now having to pay for private physiotherapy?

K

Why has the full equipment previously used to help rehab patients not been moved to the hospital but remains at Overdale unused?

L

Is there a separate dining room for these patients in the general hospital or are patients not encouraged to mix?

M

At Overdale there was a flat available for patients who were nearing the end of their rehab where they could go for a few days to be assessed as to whether they would be able to cope at home. Is this still available in the general hospital?

N

If the answer to 12 (above) is no, why has this valuable resource been lost?

O

Have any patients who have been treated during the past year been in hospital for longer than 13 weeks?

P

If the answer to 14 is yes, please state how long and how many patients.

Q

How many patients who have been discharged have been sent to Care Home as they live alone?

R

How many of these people have been made to give up their independence and homes in the community?

Response

A

Rehabilitation is provided across a number of wards in the hospital. Answering this question would require a manual review of all patients admitted, which would exceed the time limit prescribed by regulation. Therefore, Article 16 of the Freedom of Information (Jersey) Law 2011 has been applied.

B

The reablement service is delivered by Family Nursing and Home Care (FNHC) and as such Health and Community Services do not hold the information. Article 3 of the Freedom of Information (Jersey) Law 2011 has therefore been applied.

C

Assuming this question is in relation to question 2, this information is held by Family Nursing and Home Care (FNHC) and as such Health and Community Services do not hold the information. Article 3 of the Freedom of Information (Jersey) Law 2011 has therefore been applied. Patient interventions are determined on a case-by-case basis.

The decision is made by the clinician treating the patient. There are no guidelines that advise it is mandatory to receive treatments on a daily basis.

D

There are 14 beds available for rehabilitation patients on Plemont Ward.

E

There are four single rooms available on Plemont Ward.

F

From 1st January 2021 to 10th January 2022, the total number of unique patients either referred to a stroke/TIA related outpatient clinic or admitted to hospital with a recorded diagnosis of Stroke or TIA was 329.  Note that inpatient diagnosis data is incomplete for this period at the time of reporting and this figure is subject to change. The figures provided include both outpatient referrals and inpatient admissions.

G

Length of Stay can only be calculated once a patient has been discharged. Therefore, we are providing the average for all patients discharged in 2021 rather than admitted. This is because those admitted in the time period requested may not yet have been discharged from hospital. The average length of stay for inpatients under the 'Rehabilitation' specialty who were discharged in 2021 was 45 days.

H

Statistics in this format are not routinely captured. Answering this question would require a manual review of all complaints received, which would exceed the time limit prescribed by regulation. Therefore, Article 16 of the Freedom of Information (Jersey) Law 2011 has been applied. However, during the period of 16th August 2020 to the 10th January 2022, seven complaints were received regarding Plemont Ward.

I

All patients are assessed prior to their discharge from hospital and any equipment needs that are identified are addressed prior to the patient's discharge.

J

Health and Community Services does not hold data relating to private physiotherapy service providers and therefore Article 3 of the Freedom of Information (Jersey) Law 2011 applies.

K

The therapy staff providing rehabilitation on Plemont Ward have stated that all of the equipment they need to deliver the necessary care has been relocated from Samares to Plemont Ward.

L

At the moment there is not a separate dining room. This is planned as part of the improvement plan.

M

A flat is not available in the general hospital. However, assessments of needs still take place in a different setting and format. Patients did not stay overnight in the flat. The flat was used as a therapy assessment area for kitchen practice predominantly.

N

The resource has not been lost but it is delivered in a different size and format. Patients are still assessed on whether they can cope at home.  A further extension of the therapy assessment area is part of the improvement plan.

O

Yes.

P

There were seven patients discharged in 2021 under the 'Rehabilitation' specialty with a length of stay over 13 weeks (91 days). The average length of stay for this cohort was 20 weeks (139 days). Please note, as per the response to question 6, length of stay can only be calculated once a patient has been discharged and so the figures provided include only those discharged in 2021.

Q

The Hospital Patient Administration System does not record whether or not a patient lives alone. Patients may have a social care assessment prior to discharge but establishing the patients living arrangements would require a manual review that would exceed the time limit prescribed by regulation. Therefore, Article 16 of the Freedom of Information (Jersey) Law 2011 has been applied.

R

Patients are not made to give up their independence and homes in the community. Patients' needs are assessed on an individual basis and care provision would have been discussed with the patient, carers and relatives based on these assessments.

Articles Applied

Article 3 - Meaning of "information held by a public authority"

For the purposes of this Law, information is held by a public authority if –

(a)     it is held by the authority, otherwise than on behalf of another person; or

(b)     it is held by another person on behalf of the authority.

Article 16 - A scheduled public authority may refuse to supply information if cost excessive

A scheduled public authority that has been requested to supply information may refuse to supply the information if it estimates that the cost of doing so would exceed an amount determined in the manner prescribed by Regulations.