Rehabilitation framework self-assessment tool: analysis of responses
Findings from a self-assessment survey as part of the implementation of the framework for supporting people through recovery and rehabilitation during and after the COVID-19 pandemic, completed by rehabilitation services across health and social care in spring 2021.
Annex 1:Information about teams responding to the survey
Area of rehabilitation covered
Respondents to the survey were asked which area of rehabilitation their service covered. The question provided a list of 22 options, ranging from 'cardiac rehab' to 'vocational rehab', and respondents were asked to select one of the options, or to select 'other', and then to provide further details.
The most common response to this question was 'other' selected by 20% of respondents.
| Area of rehabilitation | Number | Percent |
|---|---|---|
| Community rehab | 49 | 18% |
| Older people's rehab | 27 | 10% |
| Musculoskeletal rehab | 20 | 7% |
| Neuro rehab | 18 | 6% |
| Specialist rehab | 14 | 5% |
| Mental health – adult | 13 | 5% |
| Stroke rehab | 13 | 5% |
| Cardiac rehab | 13 | 5% |
| Reablement / intermediate care | 10 | 4% |
| Mental health – older adult | 8 | 3% |
| Orthopaedics | 7 | 3% |
| Pulmonary rehab | 7 | 3% |
| Front door – acute | 5 | 2% |
| Critical care | 4 | 1% |
| Surgical | 3 | 1% |
| Learning disability – adult | 3 | 1% |
| Prisons | 2 | 1% |
| Palliative care | 2 | 1% |
| Falls | 2 | 1% |
| Leisure trusts | 2 | 1% |
| Vocational rehab | 1 | 0% |
| Prehabilitation | 1 | 0% |
| Other | 56 | 20% |
| Total | 280 | 100% |
Respondents who ticked 'other' often stated that they provided more than one type of rehabilitation service. Respondents also ticked 'other' if they were delivering what they described as a 'general' or 'generalist' rehabilitation service. Examples of the latter included 'a small generalist team in a rural environment providing all types of rehab within inpatient, community and outpatient settings'; a 'general medical service for adults who experience psychological distress caused and maintained by their health condition'; and 'a generalist team in an island community that covers community, falls, older adults, palliative, prehab, reablement, stroke and neuro'.
Some respondents who selected 'other' in response to this question also said that they provided some form of specialist service. Examples included rehabilitation relating to oncology, cystic fibrosis, lymphoedema, major trauma and rheumatology, among others. Hand therapy and hydrotherapy were also included.
Main service user group
Respondents were asked to say who their service was mainly delivered to: (i) inpatients, (ii) community patients / clients, (iii) outpatients, or (iv) primary care patients.
The largest proportion of respondents (40%) said that they delivered rehabilitation to patients in the community. Just over a quarter (27%) said their service was delivered to inpatients.
| Service user group | Number | Percent |
|---|---|---|
| Community | 112 | 40% |
| Inpatients | 75 | 27% |
| Outpatients | 52 | 19% |
| Primary care | 7 | 3% |
| Total | 280 | 100% |
Rehabilitation professionals included in the responses
Respondents were provided with a list of 16 rehabilitation professionals and were asked to tick all those involved in their response. If a member of their team was not included in the list, the respondent could tick 'other' and provide further details.
The two rehabilitation professionals involved most often in responding teams were physiotherapists (69% of respondents said their team had one or more physiotherapists) and occupational therapists (55% said their team had one or more OTs).
Respondents also reported a wide range of 'other' professionals involved in their teams including managers; social workers; fitness instructors; pharmacists; counsellors; third sector staff; and equipment service staff.
| Type of rehabilitation professional | Number of teams including each professional | Percentage of teams including each professional (out of total 280) |
|---|---|---|
| Physiotherapists | 193 | 69% |
| Occupational therapists (OTs) | 153 | 55% |
| Healthcare support workers | 104 | 37% |
| Nurses | 82 | 29% |
| Speech and language therapists | 50 | 18% |
| Dieticians | 41 | 15% |
| Doctors | 38 | 14% |
| Psychologists | 33 | 12% |
| Prosthetics and orthotists | 18 | 6% |
| Podiatrists | 17 | 6% |
| Radiographers | 7 | 3% |
| Paramedics | 4 | 1% |
| Art therapists | 2 | 1% |
| Orthoptists | 2 | 1% |
| Music therapists | 1 | 0% |
| Drama therapists | 0 | 0% |
| Other | 30 | 11% |
*Respondents were invited to tick multiple professionals where appropriate – it is therefore not relevant to show totals for number or percentage columns.
* Other rehabilitation professionals also include managers; social workers; pharmacists; counsellors; third sector staff; equipment service staff; administrative staff; etc.
Geographical location of responses
Respondents were asked to say where in Scotland their service was delivered. A list of NHS boards and HSCPs was provided, and respondents were asked to select one.
Most respondents, 234 out 280, (84%) reported being based in NHS services, while 46 (16%) said they were based in an HSCP.
| Number of respondents from NHS boards | Number of respondents from HSCPs | Total number of respondents | Percentage of respondents | |
|---|---|---|---|---|
| NHS Ayrshire and Arran | 16 | 16 | 6% | |
| HSCP East Ayrshire | 2 | 2 | 1% | |
| HSCP North Ayrshire | 1 | 1 | <1% | |
| NHS Borders | 2 | 2 | 1% | |
| NHS Dumfries and Galloway | 16 | 16 | 6% | |
| HSCP Dumfries and Galloway | 3 | 3 | 1% | |
| NHS Fife | 23 | 23 | 8% | |
| HSCP Fife | 2 | 2 | 1% | |
| NHS Forth Valley | 18 | 18 | 6% | |
| HSCP Falkirk | 2 | 2 | 1% | |
| NHS Golden Jubilee | 4 | 4 | 1% | |
| NHS Grampian | 24 | 24 | 9% | |
| HSCP Aberdeen City | 2 | 2 | 1% | |
| HSCP Moray | 1 | 1 | <1% | |
| NHS Greater Glasgow and Clyde | 35 | 35 | 13% | |
| HSCP Argyll and Bute | 4 | 4 | 1% | |
| HSCP East Dunbartonshire | 1 | 1 | <1% | |
| HSCP East Renfrewshire | 2 | 2 | 1% | |
| HSCP Inverclyde | 1 | 1 | <1% | |
| HSCP West Dunbartonshire | 4 | 4 | 1% | |
| NHS Highland | 20 | 20 | 7% | |
| NHS Lanarkshire | 6 | 6 | 2% | |
| HSCP North Lanarkshire | 1 | 1 | 0% | |
| HSCP South Lanarkshire | 2 | 2 | 1% | |
| NHS Lothian | 40 | 40 | 14% | |
| HSCP East Lothian | 2 | 2 | 1% | |
| HSCP Edinburgh City | 4 | 4 | 1% | |
| HSCP Midlothian | 1 | 1 | <1% | |
| HSCP West Lothian | 1 | 1 | <1% | |
| NHS Orkney | 4 | 4 | 1% | |
| HSCP Orkney | 1 | 1 | <1% | |
| NHS Shetland | 3 | 3 | 1% | |
| HSCP Shetland | 1 | 1 | <1% | |
| NHS Tayside | 20 | 20 | 7% | |
| HSCP Dundee City | 3 | 3 | 1% | |
| HSCP Perth and Kinross | 4 | 4 | 1% | |
| NHS Western Isles | 3 | 3 | 1% | |
| HSCP Western Isles | 1 | 1 | <1% | |
| Total | 234 | 46 | 280 | 100% |
Contact
Email: rehab@gov.scot
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