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Developing vocational rehabilitation services for people with long-term neurological conditions : identifying facilitators and barriers to service provision

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Hayward, Kate, Mateen, Bilal A., Playford, E. Diane and Eva, Gail (2019) Developing vocational rehabilitation services for people with long-term neurological conditions : identifying facilitators and barriers to service provision. British Journal of Occupational Therapy, 82 (6). pp. 337-347. doi:10.1177/0308022619830294

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Abstract

Purpose:

This study aimed to understand existing vocational rehabilitation (VR) service provision in one locality in London (population 3.74 million), identify any gaps and explore reasons for this, to support service development.

Method:

Using Soft Systems Methodology to guide the research process, semi - structured interviews were completed with nine participants, who were clinicians and managers providing VR within NHS services. Data were analysed thematically to build a ‘rich picture’ and develop a conceptual model of VR service delivery. Findings were then ratified with participants at an engagement event.

Results:

The findings indicate a spectrum of VR service provision for long - term neurological conditions with differing levels of funding in place. VR often takes place ‘under the radar’ and therefore the true VR needs of this population, and the extent of service provision is not known. There is inconsistency of understanding across the services as to what constitutes VR and outcomes are not routinely measured.

Conclusion:

For VR services to develop they require appropriate funding, driven by Government policy to commissioners. Clear definitions of VR, collecting and sharing outcome data and effective communication across services are needed at a local level. This is expressed in a conceptual model of VR service delivery.

Item Type: Journal Article
Subjects: R Medicine > RC Internal medicine
Divisions: Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Nervous system -- Diseases -- Rehabilitation, Nurse practitioners -- Interviews, Clinic managers -- Interviews
Journal or Publication Title: British Journal of Occupational Therapy
Publisher: Sage Publications Ltd.
ISSN: 0308-0226
Official Date: 10 January 2019
Dates:
DateEvent
10 January 2019Accepted
Volume: 82
Number: 6
Page Range: pp. 337-347
DOI: 10.1177/0308022619830294
Status: Peer Reviewed
Publication Status: Published
Publisher Statement: Posted ahead of print. Hayward, Kate, Mateen, Bilal A., Playford, E. Diane and Eva, Gail (2019) Developing vocational rehabilitation services for people with long-term neurological conditions : identifying facilitators and barriers to service provision. British Journal of Occupational Therapy Copyright © 2019 The Authors. Reprinted by permission of SAGE Publications. DOI: [DOI]
Access rights to Published version: Restricted or Subscription Access
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIEDNational Hospital for Neurology and Neurosurgery (London, England) http://viaf.org/viaf/133945982
UNSPECIFIEDUniversity College London Hospitals NHS Foundation Trusthttp://dx.doi.org/10.13039/501100008721
UNSPECIFIEDConstance Owens TrustUNSPECIFIED
UNSPECIFIEDElizabeth Casson TrustUNSPECIFIED
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