Specialist rehabilitation

The specialist rehabilitation medicine service provides countywide inpatient, outpatient and community rehabilitation outreach services to adults with recent and long term physical disabilities. Rehabilitation is a whole team process provided in a variety of settings.

Inpatient service

Ashby rehabilitation unit is an 18-bed specialist neurological rehabilitation unit at Lincoln County Hospital.

The multi-disciplinary team provides comprehensive specialist assessment and treatment for patients aged 16 and over with a wide range of neurological conditions including:

• Traumatic brain injury
• Acquired brain injury
• Multiple Sclerosis
• Guillain Barre Syndrome
• Complex disabilities

All admissions are planned. The specialist medical, nursing and therapy teams will support people to achieve their maximum potential for physical, cognitive, social and psychological health and wellbeing, supporting them to return home or go into a care environment.

The team promote a 24-hour approach to rehabilitation by encouraging independence in a safe environment. Following assessment a rehabilitation plan is designed to best support each patient’s needs.  Long and short term goals will be agreed with the person and their family/carers as appropriate. This will be coordinated by the multidisciplinary team through goal setting meetings to which family members/carers and other agencies, where appropriate, will be invited.

Outpatient service

A variety of outpatient clinics are held across the county.  They enable patients with neuro-disability to access services closer to home.  This helps to support people in the short and long term in the community.

There are a number of clinics each week at Lincoln County Hospital and weekly clinics at Pilgrim Hospital, Boston and Grantham and District Hospital.

In addition, outreach clinics are also held once every two months at County Hospital Louth and at the John Coupland Hospital in Gainsborough.

Community neuro-rehabilitation outreach service

The community neuro-rehabilitation outreach service includes a dietitian, specialist nurses, occupational therapy and physiotherapy.

The teams are based at the four main hospital sites and provide services either as outpatients or in the patient’s home.

The team will undertake assessments and develop treatment programmes which are tailored to the needs of each individual. Those with chronic or deteriorating neurological conditions are monitored and support is offered when required from diagnosis through all stages of disability and where relevant through end of life care.