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    Evaluating a community respiratory physiotherapy service for children with neurodisability

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    Author
    Smith, Samantha
    Flanigan, Moira
    Keyword
    Costs and cost analysis
    Quality improvement
    Quality of life
    Respiratory tract infections
    Date
    2022
    
    Metadata
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    DOI
    10.1136/bmjoq-2021-001683
    Publisher's URL
    https://bmjopenquality.bmj.com/content/11/1/e001683
    Abstract
    BACKGROUND: Children with neurodisability are at an increased risk of respiratory problems and complications, which often result in prolonged, frequent hospital admissions and are the biggest cause of mortality in this client group. The Children's Community Respiratory Physiotherapy Service (CCRPS) was established in 2010 to support children with severe neurodisabilities at home during acute chest infections and to prevent emergency department attendances and hospital admissions. This service evaluation looked at patient/parent satisfaction and prevented admissions to ensure clinical and cost-effectiveness, despite the rising demand for the service. METHODS: Over a 3-month period, patients and parents/carers on the CCRPS caseload were given a Picker feedback survey following 100 emergency visits from the team. The number of prevented hospital admissions for respiratory tract infection over 12 months (April 2019-March 2020) was identified from existing CCRPS data and hospital admissions costs saved were estimated. RESULTS: The Picker survey responses were extremely positive with all respondents reporting that they felt well looked after and that the main reason for the emergency visit was dealt with well. Based on key indicators, the CCRPS prevented 182 hospital admissions for respiratory tract infection in 2019/2020, equating to 1638 bed days and estimated cost savings ranging between £751 728 and £1 009 986. CONCLUSIONS: The Picker survey response demonstrates the positive impact that the CCRPS has on both quality of life and experience for patients and families. The CCRPS rapid response service prevents hospital admissions for respiratory tract infections in children and young people with severe neurodisability and the cost savings from admissions prevented allows the service to more than pay for itself. © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
    Citation
    Smith, S., Flanigan, M., Haynes, S., Michael, A. & Wolff, T. (2022). Evaluating a community respiratory physiotherapy service for children with neurodisability. BMJ Open Quality, 11(1), pp.e001683.
    Type
    Article
    URI
    http://hdl.handle.net/20.500.12904/15341
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    Respiratory Conditions

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