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Person-centred rehabilitation

Allied Health Professionals (AHPs) are natural leaders in rehabilitation. Through their expertise, resourcefulness, and solutions-based approach, Wales has the potential to develop world-class rehabilitation services. Rehabilitation, reablement, and recovery can occur across various settings to meet the needs of individuals at different stages of their journey.

All Wales Rehabilitation Framework

In 2022, the Welsh Government published the All Wales Rehabilitation Framework: Principles to Achieve a Person-Centred Value-Based Approach (2022). This framework supports the expectation in A Healthier Wales (2018) that “everyone in Wales should have longer, healthier, happier lives, able to remain active and independent, in their own homes, for as long as possible.”

 
Dietz’s Four Elements of Rehabilitation

 

 

Figure 1. Dietz’s Four Elements of Rehabilitation

The All Wales Rehabilitation Framework highlights the importance of Dietz's Four Elements of Rehabilitation, emphasising flexibility within the rehabilitation process. It ensures that individuals can benefit from different elements at various stages of their recovery journey or a combination of them, depending on their unique needs and priorities.

Support for AHPs and Rehabilitation Services

To assist AHPs in delivering high-quality rehabilitation services and to ensure that individuals can access these services effectively, the following guidance and resources have been developed:

Guidance

Resources

  • Rehabilitation is everyone’s business’ resource is designed to help health and social care professionals to work together in a systems-wide approach to supporting people with rehabilitation needs; whenever and wherever they meet them. People will need to register on Y Ty Dysgu to be able to access the resource.
  • Rehabilitation Demand Modelling Resource is designed to support leaders in rehabilitation to understand the demand for their rehabilitation services and identify what workforce they need to meet that demand.
  • Rehabilitation: Evaluation Framework sets out evaluation guidance and a framework that will support heath boards, local authority, third and voluntary sector services to understand demand for and evaluate the impact of rehabilitation for all of Wales.
 
Community Rehabilitation Standards

Demand for rehabilitation services is growing. This is due to an ageing population, more people living with frailty, long-term complex conditions, deconditioning (a decline in physical function) and the impact of the pandemic on people’s health and well-being.

We have developed the All-Wales Community Rehabilitation Best Practice Standards to help Allied Health Professionals (AHPs) deliver rehabilitation services and people who need access to them.

The aim of this work is to:

  • Support professionals working in rehabilitation services to understand and deliver standardised rehabilitation
  • Allow rehabilitation services to benchmark their service against others, look at ways to improve their own service provision, and help identify quality improvement projects
  • Ensure anyone who needs rehabilitation can access these services and receive holistic treatment with them at the centre, while also giving them guidance on what they can expect.

The standards contain two self-audit tools: one for service providers and one for service users. These will help people working in rehabilitation see how their service is meeting these standards. The document will identify the quality enablers needing improvement and provide resources to improve them. It will also act as a platform for people working in rehabilitation services and those using rehabilitation services to feedback on their experience so we can continue to improve.

In addition, we have designed example Microsoft Form templates for teams or services. These will help you gather feedback from practitioners or service users in an alternative format.

These standards and quality enablers have been developed to support the All-Wales Rehabilitation Framework (2022) by providing more specific standards for community rehabilitation.