OP09THE EARLY IMPACT OF AN INNOVATIVE MULTIDISCIPLINARY TEAM TO NEURO-REHABILITATION FOR CHILDREN WITH A BRAIN TUMOUR

Abstract

INTRODUCTION: An innovative multidisciplinary team approach to paediatric neuro-oncology and acquired brain injury (ABI) rehabilitation was created, aiming to decrease inpatient stays and improve early-supported discharge. METHOD: A new MDT was created at a regional centre, providing early assessment, intervention and integrated discharge planning for children requiring neuro-rehabilitation after a brain tumour (BT) or ABI. The team works alongside existing neuro-oncology services, with a specific aim of speeding up supported-discharge, decreasing extended stays for therapy, and providing specialist outreach to children, families and community services. Data on length of hospital stay for children receiving neuro-rehabilitation before and after the team's formation was collected to consider the team's impact. Outcome and satisfaction data are also collected. RESULTS: Prior to the team's formation, 2011-12 data indicated 43 children received hospital-based neuro-rehabilitation. 17 were children diagnosed with a BT. Due to inequitable community provision, many children remained as inpatients, with an average length of stay of 63 days for neuro-oncology patients. In the four months since formation, seven children diagnosed with a BT have had care from the new team. This has led to a reduction in mean length of hospital stay to 15 days. Additional outcome data highlights improved specialist support for transitions home, into local services and education. Families report high satisfaction and improved quality of life as a result of this specialist support. CONCLUSION: Positive findings demonstrate the impact of early care planning and specialist outreach, in reducing hospital stays for children with a BT.