Highlights from 2020 - 2021
The following provides some highlights from our 2020-21 Impact and Outcomes Report, a full copy of which is available for download.
Download our 2020-21 report
Change in profile of children and young people
Type of acquired brain injury, category A admissions 2020-21
Colleagues in trauma hospitals report that the number of children sustaining a severe traumatic brain injury (TBI) decreased nationwide during the period in question, as children had pandemic-related restrictions on their activities. The Children’s Trust also saw this pattern reflected in the admissions to rehabilitation
Figure one: type of acquired brain injury
PEDI-CAT Change scores (n=51)
Children and young people are easier to care for when they make physical, cognitive, social and occupational gains following an ABI. A score is given as a measure of these gains which is referred to as a PEDI-CAT score. When the group data for the year is taken, there is a positive change in ability across all the areas of functional ability and participation.
Our PEDI-CAT change scores for the children and young people we supported during 2020-21.
Figure two: change in functional ability during rehabilitation (PEDI-CAT change scores, n=51)
Reduction in rehabilitation complexity
Using the Rehabilitation Complexity Scale (RCS) scores, we are able to see that on leaving The Children’s Trust rehabilitation service, there are fewer children and young people in the ‘very high’ and ‘high’ categories. These young people are easier to care for and require less specialist service provision.
The Change in complexity during rehabilitation chart details the improvement in the children’s RCS scores. Complexity data is taken from the Rehabilitation Complexity Scale Extended (RCS-E), and provides a simple overall measure of care, nursing, therapy, medical and equipment needs, and is designed to offer crude banding of complexity. This is used largely within adult neurorehabilitation populations and may not be wholly appropriate at identifying complexity in a paediatric population. Nevertheless, this still gives a like-for-like consistent comparison over previous years complexity data.
Change in complexity during rehabilitation (RCS scores, n=53)
In terms of a child’s home situation after discharge i.e. whether any adaptive accommodation or rehousing was needed for example, most children returned home from their stay at The Children’s Trust not needing any adaptation or minor equipment.
In the school year 2020/2021, 53 children left the Surrey Teaching Service that supports children with their education during their stay with us. 32 went back to their previous school (60%). The multidisciplinary team supported 17 children and young people into a new school. Four children are yet to return to school.