Lisa RobinsonConsultant Allied Health Professional - Major Trauma Rehabilitation, The Newcastle upon Tyne Hospitals NHS Foundation Trust, UK
Dr Lisa Robinson is Consultant Allied Health Professional – Major Trauma Rehabilitation (The Newcastle upon Tyne Hospitals NHS Foundation Trust, UK) and Honorary Senior Lecturer (Newcastle University, UK). In her current role, Dr Robinson divides her time equally between Quality, Improvement, Research and Outcomes Lead for the Major Trauma Rehabilitation Service and Therapy Services Strategic Theme Lead (Partnerships/Integration). A physiotherapist and post-doctoral researcher, Dr Robinson has 25 years’ experience delivering and evaluating complex rehabilitation interventions in a variety of clinical settings. Her role has a strong focus on allied health research capacity and capability building and she is committed to expediting the translation of robust research evidence into high-quality clinical care for tangible patient benefit. The impact and outputs of Dr Robinson’s research are many and varied, and include 22 publications in high-impact, peer-reviewed medical and rehabilitation journals. She is committed to embedding meaningful stakeholder involvement and engagement in health service design and delivery, as well as evaluating the impact of participatory approaches on research processes and outcomes.
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Building the Evidence-Base for Embedded Rehabilitation following Major Trauma
Advances in acute trauma care in England have resulted in improved survival, highlighting the importance of evidence to support multidisciplinary rehabilitation within existing trauma systems. I will present the findings from two distinct, yet inter-related, pieces of work undertaken within our major trauma centre in North East England. Firstly, a retrospective pre-post observational study using routinely-collected data from the Trauma and Audit Research Network, which demonstrated significant improvements in intensive care length of stay, total hospital length of stay, 30-day mortality and Glasgow Outcome Score following the introduction of our dedicated rehabilitation service in November 2016. Secondly, a group concept mapping (GCM) project which conceptualised the key components of rehabilitation from a patient and multidisciplinary healthcare professional perspective, and identified key areas for targeted service enhancement including improved access to the specialist pain team and interventions focused on promoting emotional and psychological wellbeing.
Future research should examine how embedded rehabilitation affects medium and longer-term patient-centred outcomes. The GCM project highlighted the importance of a continuum of rehabilitation provision across hospital and community services and provided a platform to track future service changes and facilitate the co-design of new rehabilitation interventions following major trauma.
Advances in acute trauma care in England have resulted in improved survival, highlighting the importance of evidence to support multidisciplinary rehabilitation within existing trauma systems. I will present the findings from two distinct, yet inter-related, pieces of work undertaken within our major trauma centre in North East England. Firstly, a retrospective pre-post observational study using routinely-collected data from the Trauma and Audit Research Network, which demonstrated significant improvements in intensive care length of stay, total hospital length of stay, 30-day mortality and Glasgow Outcome Score following the introduction of our dedicated rehabilitation service in November 2016. Secondly, a group concept mapping (GCM) project which conceptualised the key components of rehabilitation from a patient and multidisciplinary healthcare professional perspective, and identified key areas for targeted service enhancement including improved access to the specialist pain team and interventions focused on promoting emotional and psychological wellbeing.
Future research should examine how embedded rehabilitation affects medium and longer-term patient-centred outcomes. The GCM project highlighted the importance of a continuum of rehabilitation provision across hospital and community services and provided a platform to track future service changes and facilitate the co-design of new rehabilitation interventions following major trauma.
