INCLUSIVE SUPPORTIVE CONNECTED

Rehabilitation for Reserve Personnel

18 Mar 2017

From 1 April 2017, certain Reserve personnel will have the option of receiving rehabilitation, via a civilian contractor.

Background

The Government White Paper – Reserves in the Future Force 2020: Valuable and Valued and JSP 950 (lft 1-3-6) mandated Defence Primary Health Care (DPHC) to provide timely rehabilitation to Reservists injured on duty. As DPHC Primary Care Rehabilitation Facilities (PCRFs) are open during ‘normal’ working hours and Reserves, with exceptions, are employed by Defence only at weekends and in the evenings, the decision was taken to let a contract to augment the PCRFs and ensure that the requirement of the FR20 paper is met.

Current Situation

If a Reservist is injured on duty, they must attend a DPHC facility, with a copy of their sS accident form for an assessment by a doctor who will then refer the Reservist to their most proximal PCRF. This avenue to access rehabilitation services will remain extant once the Reserve rehabilitation contract comes into effect if this is the most expedient way to recover from injuries.

New Process

As of 1 April 2017, there will also be the option of receiving rehabilitation, via a civilian contractor; the advantage to the Reservist is that this can be arranged close to the work or home address of the Reservist and can be delivered outside of normal working hours.

If a Reservist is injured on duty and requires rehabilitation, evidenced by the completion of a single Service (sS) accident form, they are entitled to rehabilitation. The treatment can be delivered by either using the contract or accessing treatment through the PCRF network. If the PCRF is he desired destination, the process detailed above must be followed.

To access the contracted service, Reserves will have to contact their regional Reserve OH manager (ROHM) and then email the appropriate accident form. The ROHM will speak to the Reservist to ascertain the most appropriate method of rehabilitation; if for instance an FTRS Reservist needs treatment, based on a camp with a PCRF, they will be directed to use the PCRF on their camp. Where the contract is utilised, the ROHM will make an electronic referral to the contractor who will contact then Reservist directly to arrange an assessment at the most convenient location A flow diagram detailing the process can be found below. As such Reservists will have to provide their contact details to the ROHM.

The Reservist will then be pre-authorised for five sessions with the contractor. At the conclusion of this the contractor will have to submit a discharge or progress report. At this point, the Reservist must not arrange further treatment. Instead, they will be reviewed by a DPHC Physiotherapist at their most convenient PCRF. The DPHC physiotherapist will then decide, based on the clinical findings, whether to refer back to the contractor, to offer treatment at a PCRF/ Regional Rehabilitation Unit (RRU) or to discharge from care.

Summary

Rehabilitation for Reserves injured on duty has been modified to reflect their conditions of service and their disparate geographical spread by utilising a contracted service. The aim is to provide timely rehabilitation where it is required. Should Units or individuals have any queries they are to be directed to their ROHM or to the DPHC Reserve OH Team at SGDPHC-ReserveOHMailbox@mod.uk

Reserves Injury Flowchart