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Health IT, systems and process innovations
Original article
Paediatric neurorehabilitation: finding and filling the gaps through the use of the Institute for Manufacturing strategic roadmapping method
  1. Colin Hamilton1,
  2. Anna Maw2,
  3. Andrew Gill3,
  4. Mita Brahmbhatt4,
  5. Robert Phaal5,
  6. John Pickard6
  1. 1 Department of Physiotherapy, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
  2. 2 Department of Paediatric Neurology, Cambridge University Hospitals NHS Foundation Trust and Cambridge Centre for Paediatric Neuropsychological Rehabilitation, Cambridge, UK
  3. 3 IfM Education and Consultancy Services, Institute for Manufacturing, Cambridge University, Cambridge, UK
  4. 4 NIHR Brain Injury Healthcare Technology Cooperative, Cambridge University, Cambridge, UK
  5. 5 Institute for Manufacturing, Cambridge University, Cambridge, UK
  6. 6 NIHR Brain Injury Healthcare Technology Cooperative, Cambridge University, Cambridge, UK
  1. Correspondence to Colin Hamilton, Cambridge University Hospitals NHS Foundation Trust, Cambridge, CB2 0QQ, UK; colin.hamilton{at}addenbrookes.nhs.uk

Abstract

Introduction Acquired brain injury (ABI) is a major cause of morbidity and mortality in childhood. Specialist rehabilitation services are often situated far from families and local services may be non-standardised and fragmented. A strategic level of understanding is needed to improve patient care and outcomes. Roadmapping techniques are commonly used in industry settings to discover and present a systematic understanding of structures; however, they are rarely used in the healthcare setting. With continuing pressures on healthcare systems worldwide, they provide an effective method for examining services.

Methods The Institute for Manufacturing (IfM) strategic roadmapping method was used to identify areas of difficulty and opportunities in paediatric neurorehabilitation. Participants included stakeholders from a wide range of professions and sectors who have input with children after ABI.

Results Delegates identified a range of ‘layers’ covering trends, drivers, current experience and unmet needs. From these layers, four priorities were identified and further expanded.These included: ‘access to medical and therapy expertise close(r) to home’, ‘shared understanding across family, school and health’, ‘family and professional awareness of resources and support’ and ‘establishing a centre for rehabilitation technology evaluation, advice and co-ordination of services and research’.

Conclusion The IfM strategic roadmapping method identified and developed key areas for development in the field of paediatric neurological rehabilitation. Healthcare professionals looking at strategic level difficulties should strongly consider the use of such systematic tools when evaluating areas of practice.

  • delivery
  • neurology
  • economics

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/bmjinnov-2017-000202

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    Footnotes

    • Contributors CH wrote the first and subsequent drafts. All authors contributed to drafts. AM is the Paediatric Rehabilitation theme lead and led the workshop described. AG and RP assisted with the use of and analysis of the IfM Roadmapping Process. MB provided project management coordination as well as facilitation of the workshop. JP provided oversite and review of the project and organisation of the work group.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data sharing statement All pertinent data have been included in this paper. A full report is available for review on request from corresponding author.

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