title: In-patient rehabilitation: clinical outcomes and cost implications.
abstract: Aims and method A retrospective evaluation was undertaken of the clinical and economic effectiveness of three in-patient rehabilitation units across one London National Health Service trust. Information on admission days and costs 2 years before and 2 years after the rehabilitation placement, length of rehabilitation placement and the discharge pathway was collected on 22 service users. Results There were statistically significant reductions in hospital admission days in the 2 years following rehabilitation compared with the 2 years before, further reflected in significantly lower bed costs. Longer length of rehabilitation placement was correlated with fewer admission days after the placement. A substantial proportion of the sample went into more independent living, some with no further admissions at follow-up. Clinical implications The findings suggest that in-patient rehabilitation is both clinically and cost effective: if benefits are sustained they will offset the cost of the rehabilitation placement.
authors.affiliation: Oxleas NHS Foundation Trust, London, UK.
authors.forename: Mel
authors.initials: M
authors.lastname: Bunyan
authors.affiliation: Oxleas NHS Foundation Trust, London, UK.
authors.forename: Yogesh
authors.initials: Y
authors.lastname: Ganeshalingam
authors.affiliation: Oxleas NHS Foundation Trust, London, UK.
authors.forename: Ehab
authors.initials: E
authors.lastname: Morgan
authors.affiliation: Oxleas NHS Foundation Trust, London, UK.
authors.forename: Donvé
authors.initials: D
authors.lastname: Thompson-Boy
authors.affiliation: King's College London.
authors.forename: Rebekah
authors.initials: R
authors.lastname: Wigton
authors.affiliation: South London and Maudsley NHS Foundation Trust.
authors.forename: Frank
authors.initials: F
authors.lastname: Holloway
authors.affiliation: Oxleas NHS Foundation Trust, London, UK; King's College London.
authors.forename: Derek K
authors.initials: DK
authors.lastname: Tracy