Oireachtas Joint and Select Committees

Wednesday, 17 May 2023

Joint Oireachtas Committee on Health

Access to Community Neurological Rehabilitation Teams: Discussion

Dr. Susan Coote:

The typical multidisciplinary intervention would last approximately 12 weeks. After those 12 weeks of that multidisciplinary specialist rehabilitation involving a physiotherapist, occupational therapist and neuropsychologist all working together to meet the needs of the person, we would start to see significant improvements in independence, significant reductions in the need for care, significant improvements in their ability to think, plan and go back to work, but also to be able to dress themselves independently and move around more independently. The evidence is that programmes of approximately 12 weeks' duration provide significant improvements. Over the lifetime of a government, that is a significant number of people benefiting from these interventions.

As we keep saying, this is not once-off. This is about ongoing care needs. This is for people, like the Deputy, living with multiple sclerosis for the rest of their lives. They will need different things at different times and will need to be able to come back and access services. It is not a matter of coming in at a single point of time and it is done. This is about a system that allows people to come back when they need to access different supports, to manage different symptoms at different times. It is very much ongoing. Rehabilitation works. We have international evidence that it works. We have the international evidence that it reduces other healthcare utilisation. We talked about falls and preventing disability. There would definitely be significant savings in the very short term.

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