Our Immediate Needs Assessments (INA) are carried out face-to-face with your client to ensure we can assess the client fully in their daily environment and establish trust and empowerment.
They play an important role in understanding a persons’ circumstances, needs and barriers to rehabilitation so that you have a clear picture of their ongoing and future requirements and we can recommend the most suitable intervention for positive outcomes.
In the face of life-altering challenges, the right support can make all the difference and Matt’s efforts have helped transform the life of a 36-year-old client who tragically lost all his fingers in a work-related accident in 2019. Matt's dedication and expertise allowed him to oversee the case seamlessly from hospital admittance right through to successful case management discharge.
In the face of immense challenges, Nichola has shown unwavering dedication in transforming the life of a young client who experienced spinal cord and traumatic brain injuries following a car accident in 2020. The accident involved the child’s three older siblings and mother, and each has suffered physical and psychological trauma following the accident.
Rebuilding your life after a traumatic accident and a life-altering transfemoral amputation can be an overwhelming and lonely journey. Following his involvement as a pedestrian in a road traffic collision in 2017, a young man faced a long road to recovery ahead. With the support of a compassionate and experienced case manager in Scott, he found the motivation and resolve needed to conquer every challenge and achieve his rehabilitation objectives.
Bush & Co Case Manager Lisa Saward is supporting a 25-year old male client who experienced a traumatic below-the-knee amputation following a motorcycle accident. The impacts of this life-changing catastrophic injury required a comprehensive approach to rehabilitation, which centred around the client’s immediate and long-term goals of regaining mobility, independence, and a fulfilling lifestyle.
The rehabilitation process for amputees can be long and challenging and involve several stages, including pre-operative preparation, post-operative care, and long-term rehabilitation. The primary goal of rehabilitation is to help amputees regain their independence, mobility, and improve their quality of life.
Despite the pandemic forcing case managers to carry out remote assessments where appropriate, face-to-face assessment will always be best practice at Bush & Co. The vast majority of time the INA takes place in the client’s home which gives the case manager the best opportunity to see their life and how they live.
Video or telephone assessments don’t give the opportunity to really see the true impact of their injury or condition; stacks of unopened mail because they’re struggling to cope remains unseen, seeing them make a cup of tea and how they can function in the home remains a missed opportunity and not making the trip to where they live makes understanding how isolated or connected they are difficult.
At Bush & Co we believe the INA is a blueprint for rehabilitation and for that reason needs to make a representation of the individual and their circumstances by way of a pen picture. It is about getting the best for the client but should have a balance of statutory and private provision, include sound clinical reasoning that follows NICE guidelines and include reasonable goals.
Our case manager will assess your client, for a number of factors within the INA to establish clear and effective recommendations. Throughout the whole of the assessment they will observe the injuries sustained, having reviewed any medical records provided.
They will identify certain issues or barriers for the client including mobility, pain management, sleep, speech, cognitive function and psychological challenges and in particular your INA report will include sections on:
Overall and secondary goals for the client will be clearly defined and whilst these will be revisited prior to ongoing case management beginning, give a clear overview of the priorities within rehabilitation.
Past medical history, any inpatient and community intervention to date and the client’s social situation will also be assessed.
I had worked with Fiona Skelly before and knew she would be a good fit for this client and his family. Fiona has responded to the client’s needs promptly throughout and communicated in a timely and appropriate manner with both instructing parties. Her written updates have been informative; she has not produced any unnecessary paperwork or spent time on unnecessary communications. She assembled an appropriate MDT for the client and worked very well to coordinate them and meet the client’s needs.Kate Venn, Irwin Mitchell
Simon Egginton is excellent. He is proactive, develops a great rapport with the client, is in regular contact with myself to update me or query anything and promptly gets on with things. He responds quickly and has put a great team in place.Janet Hall, Thompsons Solicitors
Nigel was fantastic. He identified a plan to help the injured party to reach the best level of recovery possible, and communicated regularly with me the progress on this and funding needs to make it happen.Nick Donnelly, LV Insurance
Angela Molnar has been a saviour to me and my son, she is reliable, respectful, trustworthy, and very honest and helpful. If only the world had more Angela Molnar’s it would be a pretty amazing placeClient’s parent
Aaron Hamdani, a thorough professional, has been a great support throughout my recovery and rehabilitation. Highly recommended.Client
For a person living with a catastrophic injury, an Immediate Needs Assessment (INA) is an opportunity to talk about their injury, their life and hopes for the future. For a legal team it’s a clear picture of the client and the road ahead but what can it achieve? In our INA feature, we explore the role of an INA within rehabilitation and the Bush & Co way.
Our INA’s all address and clarify the basis of reporting, setting out clear expectations against the letter of instruction.
Within each section of the INA, our case managers will recommend the intervention required, whether that be through statutory services or private provision, their rational based on their clinical knowledge and experience as well as NICE guidelines, the expected duration and anticipated costs. Where relevant they will also recommend certain providers and will detail this in the report.
All of our INAs go through a quality check internally prior to you receiving the report. These checks ensure the letter of instruction has been responded too and that all recommendations are based on sound clinical reasoning. We will not change the case manager’s recommendation however will discuss their reasoning and decision making where required.
These quality checks are carried out by our clinical management team who guide and support our case management network.
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