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Case Managemement Services

Needs Reports

Case Management Services provides independent Needs Reports (sometimes also known as "services reports").

We can provide Needs Reports in the following cases:

Brain injury

• Traumatic brain injury (severe head injury)
• Coma induced (e.g.) by drowning, toxic inhalation, medical negligence
• Stroke e.g. as result of medical negligence

Physical disability, including:

• Amputation
• Back injury (other than spinal cord injury)
• Severe orthopaedic and soft tissue injuries

• E Coli
• Medical negligence

Geriatric cases
These may involve many of the above kinds of injury

Nursing issues
Cases which require extensive nursing input - e.g. tube feeding, catheterisation, etc

Associates are chosen for active clinical experience in the conditions on which they report. In addition, we provide them with training and assistance in deriving costings.

Area
We have provided Needs Reports - and are willing to accept instructions - from the UK including Northern Ireland

What we need
In order to carry out a Needs assessment, we require up-to-date clinical reports setting out:

• The nature and extent of disability due to injury
• The prognosis including:
  1. prospects for further improvement
  2. further treatment/operations planned
  3. risk of deterioration in later life.

Others provide reports under a variety of headings. It is important to remember that reports may vary widely in terms of how comprehensive and detailed they are.

We recently surveyed a variety of medico-legal reports intended to help with quantification. We found the areas covered, in the sample surveyed, were as follows:

		Rehabilitation and therapies		Past and future care		Need for case manager		Equipment (special aids and adaptations)		Extra living expenses (extra heat/light, transport, telephone, etc)
CMS' needs report		•		•		•		•		•
Care report				•
Rehabilitation cost report				•		•		•		•
Rehabilitation assessment				•						•
Functional and services report				•				•
Special needs assessment				•						•

It is also important to remember that some reporters - for other organisations - have little or no relevant clinical experience.

In commissioning a report, it is important to consider:

• Whether it will be sufficiently detailed and comprehensive
• Whether the reporter will have the relevant (non-litigating) clinical experience to be convincing in court

• Extensive medico-legal experience
• Proven track record
• Clinically experienced associates
• Detailed reporting

• Require thorough preparation
• Require a home visit
• Are time consuming
• Require costs database and additional research

If you have a client who you consider may benefit from our services please contact us.

In order to make a referral for a Needs we require a written referral accompanied by any relevant medical records and case reports. On receipt of this information, which we shall acknowledge and start to progress the case.