There are 6 community rehabilitation teams across Fife based within our community hospitals.
These are:

  • Adamson Hospital
  • Glenrothes Hospital
  • Queen Margaret Hospital
  • Randolph Wemyss Memorial Hospital
  • St Andrews Hospital
  • Whyteman’s Brae Hospital

What is daily intervention (Rehabilitation)?

If you have been in the Victoria Hospital Kirkcaldy, Ninewells Hospital in Dundee or any of our community hospitals and need to be discharged following surgery, an illness, injury or stroke, you may require ongoing daily intervention to support your continued rehabilitation once you return home.

If you are struggling at home with your mobility and day to day activities, your GP or health care professional may suggest a period of daily intervention to support your rehabilitation at home, preventing you from potentially having to go into hospital. If community rehabilitation is appropriate for you then you will be referred to one of our community hospital teams for daily intervention rehabilitation.

The community rehabilitation teams do not provide home care. The aim of daily intervention rehabilitation is to ensure that you have the best chance of achieving your personal goals, improving your independence and quality of life, whilst in your own home. We strive to support your transition from hospital to home as early as possible and prevent any unnecessary admission to hospital.

What should I expect?

Our teams are multi-professional, and you may likely meet a few members of the team including Physiotherapists, Occupational Therapists, Nurses, Home Care Managers, assistant practitioners and health care support workers.

Referral

This service operates from 08.00 to 22.00, 7 days a week, 365 days a year. Dependant on your needs we can see individuals up to 4 x day, 7 days a week.
A referral is likely to come from the therapists in the hospital if you’ve had an admission and from your GP or other healthcare professional if you are struggling at home.

Your care team

The therapist will work with you to create a treatment programme that will help you achieve your personal goals and that might be in relation to your mobility, functional independence, and confidence. It may also involve learning new skills, such as adaptive techniques, using equipment to support transfers (like on/off the toilet) or using a walking aid to help you walk.
The Physiotherapist will work with you to improve things such as muscle strength, balance, coordination, and mobility. The Occupational Therapist will work with you to improve your functional independence and the ability to perform everyday tasks such as dressing, bathing, meal preparation and leisure/social activities, and work with you to provide coping strategies and treatment programmes for any cognitive impairment you may also have. Our healthcare support workers can continue practicing your programme with you to build your confidence and ability to self-manage.

Throughout your programme there will be a regular reviews/updates regarding your progress and you will have a key worker that will co-ordinate the team around you and your needs. Any conversations will involve you and your family if you wish. Discussions will be focused the progression of meeting your goals and planning your discharge from the team. We work very closely with health and social care colleagues, and other professionals may be referred to as appropriate with your consent.