Date posted: 1st August 2016

The rehabilitation code 2015 has been put in place to ensure that people who have suffered from life-changing injuries are able to restore quality of life through the appropriate rehabilitation. Here, CPIMS explains what the rehabilitation code 2015 means to us and you.

The rehabilitation code 2015 enables claimants and compensators to work together and try to achieve as much earning capacity for the claimant as possible. Although the Code is optional, it is advised by the Personal Injury Preaction Protocol that it should be considered for all types of personal injury claims. The code now recognises a significant difference between dealing with lower value injuries and medium or catastrophic injuries.

Features of the Rehabilitation Code 2015

The important features of Rehabilitation Code 2015 Code are:

  1. The claimant is put at the centre of the process.
  2. The claimant’s lawyer and the compensator work on a collaborative basis to address the claimant’s needs, from early notification of the claim and through early exchange of information.
  3. The need for rehabilitation is addressed as a priority. Time-frames are set out in the Code.
  4. Rehabilitation needs are assessed by independent professionals with appropriate qualifications, skills and experience.
  5. Initial rehabilitation assessments can be conducted by telephone or personal interview, according to the type of case. The resulting report should deal with matters specified in the Code.
  6. The parties may consider whether joint instruction of rehabilitation assessor and provider would aid collaborative working and be in the claimant’s best interests.
  7. The claimant has the ultimate say in choice of case manager, and is not obliged to undergo treatment or intervention that is considered unreasonable. We have a guide to appointing and working with a case manager.
  8. The case manager should seek proactively to co-operate with treating NHS clinicians.
  9. The compensator will pay for any agreed assessment of rehabilitation needs, and must justify a refusal to follow any of the rehabilitation recommendations.
  10. Initial assessment (including the Triage Report for lower value injuries) is outside the litigation process.
  11. Where rehabilitation has been provided under the Code, the compensator will not seek to recoup its cost if the claim later fails unless fraud or fundamental dishonesty can be proven.
  12. The Code recognises that lower value claims (typically < £25k) have different dynamics, and that there will sometimes be a medical need for the claimants’ solicitors to arrange treatment before getting agreement from the compensator. In these circumstances, the compensator is not obliged to pay for treatment that is unnecessary, disproportionate or unduly expensive.
  13. In the interests of streamlining the process, most lower value claims will require a Triage Report only.
  14. It is the intention that the parties adopt the principles of the Code beyond the Immediate Needs Assessment and throughout the rehabilitation process.

How CPIMS work within the Rehabilitation Code 2015

CPIMS provides a service to individuals who have suffered an injury or illness, including specialist rehabilitation services for those who have suffered a catastrophic neurological injury. The service we offer follows a structured process. Firstly, we assess our client so that we can establish the most appropriate support according to the client’s situation. Following this, we will discuss the options with the client and choose the most appropriate treatment and management plan for the individual.

Throughout this process we will monitor and evaluate the individual’s needs. We will also check on the wellbeing of their family and carers. As a result of this, we aim to see the individual achieve their maximum potential for physical, cognitive, social and psychological function, re-integration and participation in society and improved quality of living.

The rehabilitation code 2015 dictates that multi-disciplinary assessments, identification of functional difficulties, delivery of interventions, evaluation of effectiveness and treatment planning through goal setting must occur. At CPIMS we ensure that our case managers utilise the latest evidence and, as a result, achieve the best possible outcomes providing individual care for individual people.

About CPIMS’ Rehabilitation Services

We specialise in case management, which is a mixture of injuries and claims management. Our aim is to facilitate individuals through the rehabilitation process to a safe recovery maximising their full potential. Rehabilitation can result in overcoming disabling conditions or, if this is not possible, can help patients to cope with their new found situation. An improved quality of life is achieved through restoring the patient’s physical functions and by modifying their physical and social environment.

The most common rehabilitation interventions include:

  • Speech and language therapy
  • Physical therapy or physiotherapy
  • Occupational therapy
  • Psychotherapy

Rehabilitation methods are carefully selected according to the individual client’s needs, which may require more than one type of rehabilitation process.

If you or a loved one have any questions regarding the 2015 Rehabilitation Code or have any enquires about the rehabilitation services that we offer then please call CPIMS today on 0844 371 0616 or email denise@cpims.com.

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