National Rehabilitation Hospital

Prosthetic, Orthotic, Limb Absence Rehabilitation (POLAR) Programme Outcomes, Demographics and Activity 2017

The NRH is the only Consultant Led Multidisciplinary Prosthetic Rehabilitation service provider in Ireland.  The service is provided in conjunction with a Strategic Partner, Ability Matters (selected through international tender) as part of the hospital’s Service Level Agreement (SLA) with the HSE….. read more

This section details some information about the POLAR (Inpatient) Programme which relates to how we measure the activity; effectiveness; efficiency of, and access to the Programme. 

Demographics, Activity and Outcomes for Inpatient and Day Patient services – 2017

The POLAR Inpatient programme served 62 patients with limb absence in 2017 from throughout Ireland.  This encompasses pre-prosthetic rehabilitation, assessments, re-admissions for gait training and prosthetic rehabilitation.  Of the 62 discharges, 42 completed a full Inpatient rehabilitation programme of prosthetic rehabilitation.

The POLAR Day Programme encompasses pre-prosthetic rehabilitation, assessments, re-admissions and prosthetic rehabilitation.  The Day programme served 39 local patients residing within commuting distance from the hospital and who were able to provide their own transport.  Of the 39 patients who attended the Day Programme, 20 completed the full prosthetic rehabilitation programme.

The NRH has committed to a programme of continual review of its service delivery. Following on from reviews, it implements various improvement plans.

During 2017, the areas considered were:

Average Waiting Time for Admission

The average waiting time for admission to the POLAR Programme during 2017 was:

  • Inpatient Programme – 57 days
  • Day Patient Programme – 37 days

In some cases, patients experience a longer waiting time as they await sanction (approval for funding from the HSE) for their prosthesis.

Average Length of Stay

The Average length of stay for patients in the POLAR Programme in 2017 was:

  • Inpatient Programme – 60 days.
  • Day Patient Programme – 53 days attending the service.

DEMOGRAPHICS & ACTIVITY – Inpatient Programme

The following graphs show, for Inpatients to the service in 2017, the breakdown of pre-hospital HSE areas of residence, gender, and average age profile.  

Pre-hospital HSE Community Healthcare Organisations (CHO) areas of residence of Inpatients discharged by the POLAR Programme in 2017
Community Healthcare Organisations (CHO) Areas

CHO Area 1 – Donegal; Sligo/Leitrim/West Cavan and Cavan/Monaghan : 5

CHO Area 2 – Galway; Roscommon; Mayo : 11

CHO Area 3 – Clare; Limerick and North Tipperary/East Limerick : 3

CHO Area 4 – Kerry; North Cork; North Lee; South Lee and West Cork : 1

CHO Area 5 – South Tipperary; Carlow/Kilkenny; Waterford and Wexford : 2

CHO Area 6 – Wicklow; Dún Laoghaire; and Dublin South East : 6

CHO Area 7 – Kildare/West Wicklow; Dublin West; Dublin South City; Dublin South West : 3

CHO Area 8 – Laois/Offaly; Longford Westmeath; Louth and Meath : 8

CHO Area 9 – Dublin North; Dublin North Central; Dublin West : 3

Gender of Inpatients discharged by the POLAR Programme in 2017
Male 87%
Female 13%
Age Profile of Inpatients discharged by the POLAR Programme in 2017
Average age 66 years
Lower age range 34 years
Higher age range 91 years

 

DEMOGRAPHICS & ACTIVITY – Day Patient Programme

The following graphs show, for Day Patients to the service in 2016, the breakdown of pre-hospital HSE areas of residence, gender, and average age profile.  

Pre-hospital HSE Community Healthcare Organisations (CHO) areas of residence of Patients discharged by the POLAR Day Programme in 2017
Community Healthcare Organisations (CHO) Areas

CHO Area 5 – South Tipperary; Carlow/Kilkenny; Waterford and Wexford : 3

CHO Area 6 – Wicklow; Dún Laoghaire; and Dublin South East : 6

CHO Area 7 – Kildare/West Wicklow; Dublin West; Dublin South City; Dublin South West : 6

CHO Area 9 – Dublin North; Dublin North Central; Dublin West : 5

Gender of Patients discharged by the POLAR  Day Programme in 2017
Male 75%
Female 25%
Age Profile of Patients discharged by the POLAR Day Programme in 2017
Average age 61 years
Lower age range 42 years
Higher age range 84 years