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R EHABI L I TATION


The hidden victims of the COVID pandemic


Martin Usher, a member of the Major Trauma Group, argues that the need for increased access to rehabilitation services has never been more important as the NHS recovers from the impact of the pandemic. He calls for an injection of funding to address the backlog and the shortfall in investment.


As we leave an undeniably tough winter behind, it is very encouraging to have multiple vaccines at our disposal. The rapid progression of vaccine development has been nothing short of incredible, and the ongoing vaccination programme provides hope for the future of a return to some semblance of normality. While things are looking up, many people have been left behind by the pandemic, and one group that has been adversely affected over the course of the last year is major trauma victims. Individuals that suffer major trauma injuries rely on access to rehabilitation services, but such access has been limited throughout the course of the pandemic due to the strain COVID-19 has put on the NHS. Unfortunately, there is no quick fix to the burden the NHS is facing and following the recent rise in COVID-19 infections the harmful impact on both the NHS and major trauma victims is likely to increase. It is clear that rehabilitation services need serious assistance and we cannot afford to delay this any longer.


Of course, we have made progress in the fight against COVID-19. It goes without saying that we could not have come this far without the tremendous work of our National Health Service during the pandemic. The manner in which the NHS has been able to adapt in a time of genuine national need has been incredible. From catering


staff and cleaners to doctors and nurses, every member of the NHS has risen to the occasion and are entitled to our gratitude and praise. Yet, despite the incredible efforts of the NHS thus far, the hard work for healthcare workers is a long way from being over. In fact, it is just getting started. The current vaccination programme alone is a huge undertaking for the NHS, requiring


The most underreported victims of the COVID-19 pandemic are people that have sustained major trauma injuries. Due to the NHS backlog, this group of individuals will have been left waiting for vital rehabilitation, such as physiotherapy, hydrotherapy, or psychological therapy.


46 l WWW.CLINICALSERVICESJOURNAL.COM


serious logistical expertise and collaboration among different stakeholders and groups. If that was not enough, NHS staff across the country also need to turn their attention to the backlog of operations, investigations, treatments, and therapies that were cancelled or put-on hold while the focus was shifted to fighting the pandemic. For context of the current scale of the backlog facing the NHS, statistics from NHS England suggest that at least 162,000 patients are waiting more than a year for routine NHS operations, the highest number for more than 12 years. In addition, the total NHS waiting list for routine treatments reached 4.4 million at the end of October 2020.1


Worryingly, the


backlog is likely to get worse before it gets better, following the introduction of another national lockdown in January. Prior to the introduction of the third national lockdown, care for non-COVID conditions was being


APRIL 2021


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