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REGIONAL REHABILITATION UNIT CATTERICK AND DEFENCE PRIMARY HEALTH CARE (DPHC) NORTH
RRU Catterick has provided residential rehabilitation provision for over 500 service personnel since last year’s MBS article. Sgt
(SI) Danny Newman and Sgt (SI) Kev Richardson RAPTC have moved on to pastures new at 2 Med Regt and ITC Catterick respectively. We now welcome a fresh breed from JSSERI in Sgt (SI) Jimmy Hull and Sgt (SI) Joe Cooper RAPTC. Sadly the DPHC RRU equipment scaling does not impress some of our new RAPTCIs. I look forward to handing over the reins to WO2 (QMSI) ‘Ronnie’ Ronald RAPTC who takes over the RRU Catterick RTSA job in July 2017 after I join the JSSERI team on promotion commencing my new role as the Training Warrant Of cer vice the well-known WO1 (SMI) ‘Dusty’ Miller RAPTC.
The RRU’s main effort during this period has been challenging, attempting to ne-tune our strength training package to improve output statistics whilst simultaneously decreasing pain and symptoms for those on course. We have reviewed a complex and varied assortment of 63 lessons over 13 working days in order to produce optimal results, manage accumulative fatigue to avoid risk of further injury to a deconditioned cohort. Early statistics from this service evaluation suggests patients are now in less pain overall post course, have an improved limb symmetry strength comparison and have increased injured limb strength relative to their body weight. These positive results come from committed team work and effective planning, so a well-earned pat on the back for RRU Catterick’s clinical team is deserved.
PCRF Catterick provides a rehabilitation provision to an ever increasing military population comprising of 13 units. Current staf ng consists of the OC Major Holton RAMC, 1 FTRS ERI WO2 (QMSI) Mike Arnell RAPTC, SSgt (SSI) Dave Payling RAPTC
and 1 MOD ERI Mr Steve Overton. This includes six FTC physios (1 x Band 7, 6 x Band 6). Military staf ng has increased by 62.5% since May 2016 rising from 2 to 3.25 (the .25 is based on the attachment of a military physio from 5 Med Regt). Full staf ng commitments are not quite there yet! Recent infra-structure restrictions (not actually having a gym or equipment) have brought about a roving rehabilitation delivery within the AOR, with all group sessions taking place within unit gymnasiums. A 2 month period of no ERI assessment facilities has also allowed a trial period of ERI review and new patient clinics working in a more integrated way with local units.
Local in-service training and educational workshops have been delivered to Service personnel and PTIs to help reduce training injuries. Collaborative support to Infantry unit mainstream RAPTCIs, 2 Yorks’ Socrates Pl and 4 Scots’ Dargai Pl including unit PEd Cadre initiatives to increase deployability, have resulted in injured personnel being upgraded either to MLD or MFD. Integration of evidence base and a joined up approach has ensured all individuals have a bespoke training plan, allowing personnel to work as individuals within the group setting ensuring optimal outcomes. The main elements consisted of the 12 week Wattbike plan, 2.4km pace interval runs, progressive weight load carrying, S & C and lifestyle education. A service improvement audit was performed by WO2 Mike Arnell who analysed over 150 patient attendance records over a 3 month period in an attempt to prove that rehab attendance and better outcomes correlated. The investigation and ndings were on average, patients in Catterick Garrison attended 1 in 8 ERI sessions. This was presented at a Regional in service training day with plenty of audience contribution and debate on the results. The ERIs at PCRF Catterick collaborates fully with units within the AOR to optimise the return of injured personnel to
Holistic Rehab - WO2 Mike Arnell’s roving clinic encompasses Mind, Body and Spirit
WO2 (QMSI) S Lucas RAPTC
Sgt (SI) Jimmy Hull frustrated at the 25kg dumbbell limit DPHC imposes
RRU Catterick’s ERI Team