Director Regional Rehabilitation Unit and Dunhill Chair of Rehabilitation
Phone: 020 78485357
Fax: 020 7848 5517
Research ID: http://www.researcherid.com/rid/F-4418-2012
Regional Rehabilitation Unit, Northwick Park Hospital,
Watford Road, Harrow, Middlesex HA1 3UJ
Department of Palliative Care, Policy and Rehabilitation
Floor 2, Bessemer Road, Denmark Hill, London SE5 9PJ
In addition to providing an excellent clinical service the RRU also provides a regional focus for research and clinical training for all professions involved in rehabilitation. In particular, to champion the development of research skills in nursing staff and PAMs. Development of an academic base with a strong multi-professional focus is consistent with the NWLHT research and development strategy to become a leader in multi-disciplinary training and research.
Over the last 20 years, I have built a substantial research programme on the RRU. The main focus is on clinical and Health Services research. The aim is to apply rigorous scientific methodology to evaluation of the effectiveness of different approaches in rehabilitation, be they philosophies, service designs, specific interventions, or types of equipment.
As well as collaborating extensively with other centres in the North West Thames region, we have undertaken collaborative projects with other major rehabilitation centres and university departments in the UK.
Research in Rehabilitation:
Lynne Turner-Stokes was educated at Bedales School (1966-1973), Oxford University (1973-6) and University College Hospital (1976-9). She qualified in Medicine in 1979 and after accrediting in Rheumatology and Rehabilitation in 1992, she was appointed as consultant to set up a new Regional Rehabilitation Unit (RRU) at Northwick Park Hospital in Harrow.
The Regional Rehabilitation Unit provides a tertiary specialist rehabilitation service for younger adult patients with severe complex disabilities, mainly resulting from acquired brain injury. The RRU acts as a central focus for research and training for all professionals involved in rehabilitation, and has a national and international reputation as a leading service in the field of neurological rehabilitation.
Lynne was appointed to the Herbert Dunhill Chair of Rehabilitation at KCL in 2001, with a view to developing a two-site academic department of rehabilitation between KCL and Northwick Park. Academic Rehabilitation joined forces with the Department of Palliative Care and Policy in 2003.
Working with the Department of Health, the British Society of Rehabilitation Medicine (BSRM) and the Royal College of Physicians (RCP), Prof Turner-Stokes has played a key role in the development of national policy for rehabilitation though the following national leadership roles:
She is on the editorial board of Clinical Rehabilitation and Journal of Rehabilitation Medicine and is editor of the series 'Concise Clinical Guidelines' for Clinical Medicine.
Turner-Stokes L, McCrone P, Jackson DM, Siegert RJ.(2013) The Needs and Provision Complexity Scale: a multicentre prospective cohort analysis of met and unmet needs and their cost implications for patients with complex neurological disability. BMJ Open. 2013 Feb 22;3(2). pii: e002353.
Turner-Stokes L, Fheodoroff K, Jacinto J, Maisonobe P, (2013) Results from the Upper Limb International Spasticity Study-II (ULIS-II): a large, international, prospective cohort study investigating practice and goal attainment following treatment with botulinum toxin A in real-life clinical management. BMJ Open 2013; June 3 (6) doi:10.1136/; e002771
Turner-Stokes L, Williams H, Sephton K, Rose H, Harris S, Thu A. (2012) Engaging the hearts and minds of clinicians in outcome measurement – the UK Rehabilitation Outcomes Collaborative approach. Disability and Rehabilitation. 2012: 34(22); 1871-9
Siegert RJ, Jackson D, Tennant A, Turner-Stokes L. (2010) A psychometric evaluation of the Northwick Park Dependency Scale (NPDS). Journal of Rehabilitation Medicine 2010: 42: 936-943
Turner-Stokes L, Williams H, Johnson J. (2009) Goal Attainment Scaling: does it provide added value as a person-centred measure for evaluation outcome in neurorehabilitation following acquired brain injury?Journal of Rehabilitation Medicine 2009: 41(7): 528-35.
Turner-Stokes L. (2008) Evidence for the effectiveness of multi-disciplinary rehabilitation following acquired brain injury: a synthesis of two systematic approaches. Journal of Rehabilitation Medicine 2008;40(9):691-701
Multi-disciplinary teaching and training
Supervision of research
Supervision and support of clinicians undertaking research and higher degrees on the RRU
Doctor of Philosophy
01-Sep-2004 until 01-Jun-2012
Mphil/PhD in cancer studies research
Thesis title: Assessment of functional improvement in the hemiparetic arm following focal rehabilitation intervention.
Department of Health 2006-2011: Support for carers with multiple caring roles: balancing the competing demands of caring for someone with a long term neurological condition alongside other family dependents. Principal investigator - Lynne Turner-Stokes (£289,000 over 4 years). December 2006-February 2011.
Our rehabilitation research has directly led to the development of a novel costing and evaluation system for specialist rehabilitation services in the UK.
Our research demonstrated the cost-effectiveness of specialist rehabilitation for profoundly dependent patients and has led to the development and validation of a robust set of tools which measure needs, inputs and outcomes from rehabilitation. The tools have now been incorporated into the national commissioning dataset for specialist rehabilitation services across England, which is implemented in the UK Rehabilitation Outcomes Collaborative (UKROC) database.
The data have been used by the DoH, and more recently by Monitor, to develop tariffs under Payment by Results (PbR) and to underpin commissioning of rehabilitation services by NHS England.
In addition to providing on-going data on effectiveness and cost-efficiency, the database provides benchmarking data on quality of care for patients and their families. The collection of patient-centred outcomes in this way has a real impact on people as it ensures the evaluation of services reflects outcomes that matter most to patients. Being able to demonstrate that investment in rehabilitation represents value for money helps to support expansion of local services, providing better services closer to home for more people.
Our Rehabilitation Complexity Scale (RCS) has been adopted by the DoH to identify patients with complex needs requiring treatment in specialist rehabilitation services. Under the new commissioning rules specialist (Level 1 and 2) services across England are required to report the RCS for all patients in order to qualify for prescribed commissioning by NHS England and all 63 Level 1 and 2 services in England routinely report the RCS.
Interstate Visitor, Royal Melbourne Hospital, Australia, 2009