Appendix 1a.

Domains of the Northwick Park Therapy Dependency Assessment (NPTDA)

Domain	Items	Lead discipline	Scores	Totals
A: Physical handing programme	1) Medical management	Doctor	0–4
	2a) Splinting orthotics (upper limb)	O/T	0–4
	2b) Splinting orthotics (lower limb)	Physio	0–4
	3) Seating/wheelchair	O/T	0–4
	4) Physical therapy–active/passive handling	Physio	0–4	0–20
B: Basic functions	5) Tracheostomy management	SLT	0–4
	6) Swallowing	SLT	0–4
	7) Nutrition	Dietitian	0–4
	8) Supported communication	SLT	0–4
	9) Speech and language interventions	SLT	0–4	0–20
C: Activities of daily living	10) Personal/self-care	O/T	0–4
	11) Domestic/community-based activities	O/T	0–4
	12) Vocational/leisure/computers/driving	O/T	0–4	0–12
D: Cognitive/psychosocial/ family support	13) Cognitive interventions	Psychology	0–4
	14) Behavioural management	Psychology	0–4
	15) Emotional/mood	Psychology	0–4
	16) Formal family support	Psychology	0–4
	17) Emotional load on staff	Psychology	0–4	0–20
E: Preparing for discharge	18) Planning discharge/housing/care package	SW	0–4
	19) Benefits and finances	SW	0–4
	20) Equipment/adaptations for home	O/T	0–4
	21) Community/home visits	O/T	0–4
	22) Key-working	…	0–4	0–20
F: Indirect interventions +  additional activities	23) Multidisciplinary meetings	State	0–2
	24) Reports	State	0–2
	25) Groups/extra therapies	State	0–2
	26) (Accompanied) clinic attendance	State	0–2	0–8
G: Special input	27) Special facilities	(Select from lists)	Text
	28) Special equipment hire	(Select from lists)	Text
	29) Investigations	(Select from lists)	Text
	30) Procedures	(Select from lists)	Text
			Total	0–100

O/T, occupational therapist; SLT, speech and language therapist; SW, social worker.