Appendix 2.
Revised algorithm for NPTDA estimation of hours/week in relation to scores
| Items | Lead discipline | Hours per week ascribed to lead discipline |
Individually recorded hours per discipline |
|||||
|---|---|---|---|---|---|---|---|---|
| 0 | 1 | 2 | 3 | 3.5 | 4 | |||
| 1) Medical management | Doctor | 0 | 1 | 2.5 | 4.5 | (–) | 6 | |
| 2a) Splinting orthotics (upper limb) | O/T | 0 | 0.5 | 1 | 3 | Individualized | ||
| 2b) Splinting orthotics (lower limb) | Physio | 0 | 0.5 | 1 | 3 | Individualized | ||
| 3) Seating/wheelchair | O/T | 0 | 0.5 | 1 | 3 | Individualized | ||
| 4) Physical therapy – active/passive handling | Physio | 0 | 1 | 2.5 | 4.5 | Individualized | ||
| 5) Tracheostomy management | SLT | 0 | 0.5 | 1 | 3 | Individualized | ||
| 6) Swallowing | SLT | 0 | 0.5 | 1 | 3 | Individualized | ||
| 7) Nutrition | Dietitian | 0 | 0.25 | 0.75 | 2 | Individualized | ||
| 8) Supported communication | SLT | 0 | 0.5 | 1 | 3 | Individualized | ||
| 9) Speech and language interventions | SLT | 0 | 0.5 | 1 | 3 | Individualized | ||
| 10) Personal/self-care | O/T | 0 | 0.5 | 1 | 3 | Individualized | ||
| 11) Domestic/community-based activities | O/T | 0 | 0.5 | 1 | 3 | Individualized | ||
| 12) Vocational/leisure/computers/driving | O/T | 0 | 0.5 | 1 | 3 | Individualized | ||
| 13) Cognitive interventions | Psychology | 0 | 0.5 | 1 | 3 | Individualized | ||
| 14) Behavioural management | Psychology | 0 | 0.5 | 1 | 3 | Individualized | ||
| 15) Emotional/mood | Psychology | 0 | 0.5 | 1 | 3 | Individualized | ||
| 16) Formal family support | Psychology | 0 | 0.5 | 1 | 3 | Individualized | ||
| 17) Emotional load on staff | Psychology | – | – | – | – | Individualized | ||
| 18) Planning discharge/housing/care package | SW | 0 | 0.5 | 1 | 3 | Individualized | ||
| 19) Benefits and finances | SW | 0 | 0.5 | 1 | 3 | Individualized | ||
| 20) Equipment/adaptations for home | O/T | 0 | 0.5 | 1 | 3 | Individualized | ||
| 21) Community/home visits | O/T | 0 | 1 | 3 | 5 | Individualized | ||
| 22) Key-working | … | 0 | 0.5 | 1 | 3 | Individualized | ||
| 23) Multidisciplinary meetings | State | 0 | Individualized | (–) | (–) | (–) | ||
| 24) Reports | State | 0 | Individualized | (–) | (–) | (–) | ||
| 25) Groups/extra therapies | State | 0 | Individualized | (–) | (–) | (–) | ||
| 26) (Accompanied) clinic attendance | State | 0 | Individualized | (–) | (–) | (–) | ||
O/T, occupational therapist; SLT, speech and language therapist; SW, social worker.
The algorithm is designed to provide a generic estimate of the implications for staff time associated with each item level of the NPTDA. The times were derived from the initial activity analysis presented in this article, but require testing and further development for other settings.
The computerized NPTDA data entry sheet automatically ascribes the hours of intervention shown for each level to the lead discipline as shown for levels 0–3. When levels 3.5 or 4 are entered staff are prompted to supply the estimated times for each discipline involved.