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NSW Brain Injury Rehabilitation Programs

BIRPs in NSW

NSW has seven NSW Brain Injury Rehabilitation Programs (BIRPs) located in Sydney and Newcastle metropolitan areas with eight BIRPs in key regional centres (Figure 1).

The 15 BIRPs are located in specific LHDs and operate for defined areas of NSW and the relevant to the type of program being provided. Table 16 provides a summary of BIRP services, the LHD in which they are located and the programs being provided. LHDs provide governance and financial management for the BIRPs located in their district and do not separately report on program outcomes to the Ministry.

The three adult inpatient services and the three paediatric in-reach services cover about a third of the state each. Table 1 provides the Greater Sydney and NSW catchment areas of the metropolitan adult inpatient and paediatric in-reach BIRP services. Access to BIRP services and intensity of intervention can be limited by distance and travel time in some areas of NSW, particularly for rural and remote locations.

Some clients will transition from paediatric to adult services upon completion of secondary education, when moving towards improving independence or introducing vocational goals.

The services network includes:

  • adult inpatient
  • Transitional Living Program
  • adult community team
  • adult case management
  • paediatric in-reach to acute
  • paediatric day program
  • paediatric community team
  • paediatric case management.

Paediatricians and general practitioners

To strengthen coordinated care close to home it is important to ensure that every child engaged with paediatric BIRP is also linked with a GP as early as possible. Consistent engagement between the GP and paediatric BIRP supports local strategies for holding care close to home.

Children's Healthcare Network

The Children's Healthcare Network (CHN) supports paediatric clinicians to provide high-quality healthcare across NSW. The vision and goal of CHN is that all children, regardless of where they live, will have access to high-quality healthcare, as close to home as possible.

CHN is divided into three regions, Northern, Western and Southern. Each region has a convenor and a coordinator. They are supported by the CHN Paediatric Clinical Nurse Consultants, who are employed by local health districts. The CHN Paediatric Clinical Nurse Consultants provide clinical expertise, support and education to health professionals employed within their districts.

Each region also has:

  • an allied health educator who provides educational support for NSW Health allied health professionals (including physiotherapists, occupational therapists and speech therapists) employed within their districts
  • a medical lead who provides medical expertise and leadership for the region.

Each CHN works in partnership with the paediatric hospital and LHDs in their region. Paediatric BIRP clinicians need to identify and connect with relevant local key contacts within each CHN to assist with the information regarding local services to support transfer of care to, and establishing partnerships with, local services.

Regional paediatrics NSW

RPNSW (Regional Paediatrics NSW) is a peer-support network for regional clinicians. RPNSW represents doctors, nurses and allied health professionals engaged in delivering paediatric services across regional and rural NSW. RPNSW is passionate about delivering high quality effective healthcare to kids in the bush. RPNSW is aligned with MP4 a group representing Level 4 paediatric services in the metro area, outside the three Children’s Hospitals and have the support of NSW Health.

Summary of BIRP services

Table 1. Summary of BIRP services
NameLHD
Adult inpatient
Transitional Living Program
Adult community
Adult case management
Paediatric in-reach to acute
Paediatric community
Paediatric day hospital
Paediatric case management

HNE Kids Rehab PBIRT

Hunter New England

    

Available

Available

 

Available

Hunter BI Service

 

Available

Available

Available[1]

    

New England BIRS

 

Available

Available

Available

   

Available

Illawarra BIS

Illawarra Shoalhaven

  

Available

Available

   

Available

Mid North Coast BIRS

Mid North Coast

  

Available

Available

   

Available

South West BIRS

Murrumbidgee

 

Available

Available

Available

 

Available

  

Northern BIRS

Northern NSW

   

Available

    

BIRS Royal Rehab

Northern Sydney

Available

Available

Available

Available

    

Southern Area BIS

Southern NSW

 

Available

Available

Available

   

Available

Liverpool BIRU

South Western Sydney

Available

Available

Available

Available

    

BIRP, Rehab2Kids
Sydney Children’s Hospital Randwick

Sydney Children’s

Hospital Network

    

Available

Available

Available

Available

BIRS, Kids Rehab,
The Children’s Hospital Westmead

    

Available

Available

 

Available

Dubbo BIRP
Lourdes Hospital

Western NSW

   

Available

    

Mid-Western BIRP
Bathurst Hospital

 

Available

Available

Available

   

Available

Westmead BIRS

Western Sydney

Available

Available

Available

Available

    

[1] HBIS provides adult case management to all clients receiving multidisciplinary specialist rehabilitation services. Ongoing case management post discharge from active rehabilitation is provided only to icare and Lifetime Care Scheme participants for 12-18 months.

Table 2. Greater Sydney and NSW catchment areas of the metropolitan adult inpatient services
BIRP adult inpatient service Greater Sydney catchment NSW catchment

Liverpool BIRU

SWSLHD, southern sector SLHD and SESLHD

Illawarra Shoalhaven LHD, Murrumbidgee LHD, Southern LHD plus the ACT

Royal Rehab BIRS

NSLHD; CCLHD, northern sector SLHD and SESLHD

Hunter New England LHD,

Mid North Coast and Northern LHDs

Westmead BIRS

SWLHD,

Nepean Blue Mountains LHD

Western NSW LHD, Far West LHD

Table 3. Greater Sydney and NSW catchment areas of the metropolitan paediatric in-reach services

BIRP paediatric in-reach services*

Greater Sydney catchment

NSW catchment

PBIRT HNE Kids Rehab JHH Newcastle

CCLHD

Hunter New England LHD,

Mid North Coast and Northern LHDs

BIRP, Rehab2Kids Sydney Children’s Hospital Randwick

SWSLHD, SLHD, NSLHD and SESLHD

Illawarra Shoalhaven LHD,

Murrumbidgee LHD, Southern LHD

BIRS, Kids Rehab, The Children’s Hospital Westmead

SWLHD,

Nepean Blue Mountains LHD

Western NSW LHD, Far West LHD

Services by region

Hunter New England

Visit HNE Health website

Newcastle adults: 02 4924 5600

Tamworth: 02 6767 8350

Newcastle adults

Tamworth

Illawarra Shoalhaven

Nowra: 02 4223 8470

Port Kembla: 02 4223 8470

Nowra

Port Kembla

Mid North Coast and Northern NSW

Coffs Harbour: 02 6659 2300

Port Macquarie: 02 5525 0585

Ballina: 02 6620 6361

Coffs Harbour

Port Macquarie

Ballina

South Western and Southern NSW

Albury and Wagga Wagga: 02 6041 9902

Goulburn: 02 4823 7911

Albury and Wagga Wagga

Goulburn

Sydney

Northern Sydney - Ryde: visit Royal Rehab website inpatient program and community rehab

South Western Sydney - Liverpool: visit SWSLHD website

Western Sydney - Westmead: visit WSLHD website

Sydney Children's Hospitals Network

Visit SCHN website for information on services at both Westmead and Randwick

Western NSW

Bathurst: 02 6630 5114

Dubbo: 02 6841 8559

Bathurst

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