Sorry in advance if this sounds a bit strange to some of you in other countries!
 
The three acute hospitals in my county - Leicestershire, England, have just merged to become one of the biggest Trusts in the country. We are also going throuogh an acute service re-organisation with the idea being of having two acute hospitals and one hospital for planned care and rehabilitation (primarily elderly / neuro rehab and cold orthopaedics). This is potentially very exciting for physio. However they are at present looking at how to sort out the separate directorates eg medical, trauma & orthopaedics, general surgery, renal, cardiothoracics etc. Currently physio and OT are part of Clinical Support Services Directorate, but our new chief exec is reviewing this and one option is that we are placed in the other directorates, ie each directorate will employ it's own physio service.
We would be grateful to here from other people who have had experiences, good or bad, of any of these structures particularly their effect on 1) pt care and 2) staff recruitment and retention.
 
Thanks
Alison Dakin
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