High Intensity Nursing (HIN)

High Intensity Nursing (HIN)2018-12-06T14:29:28+01:00

With our highly specialist medical and nursing team, we support patients at every stage of their recovery journey which including those that are not yet able to participate in active rehabilitation or still require ongoing intensive support. Our medical and nursing team have had extensive experience working within spinal and neuro services so are adept at managing individuals with particularly complex presentations.

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It isn’t always possible to determine when people will be enough to engage with a full rehabilitation programme intensive nursing care can be required for a varied length of time. Individuals that are admitted as part of the nursing pathway all have goal driven programmes of care which are evidence based and outcome focused. Our aims are always to reduce the individuals level of dependency on medical, nursing and care support with a view to them moving on to a programme of rehabilitation or returning home.


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The HIN pathway is designed for people that are deemed medically stable but remain at high risk of complications or deterioration. This could be because of respiratory difficulties which require a tracheostomy or ventilator or issues such as breakdown of skin integrity requiring intensive pressure care management.

Patients may present with:

  • Respiratory difficulties requiring tracheostomy and/or mechanical ventilation
  • Breakdown of skin integrity requiring wound management
  • Complex feeling regimes e.g. PEG or modified diets
  • Bowel and bladder function

  • Post-surgical recovery


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A Clinical Nurse Specialist leads the nursing and care function across the service providing professional leadership, support and guidance to the team. Registered Nurses with both general nursing and mental health experience provides a range of skills that can meet both the physical and psychological needs of the patient. The nursing team are supported by Healthcare Assistants who have completed the care certificate and either achieved or working towards a minimum of NVQ Level 3 in health and social care.

Even if the patient isn’t able to participate in active rehabilitation, depending on their presenting needs, the appropriate therapy or medical professionals are engaged to complete assessment or provide advice to the nursing team on specific interventions.


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We utilise a range of clinical outcome measures to monitor and review patient progress and in particular dependency on nursing and care support. By providing high intensity nursing support and gaining control of the presenting symptoms, the goal is to reduce the level of nursing input required to enable the individual to engage in a therapeutic rehabilitation programme.


Referrals can be made directly by phone or email.

A member of the team will discuss your requirements and take some initial details about the person being referred. We usually ask for relevant medical information to be sent to us so we can determine presenting needs and arrange for an appropriate member of the team to complete a pre-admission assessment.

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