Responding to COVID-19 and Beyond:

 

Framework for assessing early rehabilitation needs following treatment in intensive care

 

The Post ICU Presentation Screen (PICUPS) is a simple 14-item clinical tool developed to support triage and handover of patients stepping down from ITU into the acute wards, and onwards into rehabilitation. The PICUPS Plus represents 10 additional items to identify potential higher-level items that may need to be addressed as the patient progresses during acute care.

Their purpose is:

  • To inform the immediate plan for care on the acute ward.
  • To identify problems likely to require furthermore detailed assessment / evaluation by members of the multi-disciplinary team and so trigger appropriate referrals.

Together, these help to inform development of a personalised Rehabilitation Prescription as the patient leaves the acute care setting. The RP sets out their needs for rehabilitation and helps to direct their on-going care after discharge from the acute ward. For most patients, this will be to home and community based services, but a small proportion may require a further period of inpatient rehabilitation before they are ready to leave hospital.

As well as guiding decision-making for individual patients, this information will help to identify where their needs are and are not being met. Used at population level, the information will enable us to quantify shortfalls in current service provision and to estimate the gap between capacity and demand for future planning. Developed in the context of the Covid-19 pandemic, the tools are also expected to be useful in future for any patient following prolonged treatment in intensive care.

Piloting

We have extended national pilot started in December 2020. The aim is to encourage all ICUs in the UK to be using the PICUPS and RP routinely for all patients (COVID-19 and non-COVID) and to submit data to UKROC.

If you would like to become a pilot site, please contact: ICSRehabCollaborative@ics.ac.uk.

Dataset

The longer term aim is to establish the PICUPS and RP as part of the national data collection for patients who have ongoing needs for rehabilitation after leaving intensive care. A summary of the full dataset is available here: Full dataset collection paper form for PICUPS and RP

For further information please contact UKROC team: LNWH-tr.ukroc-rp@nhs.net

Download all documents below

Framework for assessing rehabilitation needs following treatment in intensive care

Framework includes 'PICUPS tool' and 'PICUPS data collection sheet and rehab prescription' documents.

For more information, download the framework here >>  

PICUPS Tool 

To be used in conjunction with the 'Framework for assessing rehabilitation needs following treatment in intensive care' and 'PICUPS data collection sheet and rehab prescription' documents.

The Post-ICU Presentation Screen – PICUPS Community version

The PICUPs-community is a version of  helps to monitor functional change as patients recover from severe illness and injury in the community. It is written to allow self-reporting by patients or their loved ones, with the content designed to mirror the hospital version in order to help guide referral to the areas of intensive care that aid the individual’s rehabilitation.

for more information, download PICUPs Community here >>  

Framework for assessing early rehabilitation needs following treatment in intensive care deep dives 


Please find below supplementary resources developed by our expert writing groups specialising in dietetics, neurology, occupational therapy, physiotherapy, psychology and speech and language therapy.