The Needs and Provision Complexity Scale: A multicentre prospective cohort analysis of met and unmet needs and their cost implications for patients with complex neurological disability.

brainNeurological conditions have an impact on a patient and his family, friends, and caretakers. To manage the needs of those with neurological conditions, it is important to examine where need exceeds the resources available. The Needs and Provision Complexity Scale (NPCS) could fill this role. The NPCS is a tool used to help plan for structured care. It estimates cost and describes the level to which health or social care needs are met. The NPCS measures both a person's need for rehabilitation as well as services provided.

The results of recent research testing the NPCS suggest that there are gaps between the needs of the population and services provided. The results suggest that medical and nursing care needs are well met; personal care was provided more often than expected. However, rehabilitation, social support, and equipment were not adequate to meet the need of people with a neurological disability.

Information obtained through the NPCS could influence clinical service-provision related decisions made in the future. This tool must be further validated, but the results align with information in the existing literature.

Turner-Stokes L, McCrone P, Jackson DM, et al. The Needs and Provision Complexity Scale: a multicentre prospective cohort analysis of met and unmet needs and their cost implications for patients with complex neurological disability. BMJ Open. (March 2013).

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