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<p>NHS England has advised that all three centres have periodically experienced problems
admitting patients promptly, especially for those patients requiring ventilation,
and consequently waiting lists for admission have developed. To ensure patients awaiting
admission receive appropriate assessment and support, the centres have been providing
outreach care to patients at the hospitals to which they are admitted, which will
usually be a major trauma centre.</p><p> </p><p>The fluctuations of waiting times
and the ability to discharge a patient to the next phase of their care are key factors
in enabling the admission of new patients to a centre. NHS England, the eight specialist
centres in England and the Spinal Injuries Association are working together to recommend
changes to the continuing care process that would enable spinal cord injured patients
to move to the next stage of their care as soon as clinically appropriate.</p><p>
</p><p>The overall bed complement for England is being reviewed through a demand and
capacity project, led by the Spinal Cord Injury Clinical Reference Group (CRG). The
CRG aims to produce a report in 2015-16.</p>
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