Martin-Saez, MariaDeakins, JoeWinson, RachelWatson, PeterWilson, Barbara A2020-02-062020-02-062011-12-14http://dx.doi.org/10.1080/09602011.2011.614378https://lib.digitalsquare.io/xmlui/handle/123456789/3593In 2003 Wilson Scott Evans and Emslie published a report of a new healthcare resource a paging system designed to reduce the everyday problems of people with neurological deficits who experience memory and or planning problems The system was established following several research studies carried out to evaluate its effectiveness Information was collected on the first 40 clients recruited to the service The purpose of the present study is to determine how the service might have changed over a 10 year period The most recent users of the service N 40 have been compared with the original cohort of 40 clients In addition in 2007 clients were given the opportunity to use their mobile telephones to receive messages 17 chose to do so There was no difference in age between the telephone users compared to the pager users but those using a pager were less likely to have sustained a traumatic brain injury TBI and were more likely to be longer post insult There were no significant differences in the gender or ages of the people using the pager compared with those using the telephone service However the mean overall time since injury for the last 40 referrals was 9 48 years compared to 4 56 years for the original cohort Both cohorts comprised several diagnostic groups clients with TBI formed the largest subgroup followed by those with stroke This is typical of patients seen for rehabilitation with other diagnostic groups forming a smaller percentage We wanted to determine whether the range of diagnoses was similar over the 10 year period Despite slight differences we found a similar range of patients referred In both cohorts the most frequent messages sent each week related to medication 27 9 in the first compared to 28 6 in the second More messages were sent regarding mood management in the second cohort No such messages were sent to the first 40 clients whereas over 27 per week were sent to the last 40 Fewer health authorities N 21 were referring after 10 years in comparison with 26 referrers for the first cohort