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The service is available to patients aged 18 and over with a registered GP in the SNEE area.
This service sits within the stroke and neuro rehabilitation suite of services to help support those who are suffering the affects of a stroke.
Comprehensive Support for Stroke Survivors and Carers:
• Extends support from the acute stroke unit to one year post-stroke, or longer based on patient needs.
• Provides a single point of contact for stroke survivors and carers to navigate the health and social care system effectively.
• Includes independent needs assessments and ongoing support for patients and carers.
Improved Health Outcomes:
• Maximises rehabilitation potential for stroke survivors.
• Promotes education to prevent stroke recurrence and manage complications like urinary tract infections, constipation, and falls.
• Supports lifestyle changes to reduce risk factors such as smoking and obesity.
Emotional and Social Support:
• Enhances emotional recovery and confidence for stroke survivors.
• Establishes long-term support groups for ongoing community engagement.
Cost Efficiency for Healthcare System:
• Reduced reliance on GP services by stroke survivors who receive proper support.
• Research indicates cost pressures of £48K per year per patient if rehabilitation potential is not maximised.
Data Collection for Future Service Improvement:
• A fully functional outcomes framework monitors progress and collects cross-organisational data for future developments.
Alignment with NHS Long Term Plan:
• Supports higher intensity rehabilitation models, ensuring better outcomes for stroke survivors and promoting equity across healthcare systems.