COMMISSIONING STROKE REHABILITATION

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COMMISSIONING STROKE REHABILITATION

• Meeting the standards

Marisa Rose Acute Stroke Lead NEL Cardiac and
stroke network Marisa.rose_at_bdpct.nhs.uk Sue
Winnall Head Occupational therapist
Rehabilitation Mile End Hospital Sue.winnall_at_thpct
.nhs.uk
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Standards

• National stroke strategy
• London stroke strategy
• RCP guidelines

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Stroke services

• What is needed?
• Specialist rehabilitation (NS QM 10)
• Community stroke service with staff with stroke
  specialist skills (LSS)
• ESD service with staff with stroke specialist
  skills (LSS)
• Vocational rehabilitation (NS QM16)
• Long term support (NS Qm13 and 15)

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Standards- Inpatient
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Standards- Inpatient
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Standards- community
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Standards- community
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Standards- comm and voluntary
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What does this mean?

• Who its provided by
• Whats provided
• How it is provided

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Staffing

• Intensity
• Specialism
• Duration

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Intensity

• How much to buy? What are the benefits?
• London stroke strategy standards
• Inpatient 5 x 45 mins of OT, PT , SLT per week
  as necessary (R15)
• ESD- 3 hours 45 mins per week within the first
  two weeks
• Community- 2 hours 15 mins per week for the first
  four weeks of individual sessions OT, PT and SLT

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Specialism
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Therapy duration

• How much is enough?
• Your choice what outcome do you want?

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What is provided?

• MDT
• Specialist

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What is the difference

• Intermediate care teams
• Neurology teams
• Case management
• Outpatient clinics
• ESD vs community team

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In Summary

• Standards provide basic requirements
• Type and purpose of the service will guide
  measures used
• Stroke rehabilitation is worth the investment!