Stroke Communication Service

Descriptions

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.