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COMMISSIONING STROKE REHABILITATION

Meeting the standards. Marisa Rose Acute Stroke Lead NEL Cardiac and stroke network Marisa.rose@bdpct.nhs.uk Sue Winnall Head Occupational therapist – Rehabilitation Mile End Hospital Sue.winnall@thpct.nhs.uk. COMMISSIONING STROKE REHABILITATION. Standards. National stroke strategy

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COMMISSIONING STROKE REHABILITATION

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  1. Meeting the standards Marisa Rose Acute Stroke Lead NEL Cardiac and stroke network Marisa.rose@bdpct.nhs.uk Sue Winnall Head Occupational therapist – Rehabilitation Mile End Hospital Sue.winnall@thpct.nhs.uk COMMISSIONING STROKE REHABILITATION

  2. Standards • National stroke strategy • London stroke strategy • RCP guidelines

  3. 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)

  4. Standards- Inpatient

  5. Standards- Inpatient

  6. Standards- community

  7. Standards- community

  8. Standards- comm and voluntary

  9. What does this mean? • Who its provided by • What’s provided • How it is provided

  10. Intensity Specialism Duration Staffing

  11. 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

  12. Specialism

  13. Therapy duration • How much is enough? • Your choice … what outcome do you want?

  14. What is provided? • MDT • Specialist

  15. What is the difference … • Intermediate care teams • Neurology teams • Case management • Outpatient clinics • ESD vs community team

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

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