Stroke Communication Service

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 PS48K 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.