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Community Stroke Team

 

Our Service

Our aim is to provide a community stroke rehabilitation service following a recent stroke. We are a multi-disciplinary team that provides short term therapeutic input rather than a care service.

Referrals are made following a diagnosed stroke directly to the Community Stroke Team from a ward or the Stroke Consultant.

Following a referral to the Community Stroke Team, we aim to offer an initial assessment within 2 days. This assessment allows us to identify if there are goals that we can work towards within the patients rehabilitation. These assessments are completed in a home environment and determine which therapists would be most appropriate to aid in reaching the goals discussed. If accepted, we are then able to arrange further visits from relevant members of our team listed below.

Every Northamptonshire stroke survivor, regardless of whether they were seen by the Community Stroke Team will be offered a 6 Month Review to discuss their progress. This is an opportunity to pick up on additional goals and support that a patient may require. Our reviews can be carried out at a patients home, clinic or over the telephone. These reviews may take place 4-6 months following a stroke. See our 6 month review section below for more details.

The Team

The team is made up of several professions who all work together to ensure a good quality service is provided. Click on the links below to find out more information on how each profession could assist patients through Stroke rehabilitation:

- Physiotherapists

- Occupational Therapists

- Speech and Language Therapists

- Rehab Assistant/Practitioners

- Psychologists

- Nurses

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6 Month Reviews

A 6 Month Review (6MR/V) is a holistic review of a stroke patient 6 months post the date of stroke and should be completed by a nurse, therapist or rehabilitation practitioner specifically working in an organisation with expert knowledge of stroke. This review should be offered to every stroke survivior regardless of whether they were referred to the Community Stroke Team. For many, the full impact of a stroke is usually only realised following discharge from hospital or from formal rehabilitation. It is then that any further unmet needs can arise and patients can find it difficult to access services at this point. Reviews are carried out to ensure patients and carers receive the appropriate level of support and access to services as their needs require. There are many benefits to offering a 6MR/V including reduced GP/consultant appointments, increased understanding of stroke and secondary prevention, reduced adult services and care packages, improved joint working across agencies and a continuity of care. These 6-month reviews are goal driven and often enable patients to have a greater ability to cope and self-manage, increased independance and an improved quality of life following their stroke.

The Greater Manchester Stroke Assessment Tool (GM-SAT) is used to complete the review and this information collected and inputted onto Sentinel Stroke National Audit Programme (SSNAP) with the patients consent. This data is collected to monitor how well patients recover from their stroke.

Please see a list below of our resources relating to our 6 Month Reviews:

- 6MR/V Training PowerPoint

- 6MR/V Film

- 6MR/V Case Study

- GM-SAT Algorithms

- GM-SAT Review Summary

- GM-SAT Review Proforma

- GM-SAT2 Self Assessment Questionnaire

- Modified Rankin Scale (MRS)

- SSNAP Consent Booklet

- Pathway Feedback Form

- Patient Satisfaction Survery 

- Survey Results

- Service Specification

- SSNAP 6MR/V & Case Study

 

Patients & Family Experiences

Please see some direct quotes below from our anonymous Patient Satisfaction Survey:

"Excellent service. First class. The community Stroke Team have been excellent, friendly and very supportive."

 

"The support and expertise of the CST has been invaluable and excellent in equal measure. I speak to friends and family who are surprised and delighted at the support I have received since leaving hospital. I cannot praise your service more."

 

"The CST provided me with invaluable support - not just from the strength building physio and the OT that enabled me to undertake practical tasks that were a challenge at first, but from the knowledge that I had the support of a great team behind me when I needed it."

 

"There was 7 weeks of continuous support and encouragement. We did not mind what days the team called, we always had a timetable in advance.  We cannot praise the Stroke Team enough. The care, consideration, encouragement and patience was always there no matter who visited us. Anyone who declines their help doesn't know what they are missing. Long may they continue to give this marvellous support. It was a great help to me as well as my husband who suffered the stroke."

 

Additional support

Please click on the links below for additional support and services:

https://www.stroke.org.uk

https://differentstrokes.co.uk

Stroke Groups

Secondary Stroke Prevention

FAST Details

Carer/Family Support 
Did you know if you care for someone, you are entitled to use gyms and leisure facilities free of charge? Click here for further details.

 

 

 
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