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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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meeting the standards
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
Standards
  • National stroke strategy
  • London stroke strategy
  • RCP guidelines
stroke services
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)
what does this mean
What does this mean?
  • Who its provided by
  • What’s provided
  • How it is provided
staffing
Intensity

Specialism

Duration

Staffing
intensity
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
therapy duration
Therapy duration
  • How much is enough?
  • Your choice … what outcome do you want?
what is provided
What is provided?
  • MDT
  • Specialist
what is the difference
What is the difference …
  • Intermediate care teams
  • Neurology teams
  • Case management
  • Outpatient clinics
  • ESD vs community team
in summary
In Summary
  • Standards provide basic requirements
  • Type and purpose of the service will guide measures used
  • Stroke rehabilitation is worth the investment!