Community Stroke Rehabilitation Team

The Community Stroke Rehabilitation Team provides aspecialist home based rehabilitation service for patients who are discharged from hospital following a stroke or who remain at home after a stroke. We provide Occupational Therapy, Physiotherapy, Speech & Language Therapy, Nursing and Dietetic services. We liaise closely with hospital wards, Social Services, Stroke Consultants, outpatient Therapy Services, GP practices and the Stroke Association.

 

Service Aims

  • To help a person and their family or carers to adapt to living at home again following a stroke
  • To improve mobility, cognition, communication, nutrition and health
  • To become more independent and confident in carrying out everyday tasks at home and in the community
  • To prevent further stroke episodes.

 

Hours of Operation

The service operates 7 days a week, including bank holidays and weekends. We usually visit between 8.30 am and 5.00 pm.

 

Pathway

We accept referrals from health care professionals for newly diagnosed stroke patients.

We have daily contact with hospital stroke services to identify patients close to discharge.

We visit patients at home within two days of discharge from hospital or within two days of a community referral to establish which individual services are required.

Patient led treatment programmes are tailored to individual needs, ranging from a few sessions to several visits per week.

The timing and frequency of visits is agreed between the patient and the team.

Progress is reviewed at the end of twelve weeks to determine how the person’s ongoing needs can best be met.

Patients may be referred on to outpatient therapy and dietetics services, or to community nursing services.

The team will signpost patients and families towards the Stroke Association, Age UK, Social Services, a wide range of voluntary agencies, to ensure that all appropriate support is accessed.

 

Information Leaflets

Patient Information Leaflet

Referral form

 

Key Contacts   

Clinical Co-ordinator    
Dr Fiona Stewart

Administrator
Catherine Melvin

Tel:       0191 569 9305
Fax:      0191 569 9306