Stroke Early Supported Discharge Service
The Stroke Early Supported Discharge (ESD) service which launched in ocotber 2014, provides rehabilitation for people who have had a mild to moderate stroke, allowing them to return home sooner and aid long term recovery by providing specialist stroke rehabilitation within the patients own home.
What are the aims?
- To discharge patients home within 7 days of their stroke.
- To reduce length of stay in acute stroke units.
- To provide up to 4 weeks of specialist stroke rehabilitation to patients in their own homes who have had a mild to moderate stroke.
- To offer a 6 month review for all patients who have had a stroke in Hertfordshire.
What is the approach?
The team, part of Hertfordshire Community NHS Trust and funded by East and North Hertfordshire CCG and Herts Valleys CCG, includes stroke specialist physiotherapists, occupational therapists, nurses, clinical psychologists, rehabilitation assistants and social workers. The intensity of the rehabilitation sessions will be dependent on the patients clinical need and could be seen up to five times per week over a four week period. After the 4 weeks, if further support is required, the team will arrange referrals to other community teams.
What are the benefits?
The National Stroke Strategy states “supported discharge (ESD) to a comprehensive stroke specialist and multidisciplinary team in the community, but with a similar level of intensity to stroke unit care, can reduce long-term mortality and institutionalisation rates for up to 50 per cent of patients and lower overall costs.”
Early Supported Discharge enhances the existing stroke pathway within Hertfordshire by providing the intensity of specialist stroke rehabilitation to patients in their own homes. This improves the outcomes for patients, families and carers.
By offering a 6 month review to all patients who have had a stroke in Hertfordshire, any unmet need will be identified and addressed through referral to other services.
What are users experiences?
"After four days of care in hospital, I was sent back home with a dedicated team of experts in physiotherapy and occupational therapy, all looking after me at home with a view to getting me on the move and back to normal."
"The services was very suitable to my needs, the staff were excellent."
"Prompt, polite and helpful staff."