Date post: | 25-Jun-2015 |
Category: |
Health & Medicine |
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Life After Stroke Commissioning Guide
Mark Hindmarsh
Senior Project Officer,Commissioning Support for London
London stroke strategy – where this fits
London stroke strategy (2008)
Public consultation (2008/09)
Rehab commissioning guide (2009)
Life after stroke (2010)
Principles
Active citizenship
Quality of life
Empowerment
Scale of need
• Prevalence ranges from 1.6% to 0.8% of registered GP population• 88,000 people across London on GP registers have had a stroke or TIA
Sum of stroke and TIA patients in a GP register in 2008/9
Diverse needs
15% have on-going continence problems
25% of nursing home residents have had a stroke
33% of stroke survivors report depressive symptoms
20% “silent stroke” – underlying cognitive problems
Regular review
Needs change over time
Recognise variability of needs and aspirations
National guidance – 12 monthly review
Stroke survivor
Social care
GP
Therapist
Stroke navigator
Structured social group
Information
Stroke care navigator– Single point of contact– Direct role in delivering care– Coordinate care packages– Training stroke survivors and carers– Work across different sectors
London stroke directory
www.londonstrokedirectory.org.uk
Engaging with community life
Stroke survivors do not get out of the home as much as they would like
Building confidence
Addressing practical issues
Community/social groups have benefits beyond primary purpose
Peer support & peer-led services
Peer support
Improve emotional wellbeing
Build capacity
Sense of purpose
Range of functions
Confidence
Source of information
Improve functional
status
Carers and families
Carers have a right to their own needs review
Training and education should be provided
Local authority and charitable sector support is available
Conclusion
Operating services across the different sectors has track record of success
Develop and empower people
Published guide is available today
Will also be available to download