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t Is wIdeIy accepted that earIy supported
dIscharge Ior approprIate stroke patIents Is
best practIce (1) however there are no centraI
guIdeIInes as to how that servIce Is deIIvered.

NatIonaIIy there Is great varIatIon wIth some
servIces outreachIng Irom the acute hospItaIs,
and others havIng specIIIc teams soIeIy
deIIverIng thIs much needed rehabIIItatIon.

!3*$ :" '55"(;

For those patIents comIng out oI Dorset County
HospItaI, ESD Is coordInated by a centraI team
wIth the maIn therapeutIc rehabIIItatIon beIng
deIIvered by the geographIcaIIy reIevant ntegrated
CommunIty Rehab Team (CRT).

These teams provIde up to two weeks oI IntensIve
therapy, supported by heaIth and socIaI care
assIstants and Rehab assIstants, addressIng the
patients own goals. If there are outstanding goals
then the CRTs are able to continue under their
usuaI servIce specIIIcatIon - thus IacIIItatIng the
flow of the patients rehab.

--<=>9

The SentIneI Stroke NatIonaI AudIt Programme
(SSNAP) Is a programme oI work whIch aIms to
Improve the quaIIty oI stroke care by audItIng
stroke servIces agaInst evIdence based
standards.

Our ResuIts:

Our SSNAP resuIts Ior aII Iour quarters oI thIs
IInancIaI year show our modeI oI servIce
provIsIon works, and works weII. Our servIce
perIorms sIgnIIIcantIy above the natIonaI
average Ior goaI settIng, daIIy provIsIon oI each
approprIate therapy, and the percentage oI
patIents receIvIng the NCE quaIIty standard Ior
therapy IntensIty (2).

LocaIIy we know that 85Z oI ESD patIents
achIeve a statIstIcaIIy sIgnIIIcant Improvement
In theIr person centred goaIs (3).

And the service users and their carers seem
to reaIIy apprecIate the servIce too.

Thanks to aII InvoIved!
]anet Hornby ESD Team Lead
Stroke ESD servIce 07717 782701





ExceIIent servIce- so
heIpIuI and gave us
confidence. Couldnt
ImagIne how we wouId
have managed wIthout
such advIce and heIp
do not thInk anythIng
couId have been done
better

FeIt very supported. FeIt
very IrIghtened on
IeavIng hospItaI so It was
nIce to have contInuIty oI
care
ReIerences: NatIonaI CIInIcaI CuIdeIInes Ior Stroke 2013 (1)] SentIneI Stroke NatIonaI AudIt Programme (SSNAP) Report (2)] ESD ServIce Feedback Iorms (3)

Z oI target achIeved PT Z oI target achIeved OT
Z oI target achIeved
SALT
Dorset HeaIth care 72.3 94 40.1
NatIonaIIy 24.8 22.3 10.2
0
10
20
30
40
50
60
70
80
90
100
A comparIson oI daIIy percentage oI therapy receIved
25.2
31.6
27.1
24.9
34.2
43.3
20.4
27.9
34.2
21.4 21.8
23.8
9.5
12.8
11
9.2
13.3
11.3
8.4
12.8
11.3
7.6
11.8
11.2
0
5
10
15
20
25
30
35
40
45
50
SALT PhysIo OT SALT PhysIo OT SALT PhysIo OT SALT PHYSOOT
Quarter 1 Quarter 2 Quarter 3 Quarter 4
M
I
n
u
t
e
s

p
e
r

d
a
y


A comparIson oI average number oI mInutes oI PhysIotherapy,
OccupatIonaI and Speech and Language therapy receIved per day
Dorset HeaIth care
NatIonaIIy