NHS stroke rehabilitation pilot sites

Research has shown that stroke units and early supported discharge (ESD) services are clinically effective and cost effective. There is also clear and consistent evidence that many stroke survivors have unmet physical, psychological, and social unmet needs following discharge from hospital and in the longer term.

The NHS Long Term Plan commits to increasing the availability and quality of stroke rehabilitation services, ensuring that people get high quality rehabilitation to help them recover after their stroke and remain as independent as possible. The Plan states a need for improved stroke rehabilitation models by 2020, to support the after-care people affected by stroke receive when they leave hospital. It includes a commitment to establish stroke rehabilitation pilot sites in order to further develop the evidence base for community stroke rehabilitation services.

The new NHS stroke rehabilitation pilot sites will support the implementation of evidence based enhanced rehabilitation across the stroke pathway including ESD, community based rehabilitation, psychological and vocational rehabilitation. The pilots will inform future national stroke service developments with the intention of improving functional outcomes and quality of life for patients who have experienced a stroke.

We are inviting expressions of interest from areas to become stroke rehabilitation sites. There is information on requirements and criteria in the documents below.

Expressions of interest

Expressions of interest to become a stroke rehabilitation pilot site are now open and will close on 27 January 2020 with a view to notifying successful sites by mid-February 2020.

Criteria and guidance for submitting an expression of interest is included in the below Expression of Interest document.

Service specifications about components of the stroke pathway are available on the FutureNHS Stroke site.  If you are interested in this work and do not yet have access to the site please email england.clinicalpolicy@nhs.net

Expression of Interest Forms with further detail, and supporting financial and mobilisation information are available below:

Evaluation of the pilots

The NHS stroke rehabilitation sites will be pilot services, but the evaluation will be a full and robust evaluation not a pilot study. Evaluation will be based on levels of Early Supported Discharge (ESD) and community based rehabilitation, and standardised clinical measures at each transition. Evaluation will also have a clear focus on system level changes, clinical outcomes and patient satisfaction. The evidence obtained will inform future national stroke service developments.