Early Supported Discharge (ESD) is the discharge of a stroke patient from hospital to their own home, co-ordinated by a team of therapists, nurses and a doctor. A number of ESD services have been set up across England. Do these services offer the same benefits to patients as those identified in clinical trials?
Our core service provides high quality information, emotional support and practical advice in the aftermath of a stroke. We begin working with a stroke survivor and their family immediately following a stroke, and will continue to provide the support people need, for as long as they need it – in hospitals and care homes, within their own homes and back into the community.
Stroke Early Supported Discharge (ESD) is a multidisciplinary team intervention that clinical trials have shown reduces length of hospital stay and reduces risk of death and dependency. This research programme will investigate the impact of implementing ESD at scale and in real world conditions and investigate which models of ESD are effective in practice.
David is Consultant Physician and Clinical Lead for Stroke Medicine at East Kent Hospital University Foundation Trust. He is dedicated to delivering the best stroke care from prevention to long-term rehabilitation and has been instrumental in the reorganisation of stroke services in Kent and Medway.
Neil was a bright, sporty 13 year old who loved playing rugby and swimming. In late 2015, his life changed dramatically when he became suddenly unable to move his arm or speak at all. At hospital Neil’s family were told he’d had a stroke, caused by a rugby tackle a few weeks earlier.
These summaries of our completed research projects highlight what work was undertaken, which aims were achieved and where the research is going next.
About 80% strokes are caused by a blocked blood vessel. One third of these patients have a blockage of a large blood vessel in the neck or brain known as large artery occlusion stroke (LAOS).
When Dawn was seven years old, she was taken, without explanation, from her home in Jersey to Guy’s Hospital in London. She had difficulties with communication and so was sent away to a special needs school and also underwent some medical procedures, but was never told why.
As well as reducing independence, walking problems after stroke lead to lower daily activity, increasing risk of further stroke and health problems. A promising method of improving walking after stroke is through ‘auditory rhythmical cueing.’ which involves people walking to the rhythm of a sound beat.
The West Somerset Stroke Club was founded in 1977 by a Speech and Language Therapist and an Occupational Therapist. Working with skilled and friendly volunteers, the two co-founders are now retired but are still running the club which meets every Wednesday during school terms from 10.00am - 2.00pm.
The Club offers support and advice to people who have experienced Stroke illness.