Saturday, 17 September 2011
Sunday, 3 August 2008
NEWS STROKE GUIDELINES 3RD EDITION 2008 BY THE ROYAL COLLEGE OF PHYSICIANS
New guidelines for Stroke and TIA were issued last week, in fact there were two sets of guidelines this time, issued on the same day!! Did or does anyone who has had a stroke, a carer, a family member, a friend or anyone else for that matter know about these guidelines, before they were issued, and lives in the UK?
Please contact me one way or the other to this question by leaving comments on this subject.
Thank you
Brian
Please contact me one way or the other to this question by leaving comments on this subject.
Thank you
Brian
Monday, 2 June 2008
Closer to Home
Health Changes Published on 09/01/2008 in News&Star Cumbria
Last updated 11:30, Wednesday, 02 April 2008
I AM a member of Strokelink West Cumbria stroke club, and have been from its inception
Closer to home
Stroke patients beware changes
I gave two talks in Cumbria on stroke in the early 2000s and always supported your local stroke services. I live in Kingston upon Hull East Yorkshire, I am a stroke survivor.
I have been following closely the proposed changes and the implications they could have in Cumbria under the guise of Closer To Home with everyone saying ‘this is a good thing’, having to move on, bringing your health services up to date.
Now, this is news to me. It is a good job not everyone agrees with these proposals.
This will be a backwards move for anyone having a stroke in Cumbria, be they visitors or living in your county. You only have to go back a few years when you had no stroke service to speak of, and stroke survivors and carers worked very hard to get your stroke service where it is today with the help of dedicated professional specialising in strokes.
The proposed changes, from what I can see, state that stroke survivors will receive their rehabilitation in the community hospitals, and not the West Cumberland Hospital where the expertise is based.
I understand this will result in the closure of the Younger Disabled and the Ullswater Stroke Unit, taking away the benefits of being treated on a specialist and dedicated unit.
The idea that you can put a stroke patient on any general ward instead of a specialist stroke or rehab ward will set you back years in stroke care and flies in the face of all evidence that I have read.
There are other implications from what is being proposed in this consultation document.
If thrombolysis [break down of blood clots] is started at West Cumberland, as proposed, how will those patients be monitored closely by the consultant? On which ward will they be? Is the infrastructure and training in place for this?
Patients waiting unacceptably prolonged lengths of time to receive investigations are at high risk of recurrent stroke and this too could be legally challenged.
Acute rehabilitation will no longer be the case post stroke in the hospital after or well beyond three days, as happens now.
Stroke patients would be put onto general wards or into cottage hospitals and not a specialist stroke unit. Would the standard of care received on a specialist stroke unit be the same and will the special needs of stroke survivors be addressed?
Consultant physicians at the moment have a high level of involvement. This, in my opinion, will no longer be the case.
GPs do not have the special knowledge or expertise in stroke when further medical care is needed in a cottage hospital.
The emotional and psychological aspect of a stoke can be very complex and I very much doubt that staff on general wards or within cottage hospitals will have the special training needed to address this issue.
Will there be enough staff to handle and move stroke survivors? Again staff will not be trained to the high standard required in the care of stroke survivors, in my opinion.
Patients would not receive adequate rehabilitation, as special neuro-therapy teams would not be in attendance, so recovery to one’s full potential would be taken away and higher degrees of disability could or would result.
Would the discharge assessments, carers’ assessments, be within the correct time frame and who would carry these out if you have stroke patients scattered here there and everywhere? Are social services going to increase their staffing levels to meet the extra work?
There will be a much heavier demand on social services and the voluntary services – are they equipped and fully trained in stroke care, are they prepared for the extra work that will arise? I am thinking here of the family, carers and loved ones who will have much more to worry about if this comes into being, who will look after their emotional and psychological problems?
BRIAN ARCHIBALD
Stroke survivor
Last updated 11:30, Wednesday, 02 April 2008
I AM a member of Strokelink West Cumbria stroke club, and have been from its inception
Closer to home
Stroke patients beware changes
I gave two talks in Cumbria on stroke in the early 2000s and always supported your local stroke services. I live in Kingston upon Hull East Yorkshire, I am a stroke survivor.
I have been following closely the proposed changes and the implications they could have in Cumbria under the guise of Closer To Home with everyone saying ‘this is a good thing’, having to move on, bringing your health services up to date.
Now, this is news to me. It is a good job not everyone agrees with these proposals.
This will be a backwards move for anyone having a stroke in Cumbria, be they visitors or living in your county. You only have to go back a few years when you had no stroke service to speak of, and stroke survivors and carers worked very hard to get your stroke service where it is today with the help of dedicated professional specialising in strokes.
The proposed changes, from what I can see, state that stroke survivors will receive their rehabilitation in the community hospitals, and not the West Cumberland Hospital where the expertise is based.
I understand this will result in the closure of the Younger Disabled and the Ullswater Stroke Unit, taking away the benefits of being treated on a specialist and dedicated unit.
The idea that you can put a stroke patient on any general ward instead of a specialist stroke or rehab ward will set you back years in stroke care and flies in the face of all evidence that I have read.
There are other implications from what is being proposed in this consultation document.
If thrombolysis [break down of blood clots] is started at West Cumberland, as proposed, how will those patients be monitored closely by the consultant? On which ward will they be? Is the infrastructure and training in place for this?
Patients waiting unacceptably prolonged lengths of time to receive investigations are at high risk of recurrent stroke and this too could be legally challenged.
Acute rehabilitation will no longer be the case post stroke in the hospital after or well beyond three days, as happens now.
Stroke patients would be put onto general wards or into cottage hospitals and not a specialist stroke unit. Would the standard of care received on a specialist stroke unit be the same and will the special needs of stroke survivors be addressed?
Consultant physicians at the moment have a high level of involvement. This, in my opinion, will no longer be the case.
GPs do not have the special knowledge or expertise in stroke when further medical care is needed in a cottage hospital.
The emotional and psychological aspect of a stoke can be very complex and I very much doubt that staff on general wards or within cottage hospitals will have the special training needed to address this issue.
Will there be enough staff to handle and move stroke survivors? Again staff will not be trained to the high standard required in the care of stroke survivors, in my opinion.
Patients would not receive adequate rehabilitation, as special neuro-therapy teams would not be in attendance, so recovery to one’s full potential would be taken away and higher degrees of disability could or would result.
Would the discharge assessments, carers’ assessments, be within the correct time frame and who would carry these out if you have stroke patients scattered here there and everywhere? Are social services going to increase their staffing levels to meet the extra work?
There will be a much heavier demand on social services and the voluntary services – are they equipped and fully trained in stroke care, are they prepared for the extra work that will arise? I am thinking here of the family, carers and loved ones who will have much more to worry about if this comes into being, who will look after their emotional and psychological problems?
BRIAN ARCHIBALD
Stroke survivor
Tuesday, 27 May 2008
STROKE CLUBS
Saturday, 2 February 2008
Stroke Clubs are not only for the Stroke Survivor, but their Carers, Partners, Spouces, all of which could/would benefit from the access available to further support groups for most stroke related illnessess, or just general inquiries and help. They are also one of the best places to meet and see other people who have had a stroke or strokes and see the different ways help and support is given freely, the stroke clubs are what, you, the members want them to be, run by the stroke survivors and their carers, you will find friendship, empathy and encouragement to do different things, you could even become a committee member if you wished. we have 11 stroke clubs within Kingston upon Hull and the East Riding of Yorkshire all run by the members even though help was needed to set them up at first, all are run in different ways, doing different things but always for the benefit of it's members.
Posted by Brian at 09:20
Stroke Clubs are not only for the Stroke Survivor, but their Carers, Partners, Spouces, all of which could/would benefit from the access available to further support groups for most stroke related illnessess, or just general inquiries and help. They are also one of the best places to meet and see other people who have had a stroke or strokes and see the different ways help and support is given freely, the stroke clubs are what, you, the members want them to be, run by the stroke survivors and their carers, you will find friendship, empathy and encouragement to do different things, you could even become a committee member if you wished. we have 11 stroke clubs within Kingston upon Hull and the East Riding of Yorkshire all run by the members even though help was needed to set them up at first, all are run in different ways, doing different things but always for the benefit of it's members.
Posted by Brian at 09:20
Time flies and Stroke Club Details
Wednesday, 30 January 2008
Another week nearly gone my how time flies, one or two things have happened of interest well I think so. My new camera is working well it's a Canon 400D and a good friend has been showing me how to edit my photo's as should be done when taken in Raw as well as JPG. I may get round to putting some on here one day, the last lot were in London out side parliament and inside St Pancras Station the statues clock and shops.I also took some of the Holderness Stroke Club's Christmas Lunch in Withernsea just a few day's before the 25th December 2007, the club has been going for some time now and is getting better with every month that passes, the membership is between 12 and 15 but more should join over the coming year, it is held on the third Tuesday of each month in the Shores Centre Withernsea right on the sea front and we have a great view of the north sea, and really good lunches are served down stairs the menu is quite varied and healthy. At the last meeting I asked to become a full member and that was OK'd much to my pleasure. They now do most things themselves and that's how it should be run by themselves for themselves and for the benefit of all members. In the beginning they have had help from the Hull and East Riding Stroke Service Community Stroke Team and still do get help from two members of the Hull and East Riding Stroke Service User/Carer Group. There are now 11 stroke clubs in Kingston upon Hull and The East Riding of Yorkshire they are as follows
KNOWN STROKE CLUBS IN KINGSTON UPON HULL
OK STROKE CLUB
First MONDAY in the month at 11.30am – 1.30pm
Venue: Goodfellowship InnCottingham Road,
HULL
MASTERSTROKES
2nd Wednesday of each month 1.00pm – 3.00pm
Venue: Commonwealth Homes Community Centre Burniston Road,
HULL
STROKES – R – US
“Self Help Stroke Survivors Group”
Meets on the 2nd Wednesday of each month. 1.30pm – 3.30pm
Venue: “Four in Hand” Holderness High Road,
HULL
STROKE CLUB JUNIORS
THIS IS A NEW GROUP FORMED FOR THE NEEDS OF THE YOUNGER STROKE SURVIVORS AGED 65 and UNDER.
Meets on the 1st Wednesday of each month, between 1pm –3pm
Venue: Avenues Hotel,
Chanterlands Avenue,
HULL
KNOWN STROKE CLUBS IN EAST YORKSHIRE
BEVERLEY STROKE CLUB
Meets once a month 1st Wednesday of each month.Time: 1200 – 1400.
Venue: Changes Monthly
BRIDLINGTON STROKE CLUB
Meets on the last Tuesday of each Month
Venue: The Seabirds, 6 Fortyfoot,
Bridlington
DRIFFIELD STROKE CLUB
1st & 3rd TUESDAY in the Month 2.00pm – 4.00pm
Venue: Blue Bell Public House – Riverhead - DRIFFIELD
GOOLE STROKE GROUP
Last WEDNESDAY in the month at 11.00am – 1.00pm
Venue: Cocktail Lounge, The Vikings
MARKET WEIGHTON STROKE GROUP
2nd Monday of each month 11.00am-1.00pm
Venue Red Lion, High Street,
POCKLINGTON STROKE CLUB
1st Tuesday of each month, 1130am – 1.30pm
Venue: Feathers Hotel, Market Place,
Pocklington
HOLDERNESS STROKE CLUB
Meeting held on 3rd Tuesday of each month 1100 - 1300
Venue: Shores Centre, Seaside Road. Withernsea
If you need contact details of the clubs please leave your phone number in the comments section of my blog and I shall contact you.
Posted by Brian at 07:55
2 comments:
Keith said...
Hi Brian, it's Keith.Thank you for advertising the Stroke Club details for Hull & East Yorkshire. It's a pity that the people we've ask to advertised these details HAVEN'T. These detail should be advertised in most GP's, Libraries, Community Centre etc, etc. Information that has been forward, and used to fill rubbish bin or just filed in "ROOM 101" Anyway, would you remind people, that ALL Stroke Clubs are not only for the Stroke Survivor, but there Carers, Partners, Spouces, all of which could/would benefit from the access available to further support groups for most stroke related illnessess, or just general inquiries and help.Keep up the good work, no doubt I'll be in touch.
31 January 2008 22:51
Brian said...
Hi Keith, thanks for that will do as you ask and say a bit more about the stroke clubs and say that they are there for all who have to care for stroke survivors not just the survivors themselves. They should be advertised a lot more by the NHS or PCTs in our area as the work they do, does, help keep survivors carers and family out of hospital I am sure about that in a lot of cases. Brian
01 February 2008 17:31
Another week nearly gone my how time flies, one or two things have happened of interest well I think so. My new camera is working well it's a Canon 400D and a good friend has been showing me how to edit my photo's as should be done when taken in Raw as well as JPG. I may get round to putting some on here one day, the last lot were in London out side parliament and inside St Pancras Station the statues clock and shops.I also took some of the Holderness Stroke Club's Christmas Lunch in Withernsea just a few day's before the 25th December 2007, the club has been going for some time now and is getting better with every month that passes, the membership is between 12 and 15 but more should join over the coming year, it is held on the third Tuesday of each month in the Shores Centre Withernsea right on the sea front and we have a great view of the north sea, and really good lunches are served down stairs the menu is quite varied and healthy. At the last meeting I asked to become a full member and that was OK'd much to my pleasure. They now do most things themselves and that's how it should be run by themselves for themselves and for the benefit of all members. In the beginning they have had help from the Hull and East Riding Stroke Service Community Stroke Team and still do get help from two members of the Hull and East Riding Stroke Service User/Carer Group. There are now 11 stroke clubs in Kingston upon Hull and The East Riding of Yorkshire they are as follows
KNOWN STROKE CLUBS IN KINGSTON UPON HULL
OK STROKE CLUB
First MONDAY in the month at 11.30am – 1.30pm
Venue: Goodfellowship InnCottingham Road,
HULL
MASTERSTROKES
2nd Wednesday of each month 1.00pm – 3.00pm
Venue: Commonwealth Homes Community Centre Burniston Road,
HULL
STROKES – R – US
“Self Help Stroke Survivors Group”
Meets on the 2nd Wednesday of each month. 1.30pm – 3.30pm
Venue: “Four in Hand” Holderness High Road,
HULL
STROKE CLUB JUNIORS
THIS IS A NEW GROUP FORMED FOR THE NEEDS OF THE YOUNGER STROKE SURVIVORS AGED 65 and UNDER.
Meets on the 1st Wednesday of each month, between 1pm –3pm
Venue: Avenues Hotel,
Chanterlands Avenue,
HULL
KNOWN STROKE CLUBS IN EAST YORKSHIRE
BEVERLEY STROKE CLUB
Meets once a month 1st Wednesday of each month.Time: 1200 – 1400.
Venue: Changes Monthly
BRIDLINGTON STROKE CLUB
Meets on the last Tuesday of each Month
Venue: The Seabirds, 6 Fortyfoot,
Bridlington
DRIFFIELD STROKE CLUB
1st & 3rd TUESDAY in the Month 2.00pm – 4.00pm
Venue: Blue Bell Public House – Riverhead - DRIFFIELD
GOOLE STROKE GROUP
Last WEDNESDAY in the month at 11.00am – 1.00pm
Venue: Cocktail Lounge, The Vikings
MARKET WEIGHTON STROKE GROUP
2nd Monday of each month 11.00am-1.00pm
Venue Red Lion, High Street,
POCKLINGTON STROKE CLUB
1st Tuesday of each month, 1130am – 1.30pm
Venue: Feathers Hotel, Market Place,
Pocklington
HOLDERNESS STROKE CLUB
Meeting held on 3rd Tuesday of each month 1100 - 1300
Venue: Shores Centre, Seaside Road. Withernsea
If you need contact details of the clubs please leave your phone number in the comments section of my blog and I shall contact you.
Posted by Brian at 07:55
2 comments:
Keith said...
Hi Brian, it's Keith.Thank you for advertising the Stroke Club details for Hull & East Yorkshire. It's a pity that the people we've ask to advertised these details HAVEN'T. These detail should be advertised in most GP's, Libraries, Community Centre etc, etc. Information that has been forward, and used to fill rubbish bin or just filed in "ROOM 101" Anyway, would you remind people, that ALL Stroke Clubs are not only for the Stroke Survivor, but there Carers, Partners, Spouces, all of which could/would benefit from the access available to further support groups for most stroke related illnessess, or just general inquiries and help.Keep up the good work, no doubt I'll be in touch.
31 January 2008 22:51
Brian said...
Hi Keith, thanks for that will do as you ask and say a bit more about the stroke clubs and say that they are there for all who have to care for stroke survivors not just the survivors themselves. They should be advertised a lot more by the NHS or PCTs in our area as the work they do, does, help keep survivors carers and family out of hospital I am sure about that in a lot of cases. Brian
01 February 2008 17:31
IT IS NOW GOING TO OK?
Wednesday, 16 January 2008
I have been told that things are now looking up in Cumbria for stroke patients, however still need all the details which I hope will turn up soon. Public meeting tonight details are:- held in Workington – The Washington Central Hotel - 7pm - Wednesday 16th January. If you can go and support please do, due to the bad rain and snow forcast I am unable to travel all the way from Kingston upon Hull, have sent a letter to the local paper and the PCT in support of the objections from Strokelink West Cumbria Stroke Club.
Posted by Brian at 08:40
I have been told that things are now looking up in Cumbria for stroke patients, however still need all the details which I hope will turn up soon. Public meeting tonight details are:- held in Workington – The Washington Central Hotel - 7pm - Wednesday 16th January. If you can go and support please do, due to the bad rain and snow forcast I am unable to travel all the way from Kingston upon Hull, have sent a letter to the local paper and the PCT in support of the objections from Strokelink West Cumbria Stroke Club.
Posted by Brian at 08:40
Closer to Home 2
Thursday, 10 January 2008
This is the latest from my friends in Cumbria.If you feel you can support them copy the item below the dotted line and send to address shown.STROKELINKWEST CUMBRIAREGISTERED CHARITY 110539813 Oakley AvenueHigh HarringtonWorkingtonCumbriaCA14 4NPTel : 01946 831185Email: Blackiswood@aol.comDear MemberYou may be aware of our local NHS proposals that are called “Closer to Home”.These proposals state that stroke survivors will receive their rehabilitation in the community hospitals, not West Cumberland. This will result in the closure of both the Younger Disabled Unit and Ullswater Stroke Unit which means the benefits of being treated on a specialist and dedicated unit will be lost. All of us who have had experience of either the stroke unit or YDU know the difference these wards can make and it is only right that future patients should benefit from specialist services also. If we lose these wards now it is unlikely that they will be replaced in the future and the standards of care must suffer if rehabilitation is disbursed among the cottage hospitals. The committee at Strokelink are opposed to these proposals as they are a step backwards for stroke care in our area. We are committed to ensuring that people in West Cumbria receive the very best care possible following a stroke and we have worked towards this goal since our formation in 2002.We would ask that you would support us by attending one or both of the public meetings listed below. The more people that show opposition to these proposals the more likely we will be in influencing the final outcome. If you would like to attend but are unable to find transport then please let me know.Whitehaven – The Civic Hall – 7pm – Monday 14th JanuaryWorkington – The Washington Central Hotel - 7pm - Wednesday 16th JanuaryYou can also help by completing the attached letter and posting it to the address shown. Please add your name, address and signature, tick the boxes that are relevant to you and feel free to add any comments you wish or to write your own letter.If we are to keep our stroke service then it is important that we have your support.Yours sincerelyAlison HunterHon Secretary-----------------------------------------------------------------------------------------------Closer to Home Name:Cumbria PCT Address:8 Tynefield DrivePenrithCumbriaCA11 8JA Date:Dear SirCloser to Home ConsultationI would like to register my objection to the Closer to Home proposals (options 1, 2 & 3) regarding rehabilitation care of neurological conditions and stroke which would seem to propose the closure of Ullswater ward and the Younger Disabled Unit I have suffered a stroke I am a carer of someone who has had a stroke I have a relative or friend who has had a strokeI have experienced or been witness to rehabilitation care on The Ullswater Stroke Unit or The Younger Disabled Unit. As such I feel that my experience is most relevent to this consultation process and I would like my views to be noted.My concerns are At present acute rehabilitation is available within the hospital beyond the first 72 hours post stroke; this will no longer be the case Stroke patients will then be moved to a general ward or cottage hospital instead of a specialist unit. In neither case will the current standard of care be available or the special needs of stroke patients catered for. The current and necessary high level of involvement from consultant physicians will not be available In cottage hospitals further medical care will be provided by GPs who do not have the specialist knowledge required Patients will be treated by generic staff who are not specially trained in stroke to a high degree and who will not understand the complex emotional & psychological needs of stroke patients Staff will not be adequately trained in the difficulties of handling stroke patients and injuries will occur Medical complications associated with stroke eg diabetes, high cholesterol, high blood pressure will not be adequately diagnosed or treated Stroke survivors and their relatives will have less opportunity to interact with others and gain mutual support and encouragement Patients will need to travel should they need further investigations – CT scan, MRI scan, carotid doppler etc which will result in unnecessary delays and additional patient risk Specialised neuro therapy teams and facilities will not be available - occupational therapy, physiotherapy, speech and language therapy – and so patients will not receive adequate rehabilitation Stroke patients will not be treated in line with current guidelines – NSF etc – and as such will be receiving lower standards of care than in other parts of the country Fewer beds and a more widely dispersed team will mean that discharge assessments, carers assessments, home adaptations etc will not be carried out within the timescales necessary. There will be greater demand on an already over stretched social services teamOther comments:Yours faithfullySignature_______________________
Posted by Brian at 15:46
0 comments:
This is the latest from my friends in Cumbria.If you feel you can support them copy the item below the dotted line and send to address shown.STROKELINKWEST CUMBRIAREGISTERED CHARITY 110539813 Oakley AvenueHigh HarringtonWorkingtonCumbriaCA14 4NPTel : 01946 831185Email: Blackiswood@aol.comDear MemberYou may be aware of our local NHS proposals that are called “Closer to Home”.These proposals state that stroke survivors will receive their rehabilitation in the community hospitals, not West Cumberland. This will result in the closure of both the Younger Disabled Unit and Ullswater Stroke Unit which means the benefits of being treated on a specialist and dedicated unit will be lost. All of us who have had experience of either the stroke unit or YDU know the difference these wards can make and it is only right that future patients should benefit from specialist services also. If we lose these wards now it is unlikely that they will be replaced in the future and the standards of care must suffer if rehabilitation is disbursed among the cottage hospitals. The committee at Strokelink are opposed to these proposals as they are a step backwards for stroke care in our area. We are committed to ensuring that people in West Cumbria receive the very best care possible following a stroke and we have worked towards this goal since our formation in 2002.We would ask that you would support us by attending one or both of the public meetings listed below. The more people that show opposition to these proposals the more likely we will be in influencing the final outcome. If you would like to attend but are unable to find transport then please let me know.Whitehaven – The Civic Hall – 7pm – Monday 14th JanuaryWorkington – The Washington Central Hotel - 7pm - Wednesday 16th JanuaryYou can also help by completing the attached letter and posting it to the address shown. Please add your name, address and signature, tick the boxes that are relevant to you and feel free to add any comments you wish or to write your own letter.If we are to keep our stroke service then it is important that we have your support.Yours sincerelyAlison HunterHon Secretary-----------------------------------------------------------------------------------------------Closer to Home Name:Cumbria PCT Address:8 Tynefield DrivePenrithCumbriaCA11 8JA Date:Dear SirCloser to Home ConsultationI would like to register my objection to the Closer to Home proposals (options 1, 2 & 3) regarding rehabilitation care of neurological conditions and stroke which would seem to propose the closure of Ullswater ward and the Younger Disabled Unit I have suffered a stroke I am a carer of someone who has had a stroke I have a relative or friend who has had a strokeI have experienced or been witness to rehabilitation care on The Ullswater Stroke Unit or The Younger Disabled Unit. As such I feel that my experience is most relevent to this consultation process and I would like my views to be noted.My concerns are At present acute rehabilitation is available within the hospital beyond the first 72 hours post stroke; this will no longer be the case Stroke patients will then be moved to a general ward or cottage hospital instead of a specialist unit. In neither case will the current standard of care be available or the special needs of stroke patients catered for. The current and necessary high level of involvement from consultant physicians will not be available In cottage hospitals further medical care will be provided by GPs who do not have the specialist knowledge required Patients will be treated by generic staff who are not specially trained in stroke to a high degree and who will not understand the complex emotional & psychological needs of stroke patients Staff will not be adequately trained in the difficulties of handling stroke patients and injuries will occur Medical complications associated with stroke eg diabetes, high cholesterol, high blood pressure will not be adequately diagnosed or treated Stroke survivors and their relatives will have less opportunity to interact with others and gain mutual support and encouragement Patients will need to travel should they need further investigations – CT scan, MRI scan, carotid doppler etc which will result in unnecessary delays and additional patient risk Specialised neuro therapy teams and facilities will not be available - occupational therapy, physiotherapy, speech and language therapy – and so patients will not receive adequate rehabilitation Stroke patients will not be treated in line with current guidelines – NSF etc – and as such will be receiving lower standards of care than in other parts of the country Fewer beds and a more widely dispersed team will mean that discharge assessments, carers assessments, home adaptations etc will not be carried out within the timescales necessary. There will be greater demand on an already over stretched social services teamOther comments:Yours faithfullySignature_______________________
Posted by Brian at 15:46
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