The Integrated Stroke Project was completed in early 2019. The project involved wards 23 and 31, and the Community Stroke Rehabilitation service within the Adult Rehabilitation and Health of Older People department.
Acute length of stay for patients reduced from 6.4 days to 6 days from November 2017 to November 2018. (Note: Rehabilitation length of stay increased form 26.1 days to 27.2 days from November 2017 to November 2018).
Analysis of the Diagnosis Related Group codes of stroke patients being admitted to rehabilitation revealed a higher proportion of patients with more complex codes from 2016 to 2018.
From November 2017 to November 2018, the percentage of:
The increasing length stay of patients on the rehabilitation ward matched with the increased complexity (combined with the fact that the general rehabilitation facility is no longer fit for purpose). The model of care needs to be reviewed in line with planning for a specialised rehabilitation centre.
We will continue to track Ministry of Health indicators using the service scorecard and make improvements as business as usual.
The acute stroke service will review its service provision and follow-up of high risk patients, regarding secondary stroke prevention strategies.