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Stroke services

We commission a range of services to support patients from diagnosis and initial care to rehabilitation or recovery. Services include:

  • Acute stroke unit at Watford General hospital
  • Specialist Stroke Rehabilitation Beds at Langley House in Watford
  • Stroke Early Supported Discharge (ESD) service

Stroke Early Supported Discharge (ESD) service

The Stroke Early Supported Discharge (ESD) service provides rehabilitation for people who have had a mild to moderate stroke, allowing them to return home sooner and aid long term recovery by providing specialist stroke rehabilitation within the patient’s own home.

What are the aims?

  • To discharge patients home within 7 days of their stroke.
  • To reduce length of stay in acute stroke units.
  • To provide up to 4 weeks of specialist stroke rehabilitation to patients in their own homes
  • To offer a 6 month review for all patients who have had a stroke in Hertfordshire.

What is the approach?

The team, part of Hertfordshire Community NHS Trust and funded by Herts Valleys CCG and East and North Hertfordshire CCG, includes stroke specialist physiotherapists, occupational therapists, nurses, clinical psychologists, rehabilitation assistants and social workers.  Rehabilitation sessions are tailored to people’s clinical need and patients could be seen up to five times per week over a four week period.  After this, patients needing further support will be referred to other community teams. 

What are the benefits?

This approach means better outcomes for patients. The National Stroke Strategy states “supported discharge (ESD) to a comprehensive stroke specialist and multidisciplinary team in the community, but with a similar level of intensity to stroke unit care, can reduce long-term mortality and institutionalisation rates for up to 50 per cent of patients and lower overall costs.” 

By offering a 6 month review to all patients who have had a stroke in Hertfordshire, any unmet need will be identified and addressed through referral to other services.

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