Directory of Community Stroke Services A guide for stroke survivors, families and carers in South Nottinghamshire November 2015 CONTENTS Purpose and aim of this guide 2 Why I might need community stroke services after leaving hospital 3 Stroke Pathway Illustration – a ‘typical’ journey through Prevention, Acute and Rehabilitation stroke services 4 Examples of common stroke care pathways 5 Using the guide 6 Clinical Commissioning Group Map showing South Nottinghamshire (Rushcliffe, Nottingham North & East and Nottingham West) boundaries and areas covered 7 List of South Nottinghamshire General Practices/Doctors 8 Information for patients living in South Nottinghamshire 10 Appendix of stroke services available in South Nottinghamshire 13 1 PURPOSE AND AIM OF THIS GUIDE Leaving hospital can be an anxious and confusing time. The aim of the guide is to help identify community services available beyond leaving hospital. Community stroke services are varied and access to them is dependent on which area of Nottinghamshire you live in and in which Clinical Commissioning Group your General Practitioner/ Doctor is situated. The East Midlands Academic Health Science Network has produced this guide for the benefit of stroke survivors, families, friends and carers living in South Nottinghamshire (Rushcliffe, Nottingham North & East and Nottingham West). 2 WHY I MIGHT NEED COMMUNITY SERVICES AFTER LEAVING HOSPITAL There is research evidence to show that stroke survivors benefit from stroke specialist rehabilitation delivered by a stroke specialist multidisciplinary team. This is particularly true for ‘Early Supported Discharge’ (ESD) services. ESD services facilitate early transfer of care from hospital to home and provide intensive rehabilitation in the home environment, to aid better and faster recovery. There is also evidence to show that extending community stroke specialist rehabilitation beyond the length of an ESD service, for stroke survivors who need it, has proved beneficial. 3 STROKE PATHWAY ILLUSTRATION This diagram provides an overview of a ‘typical’ stroke care pathway. The term ‘pathway’ refers to a system of stroke services as recommended by research evidence. A ‘typical’ journey experienced by a stroke survivor starts with admission to a hospital (referred to as acute stroke services) then continues through community based rehabilitation and social care services. These services are provided by Clinical Commissioning Groups or local authorities and are delivered by a variety of service providers. The diagram was drawn by Ossie Newell who is a stroke survivor and was created by the East Midlands Academic Health Science Network Stroke Programme. 4 EXAMPLES OF COMMON STROKE CARE PATHWAYS The pathway of care experienced by each stroke survivor will be different, based on their particular needs and what services are available in the area they live. The flowcharts below give examples of some common pathways – these are also ones that research evidence says are most effective. Hospital Acute Ward Hospital Acute Ward Hospital Acute Ward Hospital Go Home Hospital Rehabilitation Wards Rehabilitation Wards Go Home Go Home Early Supported Early Supported or to a Care Discharge Service Discharge Service Home Community Stroke Community Stroke Community Stroke Rehabilitation Service Rehabilitation Service Rehabilitation Service 5 USING THIS GUIDE Healthcare for patients living in South Nottinghamshire is commissioned by Rushcliffe, Nottingham North & East and Nottingham West Clinical Commissioning Groups. Check your General Practitioner/Doctor is listed and falls within the boundaries of Rushcliffe, Nottingham North & East and Nottingham West on the Clinical Commissioning Group map and then continue through the guide for information on community stroke services available. Please note that the information included in this pack was accurate at the time of print. Services may have since been re-commissioned, in which case your GP should be able to advise you on current services available to you. 6 CLINICAL COMMISSIONING GROUP MAP SHOWING SOUTH NOTTINGHAMSHIRE BOUNDARIES AND AREAS COVERED Rushcliffe, Nottingham North & East and Nottingham West Rushcliffe CCG (yellow): Bingham, Cotgrave, Cropwell Bishop, East Bridgford, East Leake, Gamston, Gotham, Kegworth, Loughborough, Radcliffe on Trent, Ruddington, West Bridgford Nottingham North & East CCG (orange): Arnold, Ashfield, Broxtowe, Burton Joyce, Calverton, Carlton, Colwick, Daybrook, Eastwood, Hucknall, Gedling, Giltbrook, Lowdham, Mapperley, Netherfield Nottingham West CCG (light blue): Beeston, Bramcote, Chilwell, Eastwood, Kimberley, Stapleford, Wollaton 7 LIST OF GENERAL PRACTITIONERS AND DOCTORS A Abbey Medical Centre, Apple Tree Medical Practice B Belvoir Health Group (Bingham Surgery), Belvoir Health Group (Cotgrave Surgery), Belvoir Health Group (Cropwell Bishop Surgery), Bramcote Surgery C Castle Healthcare Practice, Calverton Practice, Chilwell Meadows Surgery (branch of Valley), Church Street Medical Centre, Church Walk Surgery, Compton Acres Medical Practice D Daybrook Medical Practice E East Bridgford Medical Centre, East Leake Medical Group (main), East Leake Medical Group (Sutton Bonington) G Gamston Medical Centre, Giltbrook Surgery H Hama Medical Centre, Highcroft Surgery, Hickings Lane Medical Centre I Ivy Medical Group (Lambley Lane Surgery), Ivy Medical Group (Lowdham Surgery) J Jubilee Practice K Keyworth Medical Practice 8 L Linden Medical Group (Doctors Corner), Linden Medical Group (Stapleford CC), Ludlow Hill Surgery M Manor, Musters Medical Practice N Newthorpe Medical O Oaks Medical Centre, Orchard Surgery, Oakenhall Medical Practice, Om Surgery P Park House Medical Centre, Peacock Healthcare, Plains View Surgery R Radcliffe on Trent Health Centre, Ruddington Medical Centre S Saxon Cross Surgery, Southview Surgery, St George’s Medical Practice, Stenhouse Medical Centre T Torkard Hill Medical Centre, Trent Bridge Medical Practice, Trentside Medical Group (Colwick Vale Surgery), Trentside Medical Group (Netherfield Medical Centre) U Unity Surgery V Valley Surgery, Village Hall Surgery (branch of Orchard) W West Bridgford Medical Centre , West End Surgery, West Oak Surgery, Westdale Lane Surgery, Whyburn Medical Practice, Willows Medical Centre Click HERE For a listing of General Practitioners/Doctors by postcode 9 INFORMATION FOR PATIENTS LIVING IN SOUTH NOTTINGHAMSHIRE Stroke survivors living in the South Nottinghamshire will most typically follow the journey below: Admission to the Stroke Unit (Berman Ward), Nottingham University Hospital NHS Trust (City Hospital Campus), Hucknall Road, Nottingham, NG5 1PB (Tel: 0115 969 1169). If further rehabilitation is required, you may spend some time on a rehabilitation ward. Before being discharged from hospital, you should be provided with information about any community services you have been referred to and therefore should expect to receive. This guide is designed to help with this process. An Early Supported Discharge service is delivered by the Stroke Outreach Service located at Nottingham University Hospital NHS Trust on Berman Ward (Tel: 0115 969 1169). Following this a Community Stroke Rehabilitation service is provided by the Community Stroke Service located at Stapleford Care Centre, Church Street, Stapleford, Nottingham, NG9 8DB (Tel: 0115 883 5060). Both services provide specialist rehabilitation in your own home. 10 A Complex Stroke Outreach Service is also available depending on individual patient needs and for those who do not meet the criteria required to access the Early Supported Discharge or Community Stroke Rehabilitation services, but who still have outstanding rehabilitation goals. The team delivers therapy at home or in your place of residence. This service is provided by Nottingham University Hospitals NHS Trust, Rehabilitation Unit, City Hospital, Nottingham, NG5 1PB (Tel: 0115 9691169 ext 56922). In order to be eligible to receive these services you must be registered with a South Nottinghamshire GP and meet certain requirements specified by the services. FLOW CHART OF THE PATIENT JOURNEY FOR STROKE SURVIVORS LIVING IN THE SOUTH NOTTINGHAMSHIRE Hospital Acute Ward Hospital Complex Stroke Rehabilitation Wards Outreach Service Stroke Outreach Service Community Stroke Rehabilitation Service 11 Additional services that are available: Speech and Language therapy is provided by Nottinghamshire Healthcare Trust, County Health Partnerships, Referral Admin Team, Stapleford Care Centre, Church Street, Stapleford, Nottinghamshire, NG9 8DB (Tel: 0115 883 5187). Stroke patients may be referred to this service depending on individual needs. An outpatient rehabilitation unit for complex fallers, neurological patients (including stroke) and elderly rehabilitation is provided by Nottingham University Hospitals NHS Trust, 1st Floor South Corridor, City Hospital, Nottingham NG5 1PB. Stroke patients may be referred to this service de- pending on individual needs. Information, Advice and Support is available from The Stroke Association, 1st Floor The Point, Welbeck Road, West Bridgford, Nottingham NG2 7QW (Helpline: 0303 3033 100) Strokeability is a 12 week gentle exercise programme which is available subject to sufficient referrals. For further information contact: eronicaV Price Job, Adult Social Care, West Bridgford, Nottingham NG2 7QP (Tel: 0115 9772546 / 07793977985). Stroke Clubs can offer help and support. Stroke Support Group Nottingham, City Hospital, Hucknall Road, Nottingham NG5 1PB. Nottingham Stroke