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Community Stroke Discharge Team

The Community Stroke Discharge Team provides specialist early stage rehabilitation and discharge support for people who have had a stroke.

The team helps stroke patients return home from hospital earlier by enabling them to continue their specialist stroke rehabilitation in their own home. 

Working with other agencies including social services the Community Discharge Stroke Team will be able to provide patients with a seamless service from hospital to home. 

What is the referral criteria for the service?

Patients are referred from the Stroke Wards at York Hospital.  Patients must reside in the City of York locality and be registered with a Vale of York CCG.

Patients who are accepted by the team will be contacted within 24 hours of their discharge from hospital with the first assessment taking place within 48 hours of their discharge.

Benefits for Patients include:

  • Reduction in the length of hospital stay
  • Patient-centered care delivered within a home environment
  • Improvements in long term recovery
  • Independence in daily activities
  • Reduction on others for support
  • Seamless transfer for hospital to home
  • Improved satisfaction

The Team consists of:

  • Consultant
  • Administrator
  • Physiotherapists
  • Occupational therapists
  • Speech and Language therapist
  • Dietician
  • Rehabilitation assistants
  • Nursing input

The first phase of the project is to offer the service to patients in the City of York locality with a view to rolling the service out across the whole Trust in the future.

Contact  

Ina James, Therapy Team Leader Stroke/Neurology, Tel: 01904 725745 

The team helps stroke patients return home from hospital earlier by enabling them to continue their specialist stroke rehabilitation in their own home. 

Looking down a long bright hospital corridor with treatment rooms on the left and windows on the right. At the bottom of the corridor is one member of staff in a blue nursing uniform

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Visiting update

To protect our patients, staff, visitors and the community, we are again restricting visitors to all our hospitals sites so please read our latest guidance for full details before coming to our hospitals.

The decision to restrict visitors during this time has been very difficult and made only after careful consideration as we witness wider social restrictions to prevent the spread of COVID-19 in light of the highly transmissible OMICRON variant.  The guidance will be reviewed regularly.