national-clinical-guidelines-for-stroke-fourth-edition

National clinical guideline for stroke
QM13 Long-term care and support
A range of services are in place and easily accessible to support the individual long-term needs of
individuals and their carers.
QM14 Assessment and review
People who have had strokes and their carers, either living at home or in care homes, are offered a
review from primary care services of their health and social care status and secondary prevention
needs, typically within six weeks of discharge home or to care home and again before six months after
leaving hospital.
This is followed by an annual health and social care check, which facilitates a clear pathway back to
further specialist review, advice, information, support and rehabilitation where required.
QM15 Participation in community life
People who have had a stroke, and their carers, are enabled to live a full life in the community.
QM16 Return to work
People who have had a stroke and their carers are enabled to participate in paid, supported and
voluntary employment.
QM17 Networks
Networks are established covering populations of 0.5 to 2 million to review and organise delivery of
stroke services across the care pathway.
QM18 Leadership and skills
All people with stroke, and at risk of stroke, receive care from staff with the skills, competence and
experience appropriate to meet their needs.
QM19 Workforce review and development
Commissioners and employers undertake a review of the current workforce and develop a plan
supporting development and training to create a stroke-skilled workforce.
QM20 Research and audit
All trusts participate in quality research and audit, and make evidence for practice available.
188 © Royal College of Physicians 2012