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National <strong>clinical</strong> guideline <strong>for</strong> <strong>stroke</strong><br />

B Healthcare commissioners should ensure that, between health and social services and<br />

other agencies:<br />

● patients receive the practical (eg housing, employment) and emotional support<br />

they need<br />

● patients at home can access suitable social opportunities outside their homes if<br />

they want, usually through voluntary organisations<br />

● patients receive ongoing maintenance interventions (eg provision of specialist<br />

<strong>stroke</strong> exercise programmes and peer-support programmes) needed to enhance<br />

and maintain well-being.<br />

C Commissioners in health and social care should ensure:<br />

● carers are aware that their needs can be assessed separately and carers are able to<br />

access the support and help they require<br />

● carers are provided with written in<strong>for</strong>mation and given appropriate instruction (eg<br />

manual handling) to enable them to provide care <strong>for</strong> someone following a <strong>stroke</strong>.<br />

2.5.2 Implications<br />

In this context, commissioners will be concerned with the wider population of people<br />

with long-term disability from many causes.<br />

18 © Royal College of Physicians 2012

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