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Table 1 Setting, approach and respondents per site

From: How unmet are unmet needs post-stroke? A policy analysis of the six-month review

 

Case study 1

Case study 2

Case study 3

Setting and model of review

 Who carried out the 6MR?

SNSs based in NHS Trusts that provided community stroke rehabilitation.

SNS employed by a social enterprise that provided community stroke rehabilitation. The SNS’s post was split between 6MRs and Early Supported Discharge.

SA co-ordinator.

 Model of review

Medical model focused on medication, investigations and referrals to other statutory services.

Medical model supplemented by two sessions of a ‘life after stroke’ group which focused on self-management and a ‘personal stroke plan’ booklet provided in the acute setting.

Social model focused on sign-posting to community services such as exercise classes.

 Timing of the 6MR

Generated by administrative system, mostly at 6 months.

Generated by administrative system, mostly at 6 months.

SA co-ordinator liaised with the community stroke team so reviews coincided with therapy withdrawing.

 Were 6 week reviews provided?

Yes, by SNS and/or the stroke consultanta.

Yes, by the SNS in the acute setting and/or the stroke consultanta.

Some initial visits when requested by therapists and/or consultant reviewsa.

 Were annual reviews funded?

Yes

No

No

Respondents: patients

 Number of patients (and carers) interviewed after 6MRb

26 (14)

15 (11)

5 (5)

 Patients’ age range, years.

28-88

31-91

67-80

 Number of patients of working age at time of stroke

11

6

1

 Number of patients with other long-term conditions

13

6

3

 Number of patients who were married or co-habiting

17

10

4

Respondents: reviewers & others

 Stroke nurse specialists

3

3

-

 SA co-ordinator

-

-

1

 SA support workers

1

1

-

 Physio/ occupational therapist, service manager, GP or commissioner

6

5

2

 Across site interviews including SA managers

6

Observations of reviews

 6MR

10

9

4

 1 year review

6

-

-

  1. aConsultant reviews were medical rather than a structured 6MR; some consultants liaised with SNSs to avoid duplication
  2. bPatients/carers were interviewed to coincide with their 6 week, 6 month, and (where possible) annual review