search Menu

Stroke (Early Supported Discharge)

We can help you recover from a stroke in your own home or a community location of your choice with our six weeks’ intensive rehabilitation programme.

 

Once your referral has been made, we’ll assess your situation and make sure that our intensive rehabilitation programme is the best treatment for you.

If it is, you’ll be set a discharge date and asked for your consent to be referred to our service.

Rehabilitation at home

We’ll visit you at home within one working day of your discharge and do a full assessment of your needs.

You’ll be able to ask questions and find out more about what we do before setting some personal goals to achieve over the next six weeks. These goals will be designed specifically for you to help improve independence, day-to-day functions, socialisation and communication, and medical stability.

Our team, which is made up of neuro specialists, physiotherapists, occupational therapists, speech and language therapists, neuropsychologists and therapy assistants, will then support you over the next six weeks to help you achieve these goals. 

We might also recommend you do some adaptations in your home to help your recovery.

After six weeks, if you’re improving but still have some goals to achieve, we might refer you to a less intensive service to continue your recovery.

To access our service, you need to be over 18 and registered with a Berkshire GP. You'll also need to have been admitted to hospital, with a confirmed stroke diagnosis, and declared medically stable and ready for discharge. 

Your care team can contact our Stroke Nurses or ESD duty coordinators directly to make a referral. 

We’ll then work with other healthcare professionals from Royal Berkshire Hospital and High Wycombe Hospital to make sure this is the best treatment for you. If it is, we’ll be in touch with you soon to book a discharge date.

If your hospital is out of the Berkshire area, your care team should contact us at West Berkshire Community Hospital to make the referral.

Phone number  01635 273303

Email address  bks-tr.cbnrt@nhs.net

Our service is open at the following times:

Monday    Tuesday   Wednesday Thursday  Friday   
8am - 4pm 8am - 4pm 8am - 4pm 8am - 4pm 8am - 4pm

You can find national and local support to help you recover at the following websites:

“I found that the help I received from the service contributed to my recovery from many of the disabling effects of my stroke so that today I can say that I am 98 per cent back to my normal self. My family has appreciated all the help that I have received from the team.”

 

“Both myself and my wife have been extremely impressed with all the therapists on the community based rehab team. The service was quick and efficient from day one. Their commitment and drive was very reassuring. We have had the support we needed and the equipment we needed quickly. We have nothing but praise for all the team and we thank them for their kindness and professional manner. I hope that this service will continue to help others as they have helped us.”

 

“The after care for my stroke from the ESD team has been amazing. I have a friend in Australia who had a stroke and received no after care. I phoned up when I was concerned about my arm and got a response straight away. We are very lucky to have the NHS.”

 

"The staff involved were extremely patient and understanding while still pushing me to achieve my goals. They were very accommodating in things I wanted to do such as catch a bus or go swimming. An excellent service.”