Who are the Scarborough and Ryedale Community Stroke Discharge Team

Published: 12 October 2020

We are a Stroke Specialist, Multidisciplinary Team Consisting of Occupational Therapists, Physiotherapists, Stroke Nurse, Stroke Rehabilitation Assistants, and Speech and Language Therapist.

We cover all GP practices within the Scarborough and Ryedale Clinical Commissioning Group. We are based at Eastfield Medical Practice Scarborough: 07855285836.

What do the team offer?

Evidence has shown people who have had a stroke make a better recover if they are offered rehabilitation in their home environment (RCP 2020).

The Team offers Specialist, home / community based rehabilitation for people newly diagnosed as having a stroke.

Rehabilitation aims to improve physical, cognitive, speech and emotional impairments while increasing independence within everyday activities and reducing the need for long-term care packages.

To measure service effectiveness we track an individual’s progress using the Therapy Outcome Measure (TOMs)

The TOMs is a cross-disciplinary method of gathering information on a broad spectrum of issues associated with therapy and rehabilitation

The spectrum of issues caused by stroke is split into 5 areas taken from the International Classification of Function (ICF):

  1. Impairment (problems in body structure or function)
  2. Activity (performance of activities)
  3. Participation (disadvantages experienced in living)
  4. Wellbeing (emotional level of upset or distress)
  5. Carer Wellbeing (emotional level of upset or distress for significant other).

At the beginning / end of rehabilitation a nominal scale (0-5) is used to rate each of the 5 domains above (half scores are allowed). Every three months the data is collected and analysed using the Wilcoxon Signed Rank Test Calculator. Data from Jan – March 2020 has recently been analysed and found; we continue to make a statistically significant improvement within the Domains of impairment, activity and participation, however the improvements made within the domains of well-being and care well-being were not significant – this may be due to small sample size.

  • Summary: