Presentation from Support for self management workshop presented at "Living well with long term conditions" Age UK conference 14th November 2012

2. Support for
self-
management
Judy Walker, Director Life After Stroke
Services – South, the Stroke Association
November 2012
Stroke Helpline 0303 3033 300
stroke.org.uk

3. Life after Stroke Services
 340 Life after Stroke Services in partnership
with health and social care
 586 service staff - majority are professionally
qualified in health or social care
 2,791 volunteers of whom 13% are stroke
survivors
Number of Clients in Stroke Information Service
2010 - 2012
25,000
20,000
15,000 Stroke Information
10,000 Service Actual
m
Stroke Information
N
o
n
b
u
e
5,000
c
s
r
t
f
Service Target
i
l
0
 5,000 new referrals (accessing more than
one service)
 25% clients of working age
Stroke Helpline 0303 3033 300
stroke.org.uk

4. High quality information, emotional support and practical advice in the
aftermath of a stroke
Working with a survivor and their family immediately following a stroke as
long as they need it – in hospitals and care homes, within their own homes
and back into the community
We work to address all the complex needs of a stroke survivor and their
carer, from medication compliance to healthy living and social re-
integration.
Our holistic approach to care and expert knowledge adds essential value to
primary care, social care and neighbourhood care teams.
By helping people navigate the often complex social and health care
system, the service facilitates quicker recovery and supports self-
management
Stroke Helpline 0303 3033 300
stroke.org.uk

5. Outcomes
Stroke Helpline 0303 3033 300
stroke.org.uk

6. Lifestyle changes
Evidence of changes in lifestyle and health benefits arising from
service use from Impact Survey 2011-12, 2012-13
Reduced
Total Respondents - Alcohol
Respond Yes, change Stopped Reduced Fat in Reduced Salt in More Consumpt
Quarter ents to lifestyle Smoking Diet Diet Exercise ion
July-Sept 2011 828 417 93 22% 273 65% 272 65% 228 55% 164 39%
Oct-Dec 2011 933 513 111 22% 324 63% 301 59% 271 53% 213 42%
Jan-Mar 2012 1,090 575 122 21% 348 61% 353 61% 288 50% 240 42%
April-June
2012 938 499 97 19% 269 54% 268 54% 242 48% 169 34%
July-Sept 2012 1,001 536 120 22% 331 62% 304 57% 291 54% 207 39%
YTD 4,790 2,540 543 21% 1545 61% 1498 59% 1320 52% 993 39%
Stroke Helpline 0303 3033 300
stroke.org.uk

7. Post stroke reviews are crucial in supporting self management, by
identifying and acting upon unmet needs at 6 months after discharge
Service visits clients at venue of their choice to complete the stroke review,
using an evidence based assessment tool.
At a review, any unmet needs identified are summarised, and the way
forward agreed with the service user and, where appropriate, their carer.
Follows up any actions are addressed with GP
The pilot showed interventions identified and addressed a large number and
variety of unmet needs from depression and fatigue to incontinence, thus
supporting ongoing self management
Stroke Helpline 0303 3033 300
stroke.org.uk

8. Outcomes
Stroke Helpline 0303 3033 300
stroke.org.uk