Early Supported Discharge & Stroke Rehabilitation

Overview of the service

The Early Supported Discharge (ESD) and Stroke Rehabilitation Team aims to:

  • Enable and coordinate an earlier discharge for stroke patients from hospital to the community.
  • Provide a short period of intensive specialist rehabilitation in the home environment.
  • Work towards realistic patient led goals to maximise independence.

Some patients require on-going hospital treatment and may not be suitable for the service, but this will be assessed by your hospital team and the ESD therapists.

Who can access this service?

This service is available if:

  • You have had a stroke.
  • You have a GP within the Sutton CCG area.
  • You are able to get from a bed to a chair

What can you expect from the service?

Once the hospital team have identified that you may be appropriate, they will coordinate a discharge date with the community team and organise a package of care with Social Services if required. Once home, one of the ESD stroke therapists will visit within a few days of discharge. The team provides regular therapy to support you at home and help you regain independence. Following a full assessment, a personalised rehabilitation plan will be developed with you to help you identify goals or aims. As part of this rehabilitation plan, it is expected that you will actively practise exercises and techniques outside of therapy sessions to work towards your own rehabilitation. After your initial few weeks at home, the therapists will begin to visit less often to allow you more time to practise and return to day-to-day activities.

Team members who may be involved in patient care

  • Physiotherapists
  • Occupational Therapists
  • Speech and Language Therapists
  • Rehabilitation Assistants

Is patient self-referral available?

No, to access this service patient need to be referred by their care team.

Are home visits available?

Yes, home visits are available for patients. Please contact the team on the details before for more information.

Contact us

For all enquiries from both patients and healthcare professionals, please contact:

Sutton Health & Care Community services
Green Wrythe Lane Clinic
2nd Floor, Green Wrythe Lane, Carshalton
Surrey, SM5 1JF

Tel: 0208 661 3908
Email: esth.shc-referrals@nhs.net