WISE
Research type
Research Study
Full title
What is the impact of large scale implementation of stroke Early Supported Discharge?
IRAS ID
243066
Contact name
Rebecca Fisher
Contact email
Sponsor organisation
Research Innovation Services,University of Nottingham
Duration of Study in the UK
1 years, 3 months, 1 days
Research summary
Early supported discharge (ESD) services provide early, home based rehabilitation for stroke survivors. Research suggests that people who receive ESD spend less time in the hospital and have better recovery than patients who did not. Following recommendations in UK national policy documents and clinical guidelines a variety of ESD services have now been set up across England. However, the type of ESD service patients receive on the ground is variable and in some regions ESD is still not offered at all.
This multi-site study is part of a bigger project aiming to assess the impact of implementing ESD in real world conditions and investigate which models of ESD are effective in practice.Under a realist evaluation framework a case study design will be used to investigate three purposively selected ESD teams from East Midlands, East of England and North of England respectively.
We will interview NHS staff members to gain a better understanding of how ESD services operate in practice, identify factors contributing to the adoption and implementation of ESD models as well as contextual influences to their effectiveness and sustainability. Stroke survivors will also be asked about their experiences of ESD services and what matters to them the most.
Findings may facilitate improvements in stroke services across England towards the provision of efficient, evidence based care and better patient recovery.
REC name
East Midlands - Nottingham 1 Research Ethics Committee
REC reference
18/EM/0160
Date of REC Opinion
23 Jul 2018
REC opinion
Further Information Favourable Opinion