Priority 16 Stroke Rehabilitation and Long-term Care

UNCERTAINTY: What is the best way to increase the availability of on-going physiotherapy for stroke survivors? (JLA PSP Priority 16)
Overall ranking	16
JLA question ID	0106/16b
Explanatory note	Guidelines for commissioning rehabilitation suggest that services should be commissioned to reduce limitations in activities, increase participation and improve quality of life using therapeutic and adaptive strategies, and that this is cost-effective in reducing long-term disability and costs associated with care. However, half of stroke survivors in the UK felt they needed support for longer or more frequently [Ref. 8] and there is limited evidence on how to effectively deliver services that can meet these guidelines. Evidence is required on a range of issues including cost-effective novel interventions, the benefits of on-going physio, and access to and resourcing services. Ref 8: Stroke Association, 2019 https://www.stroke.org.uk/lived-experience-of-stroke-report/chapter-4-rebuilding-lives-after-stroke
Evidence	No evidence identified
Health Research Classification System category	Stroke

Extra information provided by this PSP
Original uncertainty examples	Why is there such a lack of long term physiotherapy; it appears there is a postcode lottery as to how you are treated. ~ Why do stroke survivors only get up to 12 weeks physio /exercise after stroke? ~ How to access on going rehab support to ensure that physical improvements are sustained? ~ Do we have trained physiotherapists to give people exercises after stroke. ~ Why is physiotherapy on offered for a limited time after a stroke
Submitted by	Stroke Survivor x 11, Carer x 7, Health/social care professional x 7

Extra information provided by this PSP

Original uncertainty examples

Why is there such a lack of long term physiotherapy; it appears there is a postcode lottery as to how you are treated. ~ Why do stroke survivors only get up to 12 weeks physio /exercise after stroke? ~ How to access on going rehab support to ensure that physical improvements are sustained? ~ Do we have trained physiotherapists to give people exercises after stroke. ~ Why is physiotherapy on offered for a limited time after a stroke

Submitted by

Stroke Survivor x 11, Carer x 7, Health/social care professional x 7

PSP information
PSP unique ID	0106
PSP name	Stroke Rehabilitation and Long-term Care
Total number of uncertainties identified by this PSP.	93 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	19/20th April 2021