Stroke rehabilitation in adults - NICE guideline

The following recommendations have been identified as priorities for implementation.

Stroke units

The core multidisciplinary stroke team

Health and social care interface

• Health and social care professionals should work collaboratively to ensure a social care assessment is carried out promptly, where needed, before the person with stroke is transferred from hospital to the community. The assessment should:

  • identify any ongoing needs of the person and their family or carer, for example, access to benefits, care needs, housing, community participation, return to work, transport and access to voluntary services
  • be documented and all needs recorded in the person's health and social care plan, with a copy provided to the person with stroke.

Transfer of care from hospital to community

Setting goals for rehabilitation

Intensity of stroke rehabilitation

• Offer initially at least 45 minutes of each relevant stroke rehabilitation therapy for a minimum of 5 days per week to people who have the ability to participate, and where functional goals can be achieved. If more rehabilitation is needed at a later stage, tailor the intensity to the person's needs at that time.

Cognitive functioning

• Screen people after stroke for cognitive deficits. Where a cognitive deficit is identified, carry out a detailed assessment using valid, reliable and responsive tools before designing a treatment programme.

Emotional functioning

Swallowing

• Offer swallowing therapy at least 3 times a week to people with dysphagia after stroke who are able to participate, for as long as they continue to make functional gains. Swallowing therapy could include compensatory strategies, exercises and postural advice.

Return to work

Long-term health and social support

You can read the guideline on NICE's website.

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