Stroke Rehabilitation

– in the Scottish Parliament on 21st December 2017.

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Photo of Alexander Stewart Alexander Stewart Conservative

4. To ask the Scottish Government how it ensures that multidisciplinary goal setting is in place for stroke patients as soon as possible as part of their rehabilitation. (S5O-01607)

Photo of Shona Robison Shona Robison Scottish National Party

We expect health boards to take forward the actions in priority 7, “Transition to the community”, and priority 8, on “supported self management” and “Living with stroke”, in our “Stroke Improvement Plan—August 2014”, which includes an action for goal setting to ensure that the appropriate care is provided for individuals in need.

The Scottish stroke improvement team supports managed clinical networks to evaluate board performance and identify areas of concern, and it works with them to implement local action plans to improve the delivery of stroke care across Scotland. That support includes visiting all boards at least once a year to review stroke care with board representatives to assess performance, to highlight achievements and good practice and to formulate an improvement plan for areas of concern, where necessary.

Photo of Alexander Stewart Alexander Stewart Conservative

The “Scottish Stroke Improvement Programme—2017 report” shows that multidisciplinary goal setting has been fully implemented in only three health boards. Does the cabinet secretary agree that that is insufficient for stroke survivors and that they should not have to deal with a postcode lottery?

Photo of Shona Robison Shona Robison Scottish National Party

We know that early assessment and the provision of rehabilitation through multidisciplinary working in the first few days following an acute stroke achieves the best outcomes for the person. In my initial answer, I referred to the assessment of boards’ performance and, more important, the improvement plans that they are then expected to take forward. We will ensure that that process continues in order that stroke services are improved in every board area.

Photo of Emma Harper Emma Harper Scottish National Party

What information is available to people who have experienced a stroke to make them aware of the services that they should receive in the community?

Photo of Shona Robison Shona Robison Scottish National Party

The Scottish Government continues to work with national health service boards and the third sector to ensure that stroke patients and their families have access to the right care and support.

Chest Heart & Stroke Scotland’s interactive self-management website,, which is funded by the Scottish Government, can be used by anyone who has been affected by stroke. Stroke services have implemented, or are in the process of implementing, a person-centred approach that includes goal setting and the provision of a range of self-management approaches.