2. Two Stroke Pathways
Number 1: Where do Life After
Stroke services sit on the Stroke
Care Pathway?

5. Orange area illustrates the importance
of clinical issues for stroke survivor and
family

6. Blue area illustrates the importance of
personal, social and community issues
for stroke survivor and family

8. Carer’s Support

9. Carer’s Support
Stroke
Navigator
Pathway One!

10. Two Stroke Pathways
Number 2: Value For Money,
Prevention and Wellbeing

11. Stroke Navigator
Life After Stroke Services
Community Integration, Lifestyle and Fitness
LAS
HASU
SU
Inpatient Rehab
Clinical Services
Active Citizenship
Re-ablement & Community Rehabilitation
Specialist
Care
Hi cost
Low cost
No cost
The inverted triangle of care
Value for Money, Prevention and Wellbeing
Community Support
Source: All our tomorrows, - ADSS, LGA
Dependency
Restoring
Independence
Preventing
Deterioration
Independence
and Choice

12. Stroke Navigator
Life After Stroke Services
Community Integration, Lifestyle and Fitness
LAS
HASU
SU
Inpatient Rehab
Psych/Clinical Services
Active Citizenship
Re-ablement & Community Rehabilitation
Specialist
Care
The inverted triangle of care
Value for Money, Prevention and Wellbeing
Community Support
Source: All our tomorrows, - ADSS, LGA

13. Everyday Life £0/day
Sedentary lifestyle
results in worse
mobilisation
Sedentary lifestyle
results in worse
mobilisation
Family breakdown
leading to depression
Family breakdown
leading to depression
LAS £ 200/transfer
HASU £ 500/day
SU £ 200/day
Inpatient Rehab £ 150/day
Psych/Clinical Services £ 200/day
Generic Community Services £ 1/day
Days since stroke
Single patient pathway without
specialist Third Sector Support
Additional Stroke as a
result of poor diet &
exercise
Additional Stroke as a
result of poor diet &
exercise
Cost: £7903
TIA resulting from
continued smoking
TIA resulting from
continued smoking

14. Stroke Navigator
Life After Stroke Services
Community Integration, Lifestyle and Fitness
LAS
HASU
SU
Inpatient Rehab
Clinical Services
Active Citizenship
ESD & Community Rehabilitation
Hi cost
Low cost
No cost
Generic Stroke Services
The inverted triangle of care
Value for Money Prevention and
Wellbeing

15. Healthy Lifestyle/Stroke Prevention £ 1/day
Stroke Navigator £ 10/day
Life After Stroke Services £ 2/day
Community Integration with Stroke Knowledge £ 1/day
LAS £ 200/transfer
HASU £ 700/day
SU £ 500/day
Inpatient Rehab £ 300/day
Psychological Services £ 200/day
Everyday Life £ 0/day
Re-ablement & Community Rehabilitation £ 50/day
Adaptations made to
the home environment
Adaptations made to
the home environment
Peer support and social
activities expand
horizons and
confidence
Peer support and social
activities expand
horizons and
confidence
Single patient pathway with
specialist Third Sector Support
Days since stroke
Fitness and Lifestyle
prevent further stroke
Fitness and Lifestyle
prevent further stroke
Cost: £4990
Communication group
improves relationships.
Communication group
improves relationships.
Lifestyle Advice &
smoking cessation
Lifestyle Advice &
smoking cessation

16. Comparison of Costs
• Generic Third Sector Support £7903
• Specialist Third Sector Support £4990
• Saving £2913

17. Two Pathways: Two Messages
1. Life After Stroke Services are not a pick
and mix counter
They’re a coherent response to range
of real needs, and an integral part to a
stroke recovery pathway
2. Life After Stroke Services aren’t the icing
on the cake
They save you money by helping
people become and stay independent

18. Route 1 Route 2 Cost/unit
LAS 1 200 2 1000 200
HASU 3 2100 6 4200 700
SU 10 5000 10 2000 500
Inpatient
Rehab
2 300 8 1200 300
Clinical
Services
6 1200 300
Reablement 15 750 50
Stroke
Navigator
10 100 10
LAS Services 50 100 2
Generic
Community
Services
103 103 1
Comm
Integration
40 40 1
131 5440 6503