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Jane Terry- Occupational Therapist Return to Work Occupational T herapy Pilot Community Stroke Discharge and Rehabilitation Service Nottingham CityCare Partnership. National Perspective. 25% of UK strokes occur in working age people but fewer than half resume work
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Jane Terry- Occupational Therapist Return to Work Occupational Therapy Pilot Community Stroke Discharge and Rehabilitation Service Nottingham CityCare Partnership
National Perspective • 25% of UK strokes occur in working age people but fewer than half resume work • Those who do not return within 2 years are unlikely to work again • Return to work (RTW ) is a government priority • RTW is a health outcome and a recognised role for health professionals
Local Initiative • RTW OT pilot commissioned for 1 year with University of Nottingham evaluation • Based on Early Stroke Specialist Vocational Rehabilitation (ESSVR) model as part of CLAHRC- NDL “Return to Work after stroke” research project (early job retention model) • Funding for 0.6 WTE Band 6 OT • Band 7 with stroke experience provided RTW service
6 month evaluation – questions • Was a change to the service implemented? • Did it do something different to before? • Was it really like the ESSVR model in the feasibility ?
Early Findings • Increased no of early stroke survivors working at time of stroke identified through inreach to hospital • Mean time between stroke and initial Ax = 21 days • Characteristics of pts mild to moderate stroke similar to feasibility trial
Early Findings (cont) • Positive influence on work outcomes • 24 people seen in first 6/12, 11 had already RTW (Previous year 11 seen, 2 RTW) • 59% of those employed had manual jobs • Mean 21 days between stroke and initial Ax • Model appears to meet the needs of survivors • Further work needed to explore perceptions of intervention (pts and employers) at 12 months.