National report (2021) appendices
Source: data.gov.uk (2023-09-06)

Sentinel Stroke National Audit Programme (SSNAP) - Post-acute organisational audit 2021. The SSNAP post-acute organisational audit is a snapshot audit which supersedes the first organisational audit of post-acute stroke service commissioning carried out in 2015. It reports on the structure and organisation of post-acute stroke services in England, Wales and Northern Ireland. The results reflect the organisation of post-acute stroke services as of 1 April 2021. In total 664 post-acute stroke service providers submitted information to the audit.

The results of the 2021 post-acute organisational audit contain national and service level findings on the organisation of stroke services, including collection and reporting on data such as staffing levels, access to timely multidisciplinary care and 7-day working.

National Report: Contains national results for many key aspects of post-acute stroke service organisation, including the 14 key indicators, it gives a comprehensive overview of the organisation of post-acute inpatient and community-based multidisciplinary services and highlights areas of good practice and areas requiring improvements.

The full results portfolio: Presents service level and national performance against the 14 key indicators (KIs) identified for the 2021 Post-acute organisational audit. The majority of which were applied to post-acute inpatient and community-based multidisciplinary teams only. It gives a comprehensive overview of the organisation of post-acute inpatient and community-based multidisciplinary services.

Post-acute Organisational Audit 2021 
Sentinel Stroke National 
Audit Programme (SSNAP) 
Post-acute Organisational Audit Report 
Appendices 
National Report Appendices
England, Wales and Northern Ireland 
December 2021 
Prepared by 
Sentinel Stroke National Audit Programme, King’s College London, 
on behalf of the Intercollegiate Stroke Working Party 
2021 

Post-acute Organisational Audit 2021 
Document purpose 
This document contains the appendices for the SSNAP 2021 Post-acute 
Organisational Audit National report. 
Title 
SSNAP 2021 Post-acute Organisational Audit report Appendices 
Publication 
December 2021 
Appendices 
Appendix 1: Audit 
methodology 
Full audit methodology for the Post-acute Organisational Audit 2021 
Appendix 2: 
Intercollegiate Stroke 
Working Party 
Membership 
Full list of Intercollegiate Stroke Working Party Members (at the time of audit) and 
the Organisations they Represent 
Appendix 3: List of 
Participating Services 
by NHS Region 
Full list of providers that participated in the Post-acute Organisational Audit 2021 
broken down by NHS Region 
Appendix 4: Post-
acute Organisational 
Audit proforma 2021 
Paper questionnaire of the webtool proforma completed by services for the Post-
acute Organisational Audit 2021 
Appendix 5: Summary 
of denominators used 
in the report 
Information of the main denominators used throughout the Post-acute 
Organisational Audit 2021 report 
Appendix 6: Key 
indicator criteria 
Information about which KIs applied to each service type and how the key 
performance indicators are calculated 
Appendix 7: Service 
commissioning 
Full list of providers that participated in the Post-acute Organisational Audit 2021 
along with details of the commissioner(s) for the service 
Appendix 8: Maps 
Detailed area-specific maps of Community-based multidisciplinary team locations 
i

Appendix 1                                                                                                    
Post-acute Organisational Audit 2021 
1 
 
Appendix 1: Audit methodology 
 
Eligibility criteria and recruitment 
 
Services that see 20 or more stroke patients a year and provide one of the following service functions 
are eligible to participate: 
 
• 
Post-acute inpatient care  
• 
Early Supported Discharge (ESD) team  
• 
Community Rehabilitation team  
• 
Combined ESD/CRT 
• 
Single discipline service 
• 
Other: post-acute support service or residential/bedded facility   
• 
6-month assessment provider 
 
Registration forms were submitted by each service which confirmed service type and details of the 
first and second lead for the audit.  
 
Data collection tool 
 
Data were collected at service level and data were collected using a web-based tool accessible via the 
internet. Security and confidentiality were maintained using hospital codes and secure login.  
High data quality was ensured using built-in validations which prevented illogical data being entered. 
All services were asked to export and check their data before final sign off on 7 May 2021. No changes 
to the data were possible after that point. 
Each participating service was provided with a standardised help booklet containing data definitions, 
clarifications and context specific information. These help notes were also available alongside the web-
based proforma itself. A telephone and email helpdesk was provided to answer any individual queries. 
As this was a snapshot audit, sites were asked to reflect their service as at 1 April 2021. There were 
five sections in the proforma: 
• 
Section 1: General organisational information 
• 
Section 2: Vocational rehabilitation 
• 
Section 3: Inpatient care 
• 
Section 4: Community-based care  
• 
Section 5: Other 
The full audit proforma is in Appendix 4 of this report. 
The team type determined which sections were to be answered:  

Appendix 1                                                                                                    
Post-acute Organisational Audit 2021 
2 
 
• 
Post-acute inpatient care: Complete sections 1, 2 and 3 of the proforma  
• 
Multidisciplinary services Complete sections 1, 2 and 4 of the proforma  
• 
6-month assessment provider: Complete sections 1 and 4 of the proforma 
• 
Standalone/ single discipline service: Complete sections 1, 2 and 4 of the proforma 
• 
Other: Post-acute support service or Residential/bedded facility: Complete sections 2 and 5 of the 
proforma 
 
COVID-19 response  
 
If teams had reorganised as a temporary response to COVID-19, they were asked to report as per their 
usual commissioned service. It was acknowledged that reorganisations may have been in place for a 
prolonged period of time due to COVID-19. For teams where there was no intention to revert to their 
usual service delivery model, they were asked to report their current service structure. 
 
Organisation of the audit  
 
The Healthcare Quality Improvement Partnership (HQIP) commissioned the audit on behalf of NHS 
England, as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP). The audit 
was carried out by the Sentinel Stroke National Audit Programme (SSNAP), which is based at King’s 
College London. The audit was guided by a multidisciplinary steering group, the Intercollegiate Stroke 
Working Party (ICSWP), which oversees SSNAP (see Appendix 2 for ICSWP membership). 
 
Evidence based audit 
 
The PAOA measured the structure of post-acute stroke services. It was evidence based using standards 
and evidence from sources including the Royal College of Physicians National Clinical Guideline for 
Stroke 5th edition, the National Stroke Service Model description of an Integrated Community Stroke 
Service (ICSS), and British Society of Rehabilitation Medicine, Specialised Neurorehabilitation Service 
Standards. 
 
Key indicators of post-acute stroke organisation 
 
In order to future proof the PAOA, SSNAP has invested existing resources to streamline its data 
collection, analysis and reporting, ensuring future efficiencies in result dissemination. Therefore, unlike 
the previous PAOA, Key indicators were developed in this audit through research and reviewing the 
existing evidence. Applicable participating services were measured against specific criteria for each of 
these 14 key indicators (see Appendix 6 of this report for more information). Going forward it will be 
possible for future analysis to be directly comparable against the same key indicators to monitor 
progress over time. 
KI2 and KI4 are multi-level key indicators, meaning that there are multiple thresholds in order for the 
KI to be met. If some of the thresholds are partially met, then one point is given. If all the thresholds 

Appendix 1                                                                                                    
Post-acute Organisational Audit 2021 
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are met, then two points are given. So, although there are 14 KIs it was possible to score double points 
for some KIs. 
 The key indicators were applied to the following services: 
-Post-acute Inpatient Teams:  A total of 10 key indicators (score of 12) apply at team level to Post-acute 
Inpatient Services. (KI1, KI2, KI3, KI4, KI5, KI6, KI0, K11, KI13, KI14) 
-Community-based Multidisciplinary Rehabilitation Teams: A total of 13 key indicators (score of 15) 
apply at team level to community-based multidisciplinary Rehabilitation Services. (KI1, KI2, KI3, KI4, 
KI5, KI7, KI8, KI9, KI0, K11, KI12, KI13, KI14) 
-Standalone 6-month assessment provider: A total of 1 key indicator (score of 1) apply at team level to 
Post-acute Inpatient Services. 
 
Standards  
 
The current standards against which post-acute stroke services are compared are outlined throughout 
the report. They include the new 14 key indicator standards. 
 
Definitions 
 
Definition of rehabilitation 
 
For this audit, rehabilitation can be defined using the Wade, 2003 definition of community 
rehabilitation: The structure necessary for rehabilitation is the existence of a multidisciplinary team of 
people who can assess and treat most problems commonly faced by their patients. The process of 
rehabilitation is one of assessment (collecting and interpreting data), setting goals, intervening to 
provide support (which maintains the status quo) and treatment (which alters something), and then 
re-assessing to compare the situation after intervention with that aimed for. At some point the patient 
should leave this cycle. The intended primary outcomes (i.e. aims) of rehabilitation are maximizing the 
patient’s participation in society while minimizing his/her pain and distress and minimizing the stress 
on the family. 
 
Definition of vocational rehabilitation 
 
Vocational rehabilitation programmes for people after stroke should include (RCP National Clinical 
Guideline for Stroke 2016, p56):  
• 
Assessment of potential problems in returning to work, based on the work role and demands 
from both the employee’s and employer’s perspectives.  
• 
An action plan for how problems may be overcome. 
• 
Interventions specifically designed for the individual which may include vocational counselling 
and coaching, emotional support, adaptation of the working environment, strategies to 
compensate for functional limitations in mobility and arm function, and fatigue management. 
• 
Clear communication between primary and secondary care teams and including the person 
with stroke, to aid benefit claims or to support a return to work. 

Appendix 1                                                                                                    
Post-acute Organisational Audit 2021 
4 
 
How to read this report 
 
Denominators 
 
It is important to note that denominators vary throughout this report depending on the number of 
services to which the analyses relate. To illustrate, denominators can include all services which 
participated (n=664): 
• 
Post-acute inpatient services (n=93). 
• 
Multidisciplinary services (n=245) which includes Early Supported Discharge services (ESD) (n=88), 
Community Rehabilitation teams (CRT) (n=86), and Combined ESD/CRT (n=71). 
• 
6-month assessment providers (n=198) which includes: standalone 6-month assessment services 
(n=78), post-acute inpatient services (n=12), Early Supported Discharge services (ESD) (n=29), 
Community Rehabilitation teams (CRT) (n=30), Combined ESD/CRT (n=48), and single discipline 
services (n=1).  
• 
Single discipline services (n=66).  
• 
Other residential or bedded facility (n=2). 
• 
Other support services (n=180). 
• 
Vocational rehabilitation providers (n=167) which includes post-acute inpatient services (n=12), 
Early Supported Discharge services (ESD) (n=43), Community Rehabilitation teams (CRT) (n=50), 
Combined ESD/CRT (n=44), single discipline services (n=16), and other residential or bedded (n=2). 
 
 
Presentation of results 
Key aspects of post-acute stroke care organisation are addressed, including each of the 14 key 
indicators for the audit. There are comparisons with the 2015 PAOA where appropriate. Clinical 
commentary is also given throughout to provide a reflection on the bigger picture and key standards 
have been specified for all relevant sections.

Appendix 2                                                                                                   
Post-acute Organisational Audit 2021 
5 
 
Appendix 2: Intercollegiate Stroke Working Party Membership  
 
Chair  
Professor Martin James, Professor of Stroke Medicine, Clinical Director of King’s College Stroke 
Programme 
 
Associate Clinical Director, King’s Stroke Programme  
Dr Ajay Bhalla, Associate Clinical Director, King’s College London Stroke Programme, Consultant Stroke 
Physician at Guy’s and St Thomas’ Foundation Trust  
 
Dr Rebecca Fisher, Associate Clinical Director, King’s College London Stroke Programme 
 
Ms Louise Clark, Head of Occupational Therapy/ Allied Health Professional lead for stroke services, 
Dorset County Hospital NHS Foundation Trust  
 
  
List of Members and the Organisations they Represent 
 
Association of Chartered Physiotherapists in Neurology (ACPIN)  
Professor Sarah Tyson, Professor of Rehabilitation, University of Manchester  
 
Association of British Neurologists  
Professor David Werring, Professor of Clinical Neurology, University College London  
 
British Association of Stroke Physicians  
Professor Rustam Al-Shahi Salman, President of British Association of Stroke Physicians, Professor of 
Clinical Neurology, Honorary Consultant Neurologist 
 
British Dietetic Association  
Ms Cara Lewis, Stroke Dietician, Guy’s and St Thomas’ NHS Foundation Trust  
 
British and Irish Orthoptic Society  
Professor Fiona Rowe, Professor of Orthoptics, University of Liverpool 
 
British Geriatrics Society  
Dr Khalid Ali, Senior lecturer in Geriatrics and Stroke Medicine, Brighton and Sussex Medical School 
 
British Psychological Society  
Dr Shirley Thomas, Associate Professor in Rehabilitation Psychology, University of Nottingham 
Dr Mark Griffiths, Consultant Lead Clinical Psychologist, Professional Lead & Head of psychology 
services, Liverpool Heart and Chest Hospital NHS Foundation Trust 
 
British Society of Neuroradiologists  
Dr Andrew Clifton, Interventional Neuroradiologist, St George’s University Hospitals NHS Foundation 
Trust  
 
 
 
 

Appendix 2                                                                                                   
Post-acute Organisational Audit 2021 
6 
 
 
British Society of Rehabilitation Medicine / Society for Research in Rehabilitation  
Professor Diane Playford, Professor of Neurological Rehabilitation/Honorary Consultant in 
Rehabilitation Medicine, Warwick Medical School, University of Warwick   
 
College of Paramedics  
Mr Joseph Dent, Advanced Practitioner for Stroke, Salford Royal NHS Foundation Trust 
 
Getting it Right First Time (GIRFT)  
Dr David Hargroves. Joint Clinical Lead for Stroke, Getting it Right First Time  
 
Health Economics Advice  
Professor Anita Patel; Independent Health Economics Consultant/Honorary Professor, Queen Mary 
University of London   
 
Healthcare Quality Improvement Partnership (HQIP)  
Mr Mirek Skrypak, Associate Director for Quality and Development  
 
Informatics Advice  
Dr Andrew Hill, Consultant Stroke Physician, St Helens and Knowsley NHS Teaching Hospital  
 
King’s College London  
Professor Charles Wolfe, Professor of Public Health King’s College London 
 
National Clinical Director for Stroke (England)  
Dr Deborah Lowe, National Clinical Director for Stroke, National Speciality Adviser for Stroke Medicine, 
Consultant Stroke Physician, Wirral University Teaching Hospital NHS Foundation Trust 
 
NHS Wales  
Dr Shakeel Ahmad, Stroke Consultant, Clinical Lead for Stroke Services (Wales)  
 
Northern Ireland Multidisciplinary Association of Stroke Teams (NIMAST)  
Dr Patricia Gordon, Chair, NIMAST 
Ms Nicola Moran, Website Liaison, NIMAST 
 
Patient representatives  
Mr Robert Norbury 
Mr Stephen Simpson  
Ms Marney Williams  
 
Royal College of General Practitioners  
Dr Iain Marshall, GP partner, Greyswood Practice 
 
Royal College of Nursing  
Ms Marie Austin, Royal College of Nursing Neuroscience Forum  
Dr Gill Cluckie, Stroke Nurse Consultant, St George’s University Hospitals NHS Foundation Trust   
 
Royal College of Occupational Therapists / Special Section Neurological Practice  
Professor Avril Drummond, Professor of Healthcare Research, University of Nottingham  
Ms Louise Clark, Head of Occupational Therapy/ Allied Health Professional lead for stroke services, 
Dorset County Hospital NHS Foundation Trust  

Appendix 2                                                                                                   
Post-acute Organisational Audit 2021 
7 
 
 
Royal College of Physicians  
Professor Thompson Robinson, Vice Chancellor and Head of the College of Life Sciences and Dean of 
Medicine, University of Leicester 
 
Royal College of Radiologists  
Professor Philip White, Professor of Interventional and Diagnostic Neuroradiology and Hon Consultant 
Neuroradiologist, Newcastle Upon Tyne Hospitals NHS Foundation Trust 
 
Royal College of Speech and Language Therapists  
Professor Sue Pownall, Head of Speech and Language Therapy, Sheffield Teaching Hospitals NHS 
Foundation Trust 
 
Stroke Association  
Dr Rubina Ahmed, Associate Director of Systems Engagement, and Interim Executive Director of 
Locality Impact, Stroke Association 
Mrs Juliet Bouverie; Chief Executive, Stroke Association   
 
 
 
 
 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
8 
 
Appendix 3: List of Participating Services by NHS Region 
 
Region 
Service Name 
Service 
Type 
NHS Trust 
ISDN 
East of 
England  
 
St Peter's Community 
Hospital Rehab Unit 
Post-Acute 
Inpatient 
Services 
Provide 
East of England 
(South) 
Clacton Hospital 
Post-Acute 
Inpatient 
Services 
Anglian Community 
Enterprise CIC 
East of England 
(South) 
Danesbury Neurological 
Centre  
Post-Acute 
Inpatient 
Services 
Hertfordshire 
Community NHS 
Trust 
East of England 
(South) 
Holywell Rehabilitation Unit 
Post-Acute 
Inpatient 
Services 
Central London 
Community 
Healthcare NHS 
Trust 
East of England 
(South) 
Cumberlege Intermediate 
Care Centre 
Post-Acute 
Inpatient 
Services 
Essex Partnership 
University NHS 
Foundation Trust 
East of England 
(South) 
CPFT North Inpatient 
Post-Acute 
Inpatient 
Services 
Cambridgeshire 
and Peterborough 
NHS Foundation 
Trust 
East of England 
(North) 
CPFT South Inpatient 
Post-Acute 
Inpatient 
Services 
Cambridgeshire 
and Peterborough 
NHS Foundation 
Trust 
East of England 
(North) 
James Paget Hospital Post 
Acute Inpatient 
Post-Acute 
Inpatient 
Services 
James Paget 
University Hospitals 
NHS Foundation 
Trust 
East of England 
(North) 
Norwich Community 
Hospital - Beech Ward 
Post-Acute 
Inpatient 
Services 
Norfolk Community 
Health and Care 
NHS Trust 
East of England 
(North) 
Sapphire Unit - Gravesham 
Community Hospital 
Post-Acute 
Inpatient 
Services 
Virgin Care Ltd 
East of England 
(South) 
St Margaret's Hospital Essex 
Post-Acute 
Inpatient 
Services 
Essex Partnership 
University NHS 
Foundation Trust 
East of England 
(South) 
Uplands Inpatient Stroke 
Rehab Team 
Post-Acute 
Inpatient 
Services 
Mid and South 
Essex NHS 
Foundation Trust  
East of England 
(South) 
Mid Essex ESD Team 
ESD 
Provide 
East of England 
(South) 
East Coast Community 
Healthcare 
ESD 
James Paget 
University Hospitals 
East of England 
(North) 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
9 
 
NHS Foundation 
Trust 
East & North Hertfordshire 
Neuro Service 
CRT 
Hertfordshire 
Community NHS 
Trust 
East of England 
(South) 
South Tees ESD Team 
ESD 
South Tees 
Hospitals NHS 
Foundation Trust 
North East and 
North Cumbria 
East Coast Community 
Healthcare Stroke 
Neurology Service 
CRT 
James Paget 
University Hospitals 
NHS Foundation 
Trust 
East of England 
North) 
South West Essex ESD Team 
ESD 
North East London 
NHS Foundation 
Trust 
East of England 
(South) 
East and North Herts ESD 
Team 
ESD 
Hertfordshire 
Community NHS 
Trust 
East of England 
(South) 
Herts Valley ESD Team 
ESD 
Central London 
Community 
Healthcare NHS 
Trust 
East of England 
(South) 
South East Essex 
Community Stroke Team 
CRT 
Essex Partnership 
University NHS 
Foundation Trust 
East of England 
(South) 
South East Essex ESD Team 
ESD 
Essex Partnership 
University NHS 
Foundation Trust 
East of England 
(South) 
Livability Icanho Community 
Rehabilitation Service 
CRT 
ICANHO Suffolk 
East of England 
(South) 
CPFT ESD North Community 
ESD 
Cambridgeshire 
and Peterborough 
NHS Foundation 
Trust 
East of England 
(North) 
CPFT ESD South Community 
ESD 
Cambridgeshire 
and Peterborough 
NHS Foundation 
Trust 
East of England 
(North) 
CPFT CNRS North 
Community 
CRT 
Cambridgeshire 
and Peterborough 
NHS Foundation 
Trust 
East of England 
(North) 
CPFT CNRS South 
Community 
CRT 
Cambridgeshire 
and Peterborough 
NHS Foundation 
Trust 
East of England 
(North) 
Norwich ESD Team 
ESD 
Norfolk Community 
Health and Care 
NHS Trust 
East of England 
(North) 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
10 
 
Milton Keynes ESD Team 
ESD 
Central and North 
West London NHS 
Foundation Trust 
East of England 
(South) 
Kings Lynn and West 
Norfolk Specialist 
Community Stroke team 
CRT 
Queen Elizabeth 
Hospital King's Lynn 
NHS Foundation 
Trust 
East of England 
(North) 
Bedfordshire ESD Team 
ESD 
Cambridgeshire 
Community 
Services NHS Trust 
East of England 
(South) 
Milton Keynes Neuro Rehab 
Service 
CRT 
Central and North 
West London NHS 
Foundation Trust 
East of England 
(South) 
Luton Stroke ESD Service & 
6 Month Provider 
ESD 
Virgin Care Ltd 
East of England 
(South) 
West Essex ESD Team 
ESD 
Essex Partnership 
University NHS 
Foundation Trust 
East of England 
(South) 
Anglian Community 
Enterprise ESD 
ESD 
Anglian Community 
Enterprise CIC 
East of England 
(North) 
Suffolk ESD Stroke Care 
Team 
ESD 
Norfolk Community 
Health and Care 
NHS Trust 
East of England 
(North) 
West Hertfordshire Neuro 
Locality Team   
CRT 
Central London 
Community 
Healthcare NHS 
Trust 
East of England 
(South) 
Colchester Post-Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
East of England 
(North) 
West Suffolk Hospital 
6-month 
Assessment 
Providers 
West Suffolk NHS 
Foundation Trust 
East of England 
(North) 
Milton Keynes Six Month 
Assessment Provider 
6-month 
Assessment 
Providers 
Central and North 
West London NHS 
Foundation Trust 
East of England 
(South) 
Bedford Post Stroke Review 
Service 
6-month 
Assessment 
Providers 
Stroke Association 
East of England 
(South) 
Hertfordshire Post-Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
East of England 
(South) 
Norfolk Community 6 
Month Assessment Provider 
6-month 
Assessment 
Providers 
Norfolk Community 
Health and Care 
NHS Trust 
East of England 
(North) 
Mid Essex Stroke Psychology 
Service 
Single 
Discipline 
Essex Partnership 
University NHS 
Foundation Trust 
East of England 
(North) 
Provide CIC Adult Speech & 
Language Therapy  
Single 
Discipline 
Provide 
East of England 
(South) 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
11 
 
Ipswich Hospital Hand 
Therapy (Neuro) 
Single 
Discipline 
Ipswich Hospital 
NHS Trust 
(Acquired by East 
Suffolk and North 
Essex NHS 
Foundation Trust) 
East of England 
(North) 
Luton Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
East of England 
(South) 
Peterborough 
Communication Support 
Other 
(support) 
Stroke Association 
East of England 
(North) 
Peterborough Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
East of England 
(North) 
Suffolk Communication 
Support 
Other 
(support) 
Stroke Association 
East of England 
(North) 
West Norfolk 
Communication Support 
Other 
(support) 
Stroke Association 
East of England 
(North) 
West Norfolk Stroke Long 
Term Support 
Other 
(support) 
Stroke Association 
East of England 
(North) 
Basildon and Brentwood 
Stroke Recovery Service 
Other 
(support) 
Stroke Association 
East of England 
(South) 
West Norfolk Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
East of England 
(North) 
Thurrock Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
East of England 
(South) 
West Essex Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
East of England 
(South) 
Colchester Communication 
Support 
Other 
(support) 
Stroke Association 
East of England 
(North) 
Colchester Emotional 
Support Service 
Other 
(support) 
Stroke Association 
East of England 
(North) 
South East Essex 
Community Stroke Team 
(Support) 
Other 
(support) 
Essex Partnership 
University NHS 
Foundation Trust 
East of England 
(South) 
West Norfolk Stroke Health 
Promotion 
Other 
(support) 
Stroke Association 
East of England 
(North) 
Mid Essex Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
East of England 
(South) 
Bedford Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
East of England 
(South) 
West Herts Communication 
Support 
Other 
(support) 
Stroke Association 
East of England 
(South) 
Hertfordshire Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
East of England 
(South) 
Central Bedfordshire Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
East of England 
(South) 
London 
 
Homerton University 
Hospital Regional 
Neurological Rehabilitation 
Unit (RNRU) 
Post-Acute 
Inpatient 
Services 
Homerton 
University Hospital 
NHS Foundation 
Trust 
London 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
12 
 
Edgware Community 
Hospital 
Post-Acute 
Inpatient 
Services 
Central London 
Community 
Healthcare NHS 
Trust 
London 
Chase Farm Hospital 
Inpatient Rehab Team 
Post-Acute 
Inpatient 
Services 
Barnet, Enfield and 
Haringey Mental 
Health NHS Trust 
London 
Meadow Court Community 
Hospital 
Post-Acute 
Inpatient 
Services 
North East London 
NHS Foundation 
Trust 
London 
Clayponds Inpatient Neuro 
Therapy Team 
Post-Acute 
Inpatient 
Services 
West London NHS 
Trust 
London 
Homerton Transitional 
Neurological Rehabilitation 
Unit (HTNRU) 
Post-Acute 
Inpatient 
Services 
Homerton 
University Hospital 
NHS Foundation 
Trust 
London 
Wolfson 
Neurorehabilitation Unit 
Post-Acute 
Inpatient 
Services 
St George's 
University Hospitals 
NHS Foundation 
Trust 
London 
Pulross Centre 2B Neuro 
Rehabilitation Team 
Post-Acute 
Inpatient 
Services 
Guy's and St 
Thomas' NHS 
Foundation Trust 
London 
St Pancras Hospital 
Post-Acute 
Inpatient 
Services 
Central and North 
West London NHS 
Foundation Trust 
London 
Royal Free Neuro 
Rehabilitation Centre 
Post-Acute 
Inpatient 
Services 
Royal Free London 
NHS Foundation 
Trust 
London 
Greenwich Neuro 
Rehabilitation Team    
CRT 
Oxleas NHS 
Foundation Trust 
London 
Waltham Forest Integrated 
Stroke Pathway (WISP) 
ESDCRT 
Barts Health NHS 
Trust 
London 
North East London 
Community Stroke Team 
ESDCRT 
North East London 
NHS Foundation 
Trust 
London 
Southwark Community 
Stroke Rehab Team 
CRT 
Guy's and St 
Thomas' NHS 
Foundation Trust 
London 
Homerton University 
Hospital Integrated 
Independence Team 
ESD 
Homerton 
University Hospital 
NHS Foundation 
Trust 
London 
Enfield ESD & Enfield 
Community Stroke Team 
ESDCRT 
Barnet, Enfield and 
Haringey Mental 
Health NHS Trust 
London 
Camden Community 
Neurology & Stroke Service 
ESDCRT 
Central and North 
West London NHS 
Foundation Trust 
London 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
13 
 
Haringey Community Stroke 
Therapy Team 
ESDCRT 
Whittington Health 
NHS Trust 
London 
Hillingdon Stroke ESD Team 
ESD 
Central and North 
West London NHS 
Foundation Trust 
London 
Richmond ESD Team 
ESD 
Hounslow and 
Richmond 
Community 
Healthcare NHS 
Trust  
London 
Brent Stroke ESD  
ESD 
London North West 
University 
Healthcare NHS 
Trust 
London 
Islington Community Rehab 
Team 
CRT 
Whittington Health 
NHS Trust 
London 
Islington ESD Team 
ESD 
Whittington Health 
NHS Trust 
London 
Bromley SCREHN 
Community Rehab Team 
SD/THMT 
CRT 
Lewisham and 
Greenwich NHS 
Trust 
London 
Southwark ESD Team 
ESD 
Guy's and St 
Thomas' NHS 
Foundation Trust 
London 
Central London Community 
Healthcare Stroke ESD & 
Neuro Team  
ESDCRT 
Central London 
Community 
Healthcare NHS 
Trust 
London 
ELFT Community Stroke 
Team 
CRT 
East London NHS 
Foundation Trust 
London 
Lewisham ESD Team 
ESD 
Lewisham and 
Greenwich NHS 
Trust 
London 
Lewisham Community 
Stroke Rehab Team 
CRT 
Lewisham and 
Greenwich NHS 
Trust 
London 
Sutton ESD Team 
ESD 
Epsom and St 
Helier University 
Hospitals NHS Trust 
London 
Bexley Community ESD & 
CRT Team 
ESDCRT 
Oxleas NHS 
Foundation Trust 
London 
Your Healthcare Community 
Rehab Team 
CRT 
Your Healthcare CIC  London 
Your Healthcare ESD Team 
ESD 
Your Healthcare CIC  London 
Redbridge HASS Community 
Stroke Service 
CRT 
North East London 
NHS Foundation 
Trust 
London 
Lambeth Community Stroke 
team 
CRT 
Guy's and St 
Thomas' NHS 
Foundation Trust 
London 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
14 
 
Lambeth Community Stroke 
team 
ESD 
Guy's and St 
Thomas' NHS 
Foundation Trust 
London 
Homerton University 
Hospital Adult Community 
Rehabilitation Team (ACRT) 
CRT 
Homerton 
University Hospital 
NHS Foundation 
Trust 
London 
Hillingdon Community 
Rehab Team 
CRT 
Central and North 
West London NHS 
Foundation Trust 
London 
Greenwich ESD Team  
ESD 
Oxleas NHS 
Foundation Trust 
London 
Sutton Community Neuro 
Rehab Team 
CRT 
Epsom and St 
Helier University 
Hospitals NHS Trust 
London 
Ealing Stroke & Neuro 
Rehab Team 
CRT 
London North West 
University 
Healthcare NHS 
Trust 
London 
Richmond Community 
Neuro-Rehab Team 
CRT 
Hounslow and 
Richmond 
Community 
Healthcare NHS 
Trust  
London 
Barnet ESD Team 
ESD 
Central London 
Community 
Healthcare NHS 
Trust 
London 
Integrated Neurological 
Services Twickenham 
CRT 
 
London 
Hounslow Community 
Stroke Rehab Team 
CRT 
Hounslow and 
Richmond 
Community 
Healthcare NHS 
Trust  
London 
Croydon ESD Team 
ESD 
Croydon Health 
Services NHS Trust 
London 
Croydon Community Neuro 
Rehab Team 
CRT 
Croydon Health 
Services NHS Trust 
London 
Queens Hospital Romford 
ESD Team 
ESD 
Barking, Havering 
and Redbridge 
University Hospitals 
NHS Trust 
London 
Wandsworth Community 
Neuro Rehabilitation Team 
CRT 
St George's 
University Hospitals 
NHS Foundation 
Trust 
London 
Wandsworth Community 
Neuro ESD Team 
ESD 
St George's 
University Hospitals 
London 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
15 
 
NHS Foundation 
Trust 
Merton Neuro Rehab Team 
CRT 
Central London 
Community 
Healthcare NHS 
Trust 
London 
ELFT ESD Team 
ESD 
East London NHS 
Foundation Trust 
London 
Southwark Neuro Rehab 
Team 
CRT 
Guy's and St 
Thomas' NHS 
Foundation Trust 
London 
Lambeth Neuro Rehab Team CRT 
Guy's and St 
Thomas' NHS 
Foundation Trust 
London 
Harrow 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
London North West 
University 
Healthcare NHS 
Trust 
London 
Enfield Stroke Navigator 6 
Month Assessment Provider 
6-month 
Assessment 
Providers 
Enfield Stroke 
Navigator 
London 
Lambeth 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
Guy's and St 
Thomas' NHS 
Foundation Trust 
London 
Brent 6 Month Assessment 
Provider 
6-month 
Assessment 
Providers 
London North West 
University 
Healthcare NHS 
Trust 
London 
Lewisham 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
Lewisham and 
Greenwich NHS 
Trust 
London 
Islington Post Stroke Review 
Service 
6-month 
Assessment 
Providers 
Stroke Association 
London 
Hounslow Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
London 
Haringey Post Stroke Review 
Service 
6-month 
Assessment 
Providers 
Stroke Association 
London 
Hillingdon Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
London 
Wandsworth Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
London 
Redbridge Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
London 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
16 
 
Newham Post-Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
London 
Barnet 6 Month Assessment 
Provider 
6-month 
Assessment 
Providers 
Central London 
Community 
Healthcare NHS 
Trust 
London 
Wandsworth Community 
Neuro 6 month review  
Service 
6-month 
Assessment 
Providers 
St George's 
University Hospitals 
NHS Foundation 
Trust 
London 
Southwark 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
Guy's and St 
Thomas' NHS 
Foundation Trust 
London 
South East London Neuro 
Navigation Service (SELNNS) 
Other 
(support) 
Guy's and St 
Thomas' NHS 
Foundation Trust 
London 
Lambeth Stroke Care 
Advisor 
Other 
(support) 
Guy's and St 
Thomas' NHS 
Foundation Trust 
London 
Islington Communication 
Support 
Other 
(support) 
Stroke Association 
London 
Camden Communication 
Support 
Other 
(support) 
Stroke Association 
London 
Croydon Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
London 
Wandsworth Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
London 
Redbridge Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
London 
Croydon Communication 
Support 
Other 
(support) 
Stroke Association 
London 
Lewisham Communication 
Support 
Other 
(support) 
Stroke Association 
London 
Lewisham Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
London 
Newham Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
London 
Tower Hamlets Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
London 
Haringey Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
London 
Islington Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
London 
Waltham Forest Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
London 
Waltham Forest 
Communication Support 
Other 
(support) 
Stroke Association 
London 
Harrow Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
London 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
17 
 
Hillingdon Communication 
Support 
Other 
(support) 
Stroke Association 
London 
Hillingdon Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
London 
Hounslow Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
London 
Hackney Fit 4 Health 
Exercise After Stroke Team 
Other 
(support) 
Homerton 
University Hospital 
NHS Foundation 
Trust 
London 
Midlands 
 
Worcestershire Stroke 
Rehabilitation Unit 
Post-Acute 
Inpatient 
Services 
Herefordshire and 
Worcestershire 
Health and Care 
NHS Trust 
West Midlands 
St Lukes Stroke 
Rehabilitation Team - 
Market Harborough 
Hospital 
Post-Acute 
Inpatient 
Services 
Leicestershire 
Partnership NHS 
Trust 
East Midlands 
Staffordshire Rehabilitation 
Team 
Post-Acute 
Inpatient 
Services 
Midlands 
Partnership NHS 
Foundation Trust 
West Midlands 
Northamptonshire 
Community Stroke Beds 
Post-Acute 
Inpatient 
Services 
Northamptonshire 
Healthcare NHS 
Foundation Trust 
East Midlands 
Feldon Stroke Rehabilitation 
Unit SWFT 
Post-Acute 
Inpatient 
Services 
South 
Warwickshire NHS 
Foundation Trust 
West Midlands 
Coalville Community 
Hospital  
Post-Acute 
Inpatient 
Services 
Leicestershire 
Partnership NHS 
Trust 
East Midlands 
Walsall Inpatient Rehab 
Team 
Post-Acute 
Inpatient 
Services 
Walsall Healthcare 
NHS Trust 
West Midlands 
Moseley Hall Stroke 
Rehabilitation Unit 
Post-Acute 
Inpatient 
Services 
Birmingham 
Community 
Healthcare NHS 
Foundation Trust 
West Midlands 
Leicester City Stroke 
Rehabilitation Unit 
Post-Acute 
Inpatient 
Services 
University Hospitals 
of Leicester NHS 
Trust 
East Midlands 
South East Staffordshire 
Community Neuro Rehab 
Team 
CRT 
Midlands 
Partnership NHS 
Foundation Trust 
West Midlands 
Birmingham Community 
Stroke Team  
CRT 
Birmingham 
Community 
Healthcare NHS 
Foundation Trust 
West Midlands 
Shrewsbury and Telford ESD 
Team 
ESD 
Shrewsbury and 
Telford Hospital 
NHS Trust 
West Midlands 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
18 
 
Cannock Community Stroke 
Team 
ESDCRT 
Walsall Healthcare 
NHS Trust 
West Midlands 
Birmingham Heartlands ESD 
Team 
ESD 
University Hospitals 
Birmingham NHS 
Foundation Trust 
West Midlands 
Solihull Hospital ESD Team 
ESD 
University Hospitals 
Birmingham NHS 
Foundation Trust 
West Midlands 
Leicester, Leicestershire and 
Rutland CINSS 
CRT 
Leicestershire 
Partnership NHS 
Trust 
East Midlands 
Wolverhampton and 
Seisdon ESD Team 
ESD 
Royal 
Wolverhampton 
NHS Trust 
West Midlands 
Nottinghamshire County 
South Community Stroke 
ESDCRT 
Nottinghamshire 
Healthcare NHS 
Trust 
East Midlands 
South Warwickshire Stroke 
Outreach Team  
CRT 
South 
Warwickshire NHS 
Foundation Trust 
West Midlands 
North Worcestershire ESD 
Team 
ESDCRT 
Herefordshire and 
Worcestershire 
Health and Care 
NHS Trust 
West Midlands 
South Cheshire and Vale 
Royal Stroke ESD Team 
ESDCRT 
Mid Cheshire 
Hospitals NHS 
Foundation Trust 
North Midlands 
Herefordshire Community 
Stroke Rehab Team 
CRT 
Wye Valley NHS 
Trust 
West Midlands 
South Worcestershire ESD 
Team 
ESDCRT 
Herefordshire and 
Worcestershire 
Health and Care 
NHS Trust 
West Midlands 
Good Hope Hospital Early 
Supported Discharge Team  
ESD 
University Hospitals 
Birmingham NHS 
Foundation Trust 
West Midlands 
Nottingham City Community 
Stroke Service 
CRT 
Nottingham 
CityCare 
Partnership CIC 
East Midlands 
Moseley Hall Hospital 
Community Rehab Team 
CRT 
Birmingham 
Community 
Healthcare NHS 
Foundation Trust 
West Midlands 
Hereford Early Supported 
Discharge Team 
ESD 
Wye Valley NHS 
Trust 
West Midlands 
Dudley Community Stroke 
Rehabilitation Team 
ESDCRT 
Dudley Group NHS 
Foundation Trust 
West Midlands 
Central Nottinghamshire 
ESD Team 
ESD 
Sherwood Forest 
Hospitals NHS 
Foundation Trust 
East Midlands 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
19 
 
Lincolnshire Stroke Service 
ESDCRT 
Lincolnshire 
Community Health 
Services NHS trust 
East Midlands 
Coventry ESD 
ESD 
Coventry and 
Warwickshire 
Partnership NHS 
Trust 
West Midlands 
Stafford Community Stroke 
Team 
ESDCRT 
Walsall Healthcare 
NHS Trust 
West Midlands 
Coventry Community Neuro 
Rehab Team   
CRT 
Coventry and 
Warwickshire 
Partnership NHS 
Trust 
West Midlands 
Northampton Community 
Stroke Team 
ESDCRT 
Northampton 
General Hospital 
NHS Trust 
East Midlands 
East Staffordshire 
Community Stroke Rehab 
Team 
ESDCRT 
Midlands 
Partnership NHS 
Foundation Trust 
North Midlands 
Birmingham Neuro 
Rehabilitation Team 
CRT 
Birmingham 
Community 
Healthcare NHS 
Foundation Trust 
West Midlands 
South, Central and Crosscity 
Birmingham ESD Team 
ESD 
Birmingham 
Community 
Healthcare NHS 
Foundation Trust 
West Midlands 
Staffordshire ESD & CRT 
Team 
ESDCRT 
Midlands 
Partnership NHS 
Foundation Trust 
West Midlands 
Leicester ESD Team 
ESD 
University Hospitals 
of Leicester NHS 
Trust 
East Midlands 
Sandwell and West 
Birmingham ESD team 
ESD 
Sandwell and West 
Birmingham 
Hospitals NHS Trust 
West Midlands 
Walsall CRT & ESD Team 
ESDCRT 
Walsall Healthcare 
NHS Trust 
West Midlands 
Coventry Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
West Midlands 
Sandwell Post-Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
North Midlands 
Queen Elizabeth Hospital 
Edgebaston 
6-month 
Assessment 
Providers 
University Hospitals 
Birmingham NHS 
Foundation Trust 
West Midlands 
Birmingham Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
West Midlands 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
20 
 
Telford and Wrekin Post-
Stroke Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
North Midlands 
Wolverhampton Community 
6 Month Assessment 
Provider 
6-month 
Assessment 
Providers 
Royal 
Wolverhampton 
NHS Trust 
West Midlands 
Dudley Post-Stroke Review 
Service 
6-month 
Assessment 
Providers 
Stroke Association 
West Midlands 
Nottingham City 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
Nottingham 
CityCare 
Partnership CIC 
East Midlands 
West Park Hospital OT 
Department 
Single 
Discipline 
Royal 
Wolverhampton 
NHS Trust 
West Midlands 
London Road Community 
Hospital Neuro Outpatients 
Service 
Single 
Discipline 
University Hospitals 
of Derby and 
Burton NHS 
Foundation Trust 
East Midlands 
Shrewsbury & Telford Neuro 
Out-Patient Occupational 
Therapy 
Single 
Discipline 
Shrewsbury and 
Telford Hospital 
NHS Trust 
West Midlands 
Shrewsbury & Telford Neuro 
Out-Patient Physiotherapy 
Single 
Discipline 
Shrewsbury and 
Telford Hospital 
NHS Trust 
West Midlands 
Shrewsbury & Telford 
Spasticity & Complex 
Disability Service 
Single 
Discipline 
Shrewsbury and 
Telford Hospital 
NHS Trust 
West Midlands 
Shrewsbury & Telford 
Speech and Language 
Therapy Service 
Single 
Discipline 
Shrewsbury and 
Telford Hospital 
NHS Trust 
West Midlands 
Warwickshire North Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
West Midlands 
Derby Communication 
Support 
Other 
(support) 
Stroke Association 
East Midlands 
Lincolnshire Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
East Midlands 
North East Derby Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
East Midlands 
Leicester Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
East Midlands 
Worcestershire Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
West Midlands 
Shropshire Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
North Midlands 
Sandwell Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
North Midlands 
Stoke on Trent Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
North Midlands 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
21 
 
North Staffordshire Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
North Midlands 
Coventry Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
West Midlands 
Birmingham and Solihull 
Stroke Recovery Service 
Other 
(support) 
Stroke Association 
West Midlands 
North 
East & 
Yorkshire 
 
York Hospital 
Post-Acute 
Inpatient 
Services 
York and 
Scarborough 
Teaching Hospitals 
NHS Foundation 
Trust 
Humber Coast 
and Vale 
White Cross Court Stroke 
Rehabilitation Unit 
Post-Acute 
Inpatient 
Services 
York and 
Scarborough 
Teaching Hospitals 
NHS Foundation 
Trust 
Humber Coast 
and Vale 
South Tees Community 
Stroke Service Post Acute 
Post-Acute 
Inpatient 
Services 
South Tees 
Hospitals NHS 
Foundation Trust 
North East and 
North Cumbria 
Rutson Rehabilitation Unit 
Post-Acute 
Inpatient 
Services 
South Tees 
Hospitals NHS 
Foundation Trust 
North East and 
North Cumbria 
Johnson Ward 
Rehabilitation Unit 
Post-Acute 
Inpatient 
Services 
York and 
Scarborough 
Teaching Hospitals 
NHS Foundation 
Trust 
Humber Coast 
and Vale 
Sheffield Stroke Pathway 
Assessment and 
Rehabilitation Centre 
(SPARC) 
Post-Acute 
Inpatient 
Services 
Sheffield Teaching 
Hospitals NHS 
Foundation Trust 
South Yorkshire 
and Bassetlaw 
Montagu Hospital  
Post-Acute 
Inpatient 
Services 
Doncaster and 
Bassetlaw Teaching 
Hospitals NHS 
Foundation Trust 
South Yorkshire 
and Bassetlaw 
Bassetlaw District General 
Hospital 
Post-Acute 
Inpatient 
Services 
Doncaster and 
Bassetlaw Teaching 
Hospitals NHS 
Foundation Trust 
South Yorkshire 
and Bassetlaw 
Penrith Community Hospital 
Post-Acute 
Inpatient 
Services 
North Cumbria 
Integrated Care 
NHS Foundation 
Trust 
North East and 
North Cumbria 
Kendray Hospital 
Post-Acute 
Inpatient 
Services 
South West 
Yorkshire 
Partnership NHS 
Foundation Trust 
South Yorkshire 
and Bassetlaw 
Bishop Auckland Hospital 
Post-Acute 
Inpatient 
Services 
County Durham 
and Darlington NHS 
Foundation Trust 
North East and 
North Cumbria 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
22 
 
Northumbria ESD Team 
ESD 
Northumbria 
Healthcare NHS 
Foundation Trust 
North East and 
North Cumbria 
Rotherham ESD/CRT 
ESDCRT 
Rotherham NHS 
Foundation Trust 
South Yorkshire 
and Bassetlaw 
South Tees Community 
Therapy team 
CRT 
South Tees 
Hospitals NHS 
Foundation Trust 
North East and 
North Cumbria 
York Community Stroke 
Rehab Team 
CRT 
York and 
Scarborough 
Teaching Hospitals 
NHS Foundation 
Trust 
Humber Coast 
and Vale 
SGH Community Rehab and 
ESD Stroke Team 
ESDCRT 
Northern 
Lincolnshire and 
Goole Hospitals 
NHS Foundation 
Trust 
Humber Coast 
and Vale 
Bradford Stroke ESD team 
ESD 
Bradford Teaching 
Hospitals NHS 
Foundation Trust 
West Yorkshire 
and Harrogate 
North Tees and Hartlepool 
ESD/CST Team 
ESDCRT 
North Tees and 
Hartlepool NHS 
Foundation Trust 
North East and 
North Cumbria 
Newcastle upon Tyne ESD 
Team 
ESDCRT 
Newcastle upon 
Tyne Hospitals NHS 
Foundation Trust 
North East and 
North Cumbria 
Doncaster Community 
Stroke Rehab and ESD Team 
ESDCRT 
Rotherham, 
Doncaster and 
South Humber NHS 
Foundation Trust 
South Yorkshire 
and Bassetlaw 
Bradford Neurological 
Rehabilitation Team 
CRT 
Bradford Teaching 
Hospitals NHS 
Foundation Trust 
West Yorkshire 
and Harrogate 
Gateshead ESD-Community 
Rehab Team 
ESDCRT 
Gateshead Health 
NHS Foundation 
Trust 
North East and 
North Cumbria 
Sheffield Community Stroke 
Rehabilitation Team 
ESDCRT 
Sheffield Teaching 
Hospitals NHS 
Foundation Trust 
South Yorkshire 
and Bassetlaw 
Airedale Community Stroke 
Team 
CRT 
Airedale NHS 
Foundation Trust 
West Yorkshire 
and Harrogate 
Leeds CRT 
CRT 
Leeds Community 
Healthcare NHS 
Trust  
West Yorkshire 
and Harrogate 
Bassetlaw LTNC Team 
ESDCRT 
Nottinghamshire 
Healthcare NHS 
Trust 
South Yorkshire 
and Bassetlaw 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
23 
 
Chesterfield Royal ESD 
Team 
ESD 
Chesterfield Royal 
Hospital NHS 
Foundation Trust 
South Yorkshire 
and Bassetlaw 
MY Therapy Neuro Rehab 
Team Wakefield 
CRT 
Mid Yorkshire 
Hospitals NHS Trust 
West Yorkshire 
and Harrogate 
Wakefield ESD Team 
ESD 
Mid Yorkshire 
Hospitals NHS Trust 
West Yorkshire 
and Harrogate 
Harrogate Community 
Stroke and Neurology Team 
CRT 
Harrogate and 
District NHS 
Foundation Trust 
West Yorkshire 
and Harrogate 
County Durham & 
Darlington Community 
Stroke Rehab Team 
CRT 
County Durham 
and Darlington NHS 
Foundation Trust 
North East and 
North Cumbria 
Cumbria West ESD Team 
ESD 
North Cumbria 
Integrated Care 
NHS Foundation 
Trust 
North East and 
North Cumbria 
Carlisle ESSD Team 
ESD 
North Cumbria 
Integrated Care 
NHS Foundation 
Trust 
North East and 
North Cumbria 
East Riding Community 
Stroke Service 
CRT 
City Health Care 
Partnership CIC 
Humber Coast 
and Vale 
Hull Integrated Community 
Stroke and ESD Team 
ESDCRT 
City Health Care 
Partnership CIC 
Humber Coast 
and Vale 
Calderdale Stroke Early 
Supported Discharge Team 
ESD 
Calderdale and 
Huddersfield NHS 
Foundation Trust 
West Yorkshire 
and Harrogate 
Newcastle upon Tyne 
Community Stroke Team 
CRT 
Newcastle upon 
Tyne Hospitals NHS 
Foundation Trust 
North East and 
North Cumbria 
South Tyneside & 
Sunderland Community 
Stroke Rehabilitation Team 
CRT 
South Tyneside and 
Sunderland NHS 
Foundation Trust 
North East and 
North Cumbria 
DPOW Community Rehab 
and ESD Stroke Team 
ESDCRT 
Northern 
Lincolnshire and 
Goole Hospitals 
NHS Foundation 
Trust 
Humber Coast 
and Vale 
Eden ESSDT  
ESD 
North Cumbria 
Integrated Care 
NHS Foundation 
Trust 
North East and 
North Cumbria 
Barnsley Integrated 
Community Stroke Team  
ESDCRT 
South West 
Yorkshire 
Partnership NHS 
Foundation Trust 
South Yorkshire 
and Bassetlaw 
Locala (North & South 
Kirklees) Stroke ESD 
ESDCRT 
Locala Community 
Partnerships CIC 
West Yorkshire 
and Harrogate 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
24 
 
Scarborough and Rydale 
Community Stroke 
Rehabilitation 
CRT 
Humber NHS 
Foundation Trust 
Humber Coast 
and Vale 
York ESD Team 
ESD 
York and 
Scarborough 
Teaching Hospitals 
NHS Foundation 
Trust 
Humber Coast 
and Vale 
Cockermouth and Maryport 
Therapy Teams 
CRT 
North Cumbria 
Integrated Care 
NHS Foundation 
Trust 
North East and 
North Cumbria 
Durham and Darlington Post 
Stroke Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
North East and 
North Cumbria 
South West Yorkshire 
Health & Wellbeing 
Development - 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
South West 
Yorkshire 
Partnership NHS 
Foundation Trust 
West Yorkshire 
and Harrogate 
Chesterfield Royal Hospital 
Stroke Unit 
6-month 
Assessment 
Providers 
Chesterfield Royal 
Hospital NHS 
Foundation Trust 
South Yorkshire 
and Bassetlaw 
South Tees Stroke Co-
ordinator Six Month 
Assessment Provider  
6-month 
Assessment 
Providers 
South Tees 
Hospitals NHS 
Foundation Trust 
North East and 
North Cumbria 
Kirklees Post Stroke Review 
Service 
6-month 
Assessment 
Providers 
Stroke Association 
West Yorkshire 
and Harrogate 
Calderdale Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
West Yorkshire 
and Harrogate 
Bradford Teaching Hospitals 
6 M Provider 
6-month 
Assessment 
Providers 
Bradford Teaching 
Hospitals NHS 
Foundation Trust 
West Yorkshire 
and Harrogate 
Cumberland Infirmary 
Carlisle 
6-month 
Assessment 
Providers 
North Cumbria 
Integrated Care 
NHS Foundation 
Trust 
North East and 
North Cumbria 
North East Linconshire Post-
Stroke Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Humber Coast 
and Vale 
Cumbria Stroke Well-being 
Service 
Single 
Discipline 
North Cumbria 
Integrated Care 
NHS Foundation 
Trust 
North East and 
North Cumbria 
South Tees Community 
neurological Rehabilitation 
Team 
Single 
Discipline 
South Tees 
Hospitals NHS 
Foundation Trust 
North East and 
North Cumbria 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
25 
 
South Tees Community 
Stroke Service Psychology 
Single 
Discipline 
South Tees 
Hospitals NHS 
Foundation Trust 
North East and 
North Cumbria 
South Tees Community 
Stroke Service SALT 
Single 
Discipline 
South Tees 
Hospitals NHS 
Foundation Trust 
North East and 
North Cumbria 
West Cumbria Neurological 
Out-patients Physiotherapy 
Service 
Single 
Discipline 
North Cumbria 
Integrated Care 
NHS Foundation 
Trust 
North East and 
North Cumbria 
Bradford Community Stroke 
Nursing Team  
Single 
Discipline 
Bradford Teaching 
Hospitals NHS 
Foundation Trust 
West Yorkshire 
and Harrogate 
Bradford Teaching Hospitals 
Orthoptic Department 
Single 
Discipline 
Bradford Teaching 
Hospitals NHS 
Foundation Trust 
West Yorkshire 
and Harrogate 
St Luke's Hospital Dietetics 
Single 
Discipline 
Bradford Teaching 
Hospitals NHS 
Foundation Trust 
West Yorkshire 
and Harrogate 
Carlisle Community Neuro 
Physiotherapy  
Single 
Discipline 
North Cumbria 
Integrated Care 
NHS Foundation 
Trust 
North East and 
North Cumbria 
Sheffield Stroke Psychology 
Outpatient service 
Single 
Discipline 
Sheffield Health 
and Social Care 
NHS FT 
South Yorkshire 
and Bassetlaw 
Bradford District Care 
Speech and language 
therapy  
Single 
Discipline 
Bradford Teaching 
Hospitals NHS 
Foundation Trust 
West Yorkshire 
and Harrogate 
RIACT Stroke & Neuro Team 
Single 
Discipline 
County Durham 
and Darlington NHS 
Foundation Trust 
North East and 
North Cumbria 
Rossmore Community 
Stroke Rehabilitation Unit 
Other 
(bedded) 
City Health Care 
Partnership CIC 
Humber Coast 
and Vale 
Cumbria Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
North East and 
North Cumbria 
Darlington Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
North East and 
North Cumbria 
Sunderland Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
North East and 
North Cumbria 
Calderdale Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
West Yorkshire 
and Harrogate 
Gateshead Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
North East and 
North Cumbria 
Hartlepool Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
North East and 
North Cumbria 
Durham Stroke Recovery 
Stroke Recovery Service 
Other 
(support) 
Stroke Association 
North East and 
North Cumbria 
South of Tyne & Wear 
Community Integration 
Other 
(support) 
Stroke Association 
North East and 
North Cumbria 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
26 
 
South Tees Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
North East and 
North Cumbria 
Stockton Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
North East and 
North Cumbria 
Kirklees Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
West Yorkshire 
and Harrogate 
Leeds Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
West Yorkshire 
and Harrogate 
Harrogate Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Humber Coast 
and Vale 
Barnsley Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
South Yorkshire 
and Bassetlaw 
Rotherham Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
South Yorkshire 
and Bassetlaw 
Sheffield Emotional Support 
Service 
Other 
(support) 
Stroke Association 
South Yorkshire 
and Bassetlaw 
Sheffield Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
South Yorkshire 
and Bassetlaw 
Wakefield Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
West Yorkshire 
and Harrogate 
South Tyneside Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
North East and 
North Cumbria 
North Lincolnshire 
Communication Support 
Other 
(support) 
Stroke Association 
Humber Coast 
and Vale 
North Lincolnshire Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Humber Coast 
and Vale 
Sheffield Conversation 
Partners Scheme 
Other 
(support) 
Sheffield Teaching 
Hospitals NHS 
Foundation Trust 
South Yorkshire 
and Bassetlaw 
North East Linconshire 
Communication Support 
Other 
(support) 
Stroke Association 
Humber Coast 
and Vale 
North East Linconshire 
Stroke Recovery Service 
Other 
(support) 
Stroke Association 
Humber Coast 
and Vale 
North 
West 
 
Tameside General Hospital  
Post-Acute 
Inpatient 
Services 
Tameside and 
Glossop Integrated 
Care NHS 
Foundation Trust 
Greater 
Manchester 
Cheshire and Merseyside 
Rehabilitation Network 
Post-Acute 
Inpatient 
Services 
Walton Centre NHS 
Foundation Trust 
Cheshire and 
Mersey 
Warrington & Halton Post 
Acute Inpatient Care 
Post-Acute 
Inpatient 
Services 
Warrington and 
Halton Hospitals 
NHS Foundation 
Trust 
Cheshire and 
Mersey 
Pendle Community Hospital 
- Marsden Stroke Unit 
Post-Acute 
Inpatient 
Services 
East Lancashire 
Hospitals NHS Trust 
Lancashire and 
South Cumbria 
Chorley and South Ribble 
Hospital 
Post-Acute 
Inpatient 
Services 
Lancashire 
Teaching Hospitals 
Lancashire and 
South Cumbria 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
27 
 
NHS Foundation 
Trust 
Salford Royal Hospital 
Post-Acute 
Inpatient 
Services 
Salford Royal NHS 
Foundation Trust 
Greater 
Manchester 
Trafford CNRT Stroke 
Pathway 
CRT 
Manchester 
University NHS 
Foundation Trust 
Greater 
Manchester 
Warrington and Halton ESD 
Team 
ESD 
Warrington and 
Halton Hospitals 
NHS Foundation 
Trust 
Cheshire and 
Mersey 
Tameside and Glossop CNRT 
ESDCRT 
Tameside and 
Glossop Integrated 
Care NHS 
Foundation Trust 
Greater 
Manchester 
West Lancashire Community 
Neuro Rehab Team 
CRT 
Virgin Care Ltd 
Cheshire and 
Mersey 
Blackburn with Darwen 
Community Stroke Team 
CRT 
Lancashire and 
South Cumbria 
Foundation Trust 
Lancashire and 
South Cumbria 
Bury Stroke Rehab Team 
ESDCRT 
Pennine Acute 
Hospitals NHS Trust 
Greater 
Manchester 
Stockport  Community 
Neuro-Rehab Service 
ESDCRT 
Stockport NHS 
Foundation Trust 
Greater 
Manchester 
Liverpool Stroke Recovery 
Partnership (LSRP) 
ESD 
Liverpool University 
Hospitals NHS 
Foundation Trust 
Cheshire and 
Mersey 
Wirral Stroke ESD Team 
ESD 
Wirral University 
Teaching Hospital 
NHS Foundation 
Trust 
Cheshire and 
Mersey 
St Helens ESD Team 
ESD 
North West 
Boroughs 
Healthcare NHS 
Foundation Trust 
Cheshire and 
Mersey 
Knowsley ESD /CRT Team 
ESDCRT 
Liverpool Heart and 
Chest NHS 
Foundation Trust 
Cheshire and 
Mersey 
Southport & Formby ESD 
Team 
ESD 
Southport and 
Ormskirk Hospital 
NHS Trust 
Cheshire and 
Mersey 
Bolton Community Stroke 
Team  
ESDCRT 
Bolton NHS 
Foundation Trust 
Greater 
Manchester 
Central Lancashire 
Community Neuro Rehab 
Team 
ESDCRT 
Lancashire and 
South Cumbria 
Foundation Trust 
Lancashire and 
South Cumbria 
University Hospitals of 
South Manchester ESD 
Team  
ESD 
Manchester 
University NHS 
Foundation Trust 
Greater 
Manchester 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
28 
 
Heywood Middleton and 
Rochdale Community Stroke 
Team 
ESDCRT 
Pennine Acute 
Hospitals NHS Trust 
Greater 
Manchester 
Central Manchester 
Community Stroke Team 
ESDCRT 
Manchester 
University NHS 
Foundation Trust 
Greater 
Manchester 
South Sefton ESD Team 
ESD 
Liverpool University 
Hospitals NHS 
Foundation Trust 
Cheshire and 
Mersey 
Salford Community Stroke 
Team 
ESDCRT 
Salford Royal NHS 
Foundation Trust 
Greater 
Manchester 
Oldham Community Stroke 
Team 
ESDCRT 
Oldham NHS Trust 
Greater 
Manchester 
Trafford ESD team 
ESD 
Manchester 
University NHS 
Foundation Trust 
Greater 
Manchester 
Lancashire North ESD Team 
ESDCRT 
University Hospitals 
of Morecambe Bay 
NHS Foundation 
Trust 
Lancashire and 
South Cumbria 
Blackpool Stroke ESD Team 
ESD 
Blackpool Teaching 
Hospitals NHS 
Foundation Trust 
Lancashire and 
South Cumbria 
Morecambe Bay ESD Team 
ESDCRT 
University Hospitals 
of Morecambe Bay 
NHS Foundation 
Trust 
Lancashire and 
South Cumbria 
North Manchester 
Community Stroke/ESD 
Team  
ESDCRT 
Manchester 
University NHS 
Foundation Trust 
Greater 
Manchester 
North Sefton Community 
Neuro Rehab Team 
CRT 
Lancashire and 
South Cumbria 
Foundation Trust 
Cheshire and 
Mersey 
Warrington Community 
Neurosciences 
CRT 
Bridgewater 
Community 
Healthcare NHS 
Trust 
Cheshire and 
Mersey 
Wrightington Wigan and 
Leigh ESD Team 
ESD 
Wrightington, 
Wigan and Leigh 
NHS Foundation 
Trust 
Greater 
Manchester 
East Lancashire Community 
Stroke Rehab Team 
ESDCRT 
East Lancashire 
Hospitals NHS Trust 
Lancashire and 
South Cumbria 
East Cheshire Integrated 
Community Stroke 
Rehabilitation Service 
ESDCRT 
University Hospitals 
of North Midlands 
NHS Trust 
North Midlands 
Chester Post Stroke Review 
service 
6-month 
Assessment 
Providers 
Stroke Association 
Cheshire and 
Mersey 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
29 
 
Salford Post Stroke Review 
Service 
6-month 
Assessment 
Providers 
Stroke Association 
Greater 
Manchester 
Stockport Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Greater 
Manchester 
Tameside & Glossop Stroke 
Recovery Service 
6-month 
Assessment 
Providers 
Stroke Association 
Greater 
Manchester 
Liverpool Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Cheshire and 
Mersey 
Crewe Post Stroke Review 
Service 
6-month 
Assessment 
Providers 
Stroke Association 
Cheshire and 
Mersey 
Oldham Post Stroke Review 
Service 
6-month 
Assessment 
Providers 
Stroke Association 
Greater 
Manchester 
Southport & Ormskirk– 6 
month review 
6-month 
Assessment 
Providers 
Southport and 
Ormskirk Hospital 
NHS Trust 
Cheshire and 
Mersey 
Fylde Coast Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Lancashire and 
South Cumbria 
Morecambe Bay Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Lancashire and 
South Cumbria 
Warrington Hospital SALT 
Single 
Discipline 
Warrington and 
Halton Hospitals 
NHS Foundation 
Trust 
Cheshire and 
Mersey 
Warrington & Halton 
Orthoptic Stroke Service  
Single 
Discipline 
Warrington and 
Halton Hospitals 
NHS Foundation 
Trust 
Cheshire and 
Mersey 
Wirral Orthoptic Stroke 
Service 
Single 
Discipline 
Wirral University 
Teaching Hospital 
NHS Foundation 
Trust 
Cheshire and 
Mersey 
Wirral Stroke SLT Service 
Single 
Discipline 
Wirral University 
Teaching Hospital 
NHS Foundation 
Trust 
Cheshire and 
Mersey 
Wirral Stroke Physiotherapy 
Service 
Single 
Discipline 
Wirral University 
Teaching Hospital 
NHS Foundation 
Trust 
Cheshire and 
Mersey 
Warrington and Halton 
Neurotherapy Outpatients 
Single 
Discipline 
Warrington and 
Halton Hospitals 
Cheshire and 
Mersey 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
30 
 
NHS Foundation 
Trust 
Liverpool University 
Hospital OT Stroke Review 
Clinic 
Single 
Discipline 
Liverpool University 
Hospitals NHS 
Foundation Trust 
Cheshire and 
Mersey 
Southport And Ormskirk  
Orthoptics, Ophthalmology 
Single 
Discipline 
Southport and 
Ormskirk Hospital 
NHS Trust 
Cheshire and 
Mersey 
Blackpool Neurophysio 
Team 
Single 
Discipline 
Blackpool Teaching 
Hospitals NHS 
Foundation Trust 
Lancashire and 
South Cumbria 
Heywood Middleton and 
Rochdale Adult speech and 
language therapy 
Single 
Discipline 
Pennine Acute 
Hospitals NHS Trust 
Greater 
Manchester 
Halton Community Stroke 
Nurse Service Millbrow 
Clinic 
Single 
Discipline 
Bridgewater 
Community 
Healthcare NHS 
Trust 
Cheshire and 
Mersey 
Warrington Intermediate 
Care Services ESD Team 
Beds 
Other 
(bedded) 
Warrington and 
Halton Hospitals 
NHS Foundation 
Trust 
Cheshire and 
Mersey 
Chester Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Cheshire and 
Mersey 
Central Manchester Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Greater 
Manchester 
Manchester Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Greater 
Manchester 
North Manchester Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Greater 
Manchester 
Trafford Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Greater 
Manchester 
Liverpool Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Cheshire and 
Mersey 
Oldham Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Greater 
Manchester 
Rochdale Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Greater 
Manchester 
Rochdale Post-Stroke 
Reviews  
Other 
(support) 
Stroke Association 
Greater 
Manchester 
Crewe Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Cheshire and 
Mersey 
South Sefton Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Cheshire and 
Mersey 
Wirral Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Cheshire and 
Mersey 
Southport Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Cheshire and 
Mersey 
Liverpool Emotional Support 
Service 
Other 
(support) 
Stroke Association 
Cheshire and 
Mersey 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
31 
 
Macclesfield Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Greater 
Manchester 
Stockport Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Greater 
Manchester 
Bolton Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Greater 
Manchester 
Wigan Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Greater 
Manchester 
Pennine Lancs Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Lancashire and 
South Cumbria 
Fylde Coast Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Lancashire and 
South Cumbria 
Halton Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Cheshire and 
Mersey 
Knowsley Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Cheshire and 
Mersey 
St Helens Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Cheshire and 
Mersey 
Warrington Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Cheshire and 
Mersey 
West Lancashire Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Lancashire and 
South Cumbria 
Central Lancashire Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Lancashire and 
South Cumbria 
Morecambe Bay Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Lancashire and 
South Cumbria 
Salford Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Greater 
Manchester 
South 
East 
 
Berkshire West Neuro 
Inpatient Team 
Post-Acute 
Inpatient 
Services 
Berkshire 
Healthcare NHS 
Foundation Trust 
Buckinghamshire, 
Oxford and 
Berkshire 
Oxfordshire Stroke 
Rehabilitation Unit 
Post-Acute 
Inpatient 
Services 
Oxford Health NHS 
Foundation Trust 
Buckinghamshire, 
Oxford and 
Berkshire 
University Hospital 
Southampton 
Post-Acute 
Inpatient 
Services 
University Hospital 
Southampton NHS 
Foundation Trust 
Wessex 
Donald Wilson House - St 
Richard's Hospital   
Post-Acute 
Inpatient 
Services 
University Hospitals 
Sussex NHS 
Foundation Trust 
Sussex 
Lymington New Forest 
Hospital 
Post-Acute 
Inpatient 
Services 
Southern Health 
NHS Foundation 
Trust 
Wessex 
Wexham Park Hospital 
Post-Acute 
Inpatient 
Services 
Frimley Health NHS 
Foundation Trust 
Frimley ICS and 
Surrey Heartlands 
Farnham Hospital Inpatient 
Rehab Team 
Post-Acute 
Inpatient 
Services 
Frimley Health NHS 
Foundation Trust 
Frimley ICS and 
Surrey Heartlands 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
32 
 
Oxford Centre for 
Enablement 
Post-Acute 
Inpatient 
Services 
Oxford University 
Hospitals NHS 
Foundation Trust 
Buckinghamshire, 
Oxford and 
Berkshire 
QEF Neuro Rehabilitation 
Services 
Post-Acute 
Inpatient 
Services 
Queen Elizabeth’s 
Foundation for 
Disabled People 
Frimley ICS and 
Surrey Heartlands 
Crawley Hospital Stroke 
Rehab Ward 
Post-Acute 
Inpatient 
Services 
Sussex Community 
NHS Foundation 
Trust 
Sussex 
Sussex Rehabilitation Centre 
Post-Acute 
Inpatient 
Services 
Brighton and 
Sussex University 
Hospitals NHS Trust 
(acquired by 
University Hospitals 
Sussex NHS 
Foundation Trust) 
Sussex 
East Kent Neuro Rehab Unit  
Post-Acute 
Inpatient 
Services 
East Kent Hospitals 
University NHS 
Foundation Trust 
Kent and 
Medway 
Amherst Court Inpatient 
Rehab 
Post-Acute 
Inpatient 
Services 
Medway 
Community 
Healthcare CIC 
Kent and 
Medway 
Rowan Rehab unit 
Post-Acute 
Inpatient 
Services 
Dorset HealthCare 
University NHS 
Foundation Trust 
Wessex 
Bradley Unit 
Post-Acute 
Inpatient 
Services 
Ashford and St 
Peter's Hospitals 
NHS Foundation 
Trust 
Frimley ICS and 
Surrey Heartlands 
Buckinghamshire 
Neurorehabilitation Unit 
Post-Acute 
Inpatient 
Services 
Buckinghamshire 
Healthcare NHS 
Trust 
Buckinghamshire, 
Oxford and 
Berkshire 
Sheppey Community 
Hospital Inpatient Rehab 
Post-Acute 
Inpatient 
Services 
Medway 
Community 
Healthcare CIC 
Kent and 
Medway 
New Epsom and Ewell 
Community Hospital 
Post-Acute 
Inpatient 
Services 
Surrey Downs 
Health and Care 
Frimley ICS and 
Surrey Heartlands 
Bexhill Hospital - Irvine Unit 
Post-Acute 
Inpatient 
Services 
East Sussex 
Healthcare NHS 
Trust 
Sussex 
Ashford Neuro Team 
ESDCRT 
Kent Community 
Health NHS 
Foundation Trust  
Kent and 
Medway 
Bournemouth and Poole 
Community Therapy Team 
CRT 
Dorset HealthCare 
University NHS 
Foundation Trust 
Wessex 
West Sussex Coastal (South) 
Community Neuro Rehab 
Team  
CRT 
Sussex Community 
NHS Foundation 
Trust 
Sussex 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
33 
 
Buckinghamshire ESD Team 
ESD 
Buckinghamshire 
Healthcare NHS 
Trust 
Buckinghamshire, 
Oxford and 
Berkshire 
Dorset Acquired Brain Injury 
Rehabilitation Service 
CRT 
Dorset HealthCare 
University NHS 
Foundation Trust 
Wessex 
Frimley/ Surrey Heartlands  
Virgincare Community 
rehabilitation 
CRT 
Virgin Care Ltd 
Frimley ICS and 
Surrey Heartlands 
Frimley Park ESD Team 
ESD 
Frimley Health NHS 
Foundation Trust 
Frimley ICS and 
Surrey Heartlands 
Isle of Wight Stroke Early 
Supported Discharge Team 
ESD 
Isle of Wight NHS 
Trust 
Wessex 
Lymington New Forest ESD 
team 
ESD 
Southern Health 
NHS Foundation 
Trust 
Wessex 
CSH Surrey Community 
Rehabilitation Team 
CRT 
CSH Surrey 
Frimley ICS and 
Surrey Heartlands 
Herne Bay and Canterbury 
Community Stroke Rehab 
Team 
ESDCRT 
Kent Community 
Health NHS 
Foundation Trust  
Kent and 
Medway 
Brighton and Hove 
Community Neuro Rehab 
Team 
ESDCRT 
Sussex Community 
NHS Foundation 
Trust 
Sussex 
Oxford ESD Team 
ESD 
Oxford University 
Hospitals NHS 
Foundation Trust 
Buckinghamshire, 
Oxford and 
Berkshire 
High Weald Lewes and 
Havens Community Neuro 
Rehab Service 
ESDCRT 
Sussex Community 
NHS Foundation 
Trust 
Sussex 
Horsham, Crawley and Mid 
Sussex Community Neuro 
Rehab Team 
ESDCRT 
Sussex Community 
NHS Foundation 
Trust 
Sussex 
Sussex Central Area 
Community Therapy Team 
CRT 
Sussex Community 
NHS Foundation 
Trust 
Sussex 
ESD Team- North West and 
South West Surrey 
ESD 
Ashford and St 
Peter's Hospitals 
NHS Foundation 
Trust 
Frimley ICS and 
Surrey Heartlands 
Frimley Health Trust 
Community Services 
ESDCRT 
Frimley Health NHS 
Foundation Trust 
Frimley ICS and 
Surrey Heartlands 
East Berkshire ESD Team 
ESD 
Berkshire 
Healthcare NHS 
Foundation Trust 
Frimley ICS and 
Surrey Heartlands 
Bournemouth and Poole 
ESD Team 
ESD 
University Hospitals 
Dorset NHS 
Foundation Trust 
Wessex 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
34 
 
West Sussex Coastal (West) 
Neuro Rehab Team 
CRT 
Sussex Community 
NHS Foundation 
Trust 
Sussex 
Hampshire Hospitals NHS 
Foundation Trust ESD Team 
ESD 
Hampshire 
Hospitals NHS 
Foundation Trust 
Wessex 
Solent Stroke ESD Team 
(Southampton) 
ESD 
Solent NHS Trust 
Wessex 
Snowdon at Home Neuro 
ESD Team 
ESD 
Solent NHS Trust 
Wessex 
Portsmouth Community ESD 
Team 
ESDCRT 
Portsmouth 
Hospitals University 
National Health 
Service Trust 
Wessex 
South Kent Coast 
Community Stroke Rehab 
Team 
ESDCRT 
Kent Community 
Health NHS 
Foundation Trust  
Kent and 
Medway 
Buckinghamshire Healthcare 
CRT 
CRT 
Buckinghamshire 
Healthcare NHS 
Trust 
Buckinghamshire, 
Oxford and 
Berkshire 
First Community Health and 
Care ESD  
ESDCRT 
First Community 
Health and Care CIC 
Frimley ICS and 
Surrey Heartlands 
Milford Hospital Community 
Rehabilitation Service 
CRT 
Royal Surrey 
County Hospital 
NHS Foundation 
Trust 
Frimley ICS and 
Surrey Heartlands 
West Berkshire ESD Team 
ESD 
Berkshire 
Healthcare NHS 
Foundation Trust 
Buckinghamshire, 
Oxford and 
Berkshire 
Berkshire Community Neuro 
Rehab Team 
ESDCRT 
Berkshire 
Healthcare NHS 
Foundation Trust 
Buckinghamshire, 
Oxford and 
Berkshire 
Dorset HealthCare ESD 
Team 
ESD 
Dorset HealthCare 
University NHS 
Foundation Trust 
Wessex 
West Kent Community 
Neuro Rehab Team 
ESDCRT 
Kent Community 
Health NHS 
Foundation Trust  
Kent and 
Medway 
Medway & Swale ESD Team 
ESD 
Medway 
Community 
Healthcare CIC 
Kent and 
Medway 
Thanet Intermediate 
Care/ESD Team 
ESDCRT 
Kent Community 
Health NHS 
Foundation Trust  
Kent and 
Medway 
Dartford, Gravesham & 
Swanley Community Rehab 
Team 
ESDCRT 
Virgin Care Ltd 
Kent and 
Medway 
Surrey Downs Health & Care 
SSD Team 
ESD 
Surrey Downs 
Health and Care 
Frimley ICS and 
Surrey Heartlands 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
35 
 
Surrey Downs Community 
Neurorehabilitation Service 
CRT 
Surrey Downs 
Health and Care 
Frimley ICS and 
Surrey Heartlands 
Medway SCART Team 
CRT 
Medway 
Community 
Healthcare CIC 
Kent and 
Medway 
Sheppey SCART Team 
CRT 
Medway 
Community 
Healthcare CIC 
Kent and 
Medway 
Weymouth and Portland 
ICRT 
CRT 
Dorset HealthCare 
University NHS 
Foundation Trust 
Wessex 
Dorset Stroke and Neuro 
Service 
CRT 
Dorset HealthCare 
University NHS 
Foundation Trust 
Wessex 
Portsmouth Community 
Neuro Service 
CRT 
Solent NHS Trust 
Wessex 
Solent Community Neuro 
Rehabilitation Team 
CRT 
Solent NHS Trust 
Wessex 
East Sussex Community 
Stroke Rehabilitation & ESD  
ESDCRT 
East Sussex 
Healthcare NHS 
Trust 
Sussex 
Sussex Joint Community 
Rehabilitation 
CRT 
East Sussex 
Healthcare NHS 
Trust 
Sussex 
Crawley & Horsham Post-
Stroke Review Service  
6-month 
Assessment 
Providers 
Stroke Association 
Sussex 
East Berkshire Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Frimley ICS and 
Surrey Heartlands 
St Peters Hospital 
6-month 
Assessment 
Providers 
Ashford and St 
Peter's Hospitals 
NHS Foundation 
Trust 
Frimley ICS and 
Surrey Heartlands 
Medway Post Stroke Review 
Service 
6-month 
Assessment 
Providers 
Stroke Association 
Kent and 
Medway 
Buckinghamshire Healthcare 
6 Month Assessment 
Provider 
6-month 
Assessment 
Providers 
Buckinghamshire 
Healthcare NHS 
Trust 
Buckinghamshire, 
Oxford and 
Berkshire 
Solent Stroke 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
Solent NHS Trust 
Wessex 
Royal Surrey Hospital 
6-month 
Assessment 
Providers 
Royal Surrey 
County Hospital 
NHS Foundation 
Trust 
Frimley ICS and 
Surrey Heartlands 
East Sussex Post-Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Sussex 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
36 
 
Dorset HealthCare 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
Dorset HealthCare 
University NHS 
Foundation Trust 
Wessex 
Frimley Park Six Month 
Review 
6-month 
Assessment 
Providers 
Frimley Health NHS 
Foundation Trust 
Frimley ICS and 
Surrey Heartlands 
Farnham Hospital 6M 
Provider 
6-month 
Assessment 
Providers 
Frimley Health NHS 
Foundation Trust 
Frimley ICS and 
Surrey Heartlands 
Swale Post Stroke Review 
Service 
6-month 
Assessment 
Providers 
Stroke Association 
Kent and 
Medway 
West Kent Post-Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Kent and 
Medway 
Dartford Post-Stroke Review 
Service 
6-month 
Assessment 
Providers 
Stroke Association 
Kent and 
Medway 
East Sussex SALT 
Community Services 
Single 
Discipline 
East Sussex 
Healthcare NHS 
Trust 
Sussex 
Kent Clinical 
Neuropsychology Service for 
Stroke 
Single 
Discipline 
Kent and Medway 
NHS and Social 
Care Partnership 
Trust 
Kent and 
Medway 
Adult Community Speech 
and Language Therapy 
Team 
Single 
Discipline 
Dorset HealthCare 
University NHS 
Foundation Trust 
Wessex 
Physiotherapy Outpatients 
Oxford Centre for 
Enablement 
Single 
Discipline 
Oxford University 
Hospitals NHS 
Foundation Trust 
Buckinghamshire, 
Oxford and 
Berkshire 
Virgincare Services Limited 
SALT 
Single 
Discipline 
Virgin Care Ltd 
Frimley ICS and 
Surrey Heartlands 
Portsmouth Brain Injury 
Outreach Team 
Single 
Discipline 
Portsmouth 
Hospitals University 
National Health 
Service Trust 
Wessex 
North West Surrey Adult 
Community SLT team 
Single 
Discipline 
CSH Surrey 
Frimley ICS and 
Surrey Heartlands 
Neurological Physiotherapy 
Out patients 
Single 
Discipline 
University Hospitals 
Dorset NHS 
Foundation Trust 
Wessex 
Wexham Park Hospital 
Neurology Outpatient 
Physiotherapy Service 
Single 
Discipline 
Frimley Health NHS 
Foundation Trust 
Buckinghamshire, 
Oxford and 
Berkshire 
Adult Community Speech 
and Language Therapy 
Portsmouth and SE 
Hampshire 
Single 
Discipline 
Solent NHS Trust 
Wessex 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
37 
 
Solent Neuropsychology 
Single 
Discipline 
Solent NHS Trust 
Wessex 
Solent Neuro Rehab Gym 
West (Southampton) 
Single 
Discipline 
Solent NHS Trust 
Wessex 
Brighton General Hospital 
Neurophysiotherapy 
Outpatients 
Single 
Discipline 
University Hospitals 
Sussex NHS 
Foundation Trust 
Sussex 
Farnham Hospital Neuro 
Outpatients Physiotherapy 
Single 
Discipline 
Virgin Care Ltd 
Frimley ICS and 
Surrey Heartlands 
Solent Vocational 
Rehabilitation Service 
Single 
Discipline 
Solent NHS Trust 
Wessex 
Solent Adult Community 
Speech and Language 
Therapy 
Single 
Discipline 
Solent NHS Trust 
Wessex 
Solent Neuro Rehab Gym 
East (Southampton) 
Single 
Discipline 
Solent NHS Trust 
Wessex 
Heatherwood Hospital 
Neurology Outpatient 
Physiotherapy Service 
Single 
Discipline 
Frimley Health NHS 
Foundation Trust 
Frimley ICS and 
Surrey Heartlands 
Ashford Neuro Team 
Intermediate Care Facility 
Other 
(support) 
Kent Community 
Health NHS 
Foundation Trust  
Kent and 
Medway 
Bucks Stroke Support Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Buckinghamshire, 
Oxford and 
Berkshire 
Oxfordshire Communication 
Support 
Other 
(support) 
Stroke Association 
Buckinghamshire, 
Oxford and 
Berkshire 
Reading and Wokingham 
Stroke Recovery Service 
Other 
(support) 
Stroke Association 
Buckinghamshire, 
Oxford and 
Berkshire 
East Berkshire Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Buckinghamshire, 
Oxford and 
Berkshire 
Dorset Communication Plus 
Support Services 
Other 
(support) 
Dorset HealthCare 
University NHS 
Foundation Trust 
Wessex 
Ashford Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Kent and 
Medway 
Canterbury Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Kent and 
Medway 
Medway Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Kent and 
Medway 
South Kent Coast Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Kent and 
Medway 
Swale Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Kent and 
Medway 
Thanet Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Kent and 
Medway 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
38 
 
West Kent Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Kent and 
Medway 
Dorset Communication 
Support 
Other 
(support) 
Stroke Association 
Wessex 
Dorset Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Wessex 
Bournemouth Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Wessex 
Isle of Wight Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Wessex 
Wheelchair and Specialist 
Seating Service Brighton 
General Hospital 
Other 
(support) 
Sussex Community 
NHS Foundation 
Trust 
Sussex 
New Forest Communication 
Support 
Other 
(support) 
Stroke Association 
Wessex 
North Central Hampshire 
Communication Support 
Other 
(support) 
Stroke Association 
Wessex 
Portsmouth City 
Communication Support 
Other 
(support) 
Stroke Association 
Wessex 
Portsmouth Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Wessex 
Southampton & Central 
Hampshire Communication 
Support 
Other 
(support) 
Stroke Association 
Wessex 
West Hampshire 
Communication Support 
Other 
(support) 
Stroke Association 
Wessex 
Headway East Kent 
Other 
(support) 
East Kent Hospitals 
University NHS 
Foundation Trust 
Kent and 
Medway 
Brighton & Hove Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Sussex 
Coastal West Sussex Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Sussex 
Crawley & Horsham Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Sussex 
Surrey Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Frimley ICS and 
Surrey Heartlands 
Southampton Botulinum 
Clinic 
Other 
(support) 
Solent NHS Trust 
Wessex 
South 
West 
WHC Mulberry Stroke 
Rehabilitation Ward 
Post-Acute 
Inpatient 
Services 
Wiltshire Health 
and Care  
West of England 
Somerset Community 
Stroke Rehabilitation Units 
Post-Acute 
Inpatient 
Services 
Somerset NHS 
Foundation Trust 
West of England 
East Devon Community 
Stroke Rehab Unit 
Post-Acute 
Inpatient 
Services 
Royal Devon and 
Exeter NHS 
Foundation Trust 
SW Peninsula 
ISDN 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
39 
 
Henderson Rehabilitation 
Unit 
Post-Acute 
Inpatient 
Services 
Sirona Care & 
Health 
West of England 
St Martin's Hospital - Sulis 
Unit 
Post-Acute 
Inpatient 
Services 
Virgin Care Ltd 
West of England 
Woodfield Stroke 
Rehabilitation Unit 
Post-Acute 
Inpatient 
Services 
Cornwall 
Partnership NHS 
Foundation Trust 
SW Peninsula 
ISDN 
South Bristol Community 
Hospital 
Post-Acute 
Inpatient 
Services 
Sirona Care & 
Health 
West of England 
Newton Abbot Hospital 
Post-Acute 
Inpatient 
Services 
Torbay and South 
Devon NHS 
Foundation Trust 
SW Peninsula 
ISDN 
Forest Ward - Swindon 
Intermediate Care Centre 
Post-Acute 
Inpatient 
Services 
Great Western 
Hospitals NHS 
Foundation Trust 
West of England 
Vale Specialist Stroke 
Rehabilitation Unit 
Post-Acute 
Inpatient 
Services 
Gloucestershire 
Health and Care 
NHS Foundation 
Trust 
West of England 
Lanyon Stroke 
Rehabilitation Unit 
Post-Acute 
Inpatient 
Services 
Cornwall 
Partnership NHS 
Foundation Trust 
SW Peninsula 
ISDN 
North Somerset Stroke 
Service 
CRT 
Sirona Care & 
Health 
West of England 
Gloucestershire ESD Team 
ESD 
Gloucestershire 
Health and Care 
NHS Foundation 
Trust 
West of England 
BANES Community Neuro 
and Stroke Service 
ESDCRT 
Virgin Care Ltd 
West of England 
Tewkesbury Assessment 
and Rehabilitation Unit 
CRT 
Gloucestershire 
Health and Care 
NHS Foundation 
Trust 
West of England 
Plymouth Community 
Healthcare ESD Team 
ESD 
Livewell Southwest 
SW Peninsula 
ISDN 
Eastern Devon Stroke 
Support ESD Team 
ESD 
Royal Devon and 
Exeter NHS 
Foundation Trust 
SW Peninsula 
ISDN 
Seaton/Axminster/Sidmout
h CRT 
CRT 
Royal Devon and 
Exeter NHS 
Foundation Trust 
SW Peninsula 
ISDN 
Northern Devon Health and 
Social Care CRT 
CRT 
Northern Devon 
Healthcare NHS 
Trust 
SW Peninsula 
ISDN 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
40 
 
North Devon Stroke & 
Neuro Rehab Supported 
Discharge Team 
ESDCRT 
Northern Devon 
Healthcare NHS 
Trust 
SW Peninsula 
ISDN 
Cornwall and Isles of Scilly 
ESD Team 
ESD 
Royal Cornwall 
Hospitals NHS Trust 
SW Peninsula 
ISDN 
Cornwall Partnership 
Community Rehabilitation 
team 
CRT 
Cornwall 
Partnership NHS 
Foundation Trust 
SW Peninsula 
ISDN 
Wiltshire ESD 
ESD 
Wiltshire Health 
and Care  
West of England 
Swindon Community Stroke 
Team/ESD 
ESDCRT 
Great Western 
Hospitals NHS 
Foundation Trust 
West of England 
Torbay and South Devon 
Community Neuro Team 
ESDCRT 
Torbay and South 
Devon NHS 
Foundation Trust 
SW Peninsula 
ISDN 
WHC Adult Community 
Services 
CRT 
Wiltshire Health 
and Care  
West of England 
Wiltshire Health and Care 
Community Neuro  Therapy 
Team 
CRT 
Wiltshire Health 
and Care  
West of England 
Somerset Partnership 
CRT/ESD Team 
ESDCRT 
Somerset NHS 
Foundation Trust 
West of England 
Bristol ESD Team for Stroke 
ESD 
University Hospitals 
Bristol and Weston 
NHS Foundation 
Trust 
West of England 
Exeter Community 
Neurological Rehabilitation 
Team 
CRT 
Royal Devon and 
Exeter NHS 
Foundation Trust 
SW Peninsula 
ISDN 
Gloucestershire 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
Gloucestershire 
Health and Care 
NHS Foundation 
Trust 
West of England 
Plymouth City Post-Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
SW Peninsula 
ISDN 
Northern Devon 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
Northern Devon 
Healthcare NHS 
Trust 
SW Peninsula 
ISDN 
Cornwall 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
Cornwall 
Partnership NHS 
Foundation Trust 
SW Peninsula 
ISDN 
Volunteer Cornwall Stroke 
Befriending Service 
Single 
Discipline 
Cornwall 
Partnership NHS 
Foundation Trust 
SW Peninsula 
ISDN 
North Bristol Outpatient & 
Community Adult Speech 
and Language Therapy 
Service  
Single 
Discipline 
North Bristol NHS 
Trust 
West of England 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
41 
 
North Devon District 
Hospital Dietetics 
Single 
Discipline 
Northern Devon 
Healthcare NHS 
Trust 
SW Peninsula 
ISDN 
North Devon District 
Hospital Neuro Rehab 
Outpatients 
Single 
Discipline 
Northern Devon 
Healthcare NHS 
Trust 
SW Peninsula 
ISDN 
North Devon District 
Hospital Orthoptics 
Single 
Discipline 
Northern Devon 
Healthcare NHS 
Trust 
SW Peninsula 
ISDN 
North Devon District 
Hospital Orthotics 
Single 
Discipline 
Northern Devon 
Healthcare NHS 
Trust 
SW Peninsula 
ISDN 
Wiltshire Health and Care 
Spasticity Clinic 
Single 
Discipline 
Wiltshire Health 
and Care  
West of England 
Camborne Redruth 
Community Hospital SALT 
Single 
Discipline 
Cornwall 
Partnership NHS 
Foundation Trust 
SW Peninsula 
ISDN 
Swindon Outpatient 
Physiotherapy  
Single 
Discipline 
Great Western 
Hospitals NHS 
Foundation Trust 
West of England 
West of England Orthoptic 
Service 
Single 
Discipline 
Royal Devon and 
Exeter NHS 
Foundation Trust 
SW Peninsula 
ISDN 
St Martin's Hospital Neuro 
Outpatient Services 
Single 
Discipline 
Virgin Care Ltd 
West of England 
Wiltshire Health and Care 
Speech and Language 
Therapy 
Single 
Discipline 
Wiltshire Health 
and Care  
West of England 
Wiltshire Health and Care 
Community Orthotics 
Single 
Discipline 
Wiltshire Health 
and Care  
West of England 
Bristol Speech & Language 
Therapy for Adult 
Outpatients 
Single 
Discipline 
University Hospitals 
Bristol and Weston 
NHS Foundation 
Trust 
West of England 
Bristol Neuro-Outpatients 
Single 
Discipline 
University Hospitals 
Bristol and Weston 
NHS Foundation 
Trust 
West of England 
Bath Communication 
Support 
Other 
(support) 
Stroke Association 
West of England 
Wiltshire Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
West of England 
North Devon Talking Health 
Other 
(support) 
Northern Devon 
Healthcare NHS 
Trust 
SW Peninsula 
ISDN 
Bath Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
West of England 
North Somerset 
Communication Support 
Other 
(support) 
Stroke Association 
West of England 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
42 
 
North Somerset Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
West of England 
East Devon Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
SW Peninsula 
ISDN 
North Devon Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
SW Peninsula 
ISDN 
Plymouth 2 Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
SW Peninsula 
ISDN 
Plymouth City 1 Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
SW Peninsula 
ISDN 
Plymouth Communication 
Support 
Other 
(support) 
Stroke Association 
SW Peninsula 
ISDN 
Torbay and South Devon 
Stroke Recovery Service 
Other 
(support) 
Stroke Association 
SW Peninsula 
ISDN 
Mendip Communication 
Support 
Other 
(support) 
Stroke Association 
West of England 
Cornwall Partnership 
Support Service 
Other 
(support) 
Cornwall 
Partnership NHS 
Foundation Trust 
SW Peninsula 
ISDN 
Cornwall STEPS  
Other 
(support) 
Cornwall 
Partnership NHS 
Foundation Trust 
SW Peninsula 
ISDN 
Wiltshire Health and Care 
Wheelchair Services  
Other 
(support) 
Wiltshire Health 
and Care  
West of England 
Islands 
Isle of Man Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Islands 
Jersey Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Islands 
Northern 
Ireland 
 
South Tyrone and Lurgan 
Hospitals 
Post-Acute 
Inpatient 
Services 
Southern Health 
and Social Care 
Trust 
Northern Ireland 
Downe General Hospital 
Post-Acute 
Inpatient 
Services 
South Eastern 
Health and Social 
Care Trust 
Northern Ireland 
Lagan Valley Hospital 
Post-Acute 
Inpatient 
Services 
South Eastern 
Health and Social 
Care Trust 
Northern Ireland 
Omagh Hospital and 
Primary Care Complex 
Post-Acute 
Inpatient 
Services 
Western Health 
and Social Care 
Trust 
Northern Ireland 
Whiteabbey Hospital 
Post-Acute 
Inpatient 
Services 
Northern Health 
and Social Care 
Trust 
Northern Ireland 
Waterside Hospital 
Post-Acute 
Inpatient 
Services 
Western Health 
and Social Care 
Trust 
Northern Ireland 
Belfast Community Stroke 
Team 
ESDCRT 
Belfast Health and 
Social Care Trust 
Northern Ireland 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
43 
 
Mid Ulster Community 
Stroke Team 
CRT 
Northern Health 
and Social Care 
Trust 
Northern Ireland 
East Antrim Community 
Stroke Team 
CRT 
Northern Health 
and Social Care 
Trust 
Northern Ireland 
Causeway Community 
Stroke Team 
CRT 
Northern Health 
and Social Care 
Trust 
Northern Ireland 
Antrim/Ballymena 
Community Stroke Team 
CRT 
Northern Health 
and Social Care 
Trust 
Northern Ireland 
Western Trust Northern 
Sector Community Stroke 
Team 
ESDCRT 
Western Health 
and Social Care 
Trust 
Northern Ireland 
Down, Lisburn, and Bangor 
Community Stroke Team 
ESDCRT 
South Eastern 
Health and Social 
Care Trust 
Northern Ireland 
Newry and Mourne 
Community Stroke 
Rehab/ESD Team 
ESDCRT 
Southern Health 
and Social Care 
Trust 
Northern Ireland 
Armagh Dungannon 
Community Stroke 
Team/ESD 
ESDCRT 
Southern Health 
and Social Care 
Trust 
Northern Ireland 
Craigavon/Banbridge 
Community Stroke 
Team/ESD 
ESDCRT 
Southern Health 
and Social Care 
Trust 
Northern Ireland 
South West Acute ESD Team 
ESD 
Western Health 
and Social Care 
Trust 
Northern Ireland 
Ulster Hospital 6 Month 
Assessment 
6-month 
Assessment 
Providers 
South Eastern 
Health and Social 
Care Trust 
Northern Ireland 
Belfast Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Northern Ireland 
Northern Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Northern Ireland 
South Eastern Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Northern Ireland 
Southern Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Northern Ireland 
Western Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Northern Ireland 
Belfast Communication 
Support 
Other 
(support) 
Stroke Association 
Northern Ireland 
Northern Communication 
Support 
Other 
(support) 
Stroke Association 
Northern Ireland 
South Eastern 
Communication Support 
Other 
(support) 
Stroke Association 
Northern Ireland 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
44 
 
Southern Communication 
Support 
Other 
(support) 
Stroke Association 
Northern Ireland 
Western Communication 
Support 
Other 
(support) 
Stroke Association 
Northern Ireland 
Wales 
 
Brecon War Memorial 
Hospital 
Post-Acute 
Inpatient 
Services 
Powys Teaching 
Health Board 
Wales 
Eryri Hospital Inpatient 
Stroke Rehab Team 
Post-Acute 
Inpatient 
Services 
Betsi Cadwaladr 
University Health 
Board 
Wales 
Singleton Hospital 
Post-Acute 
Inpatient 
Services 
Swansea Bay 
University Local 
Health Board 
Wales 
Cardiff and Vale SRC 
Post-Acute 
Inpatient 
Services 
Cardiff and Vale 
University Health 
Board 
Wales 
Neath Port Talbot Hospital 
Post-Acute 
Inpatient 
Services 
Swansea Bay 
University Local 
Health Board 
Wales 
Wrexham Rehabilitation 
Unit 
Post-Acute 
Inpatient 
Services 
Betsi Cadwaladr 
University Health 
Board 
Wales 
Newtown Hospital 
Post-Acute 
Inpatient 
Services 
Powys Teaching 
Health Board 
Wales 
Ysbyty Cwm Rhondda 
Post-Acute 
Inpatient 
Services 
Cwm Taf 
Morgannwg 
University Local 
Health Board 
Wales 
YCR Discharge Planning 
team 
Post-Acute 
Inpatient 
Services 
Cwm Taf 
Morgannwg 
University Local 
Health Board 
Wales 
Cardiff and Vale ESD Team 
ESD 
Cardiff and Vale 
University Health 
Board 
Wales 
Swansea Bay Stroke Early 
Supported Discharge Team 
ESD 
Swansea Bay 
University Local 
Health Board 
Wales 
Aneurin Bevan UHB 
Community Neuro Rehab & 
ESD Team 
ESD 
Aneurin Bevan 
University Health 
Board 
Wales 
Cwm Taf UHB ESD Team 
ESD 
Cwm Taf 
Morgannwg 
University Local 
Health Board 
Wales 
Bronglais Hospital 
6-month 
Assessment 
Providers 
Hywel Dda Health 
Board 
Wales 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
45 
 
Glan Clwyd Hospital 
6-month 
Assessment 
Providers 
Betsi Cadwaladr 
University Health 
Board 
Wales 
Wrexham Maelor 6M 
Provider 
6-month 
Assessment 
Providers 
Betsi Cadwaladr 
University Health 
Board 
Wales 
West Wales General 
Hospital 
6-month 
Assessment 
Providers 
Hywel Dda Health 
Board 
Wales 
Swansea Locality 6 month 
review team 
6-month 
Assessment 
Providers 
Swansea Bay 
University Local 
Health Board 
Wales 
University Hospital of Wales 
- 6 Month Assessment 
Provider 
6-month 
Assessment 
Providers 
Cardiff and Vale 
University Health 
Board 
Wales 
Withybush General Hospital 
6-month 
Assessment 
Providers 
Hywel Dda Health 
Board 
Wales 
Prince Philip Hospital 
6-month 
Assessment 
Providers 
Hywel Dda Health 
Board 
Wales 
Cwm Taf 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
Cwm Taf 
Morgannwg 
University Local 
Health Board 
Wales 
Ysbyty Gwynedd 
6-month 
Assessment 
Providers 
Betsi Cadwaladr 
University Health 
Board 
Wales 
Powys Community Stroke 6 
Month Assessment Provider 
6-month 
Assessment 
Providers 
Powys Teaching 
Health Board 
Wales 
Community stroke 
rehabilitation 
Single 
Discipline 
Swansea Bay 
University Local 
Health Board 
Wales 
Swansea & Neath Port 
Talbot Communication 
Support 
Other 
(support) 
Stroke Association 
Wales 
Swansea & Neath Port 
Talbot Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Wales 
Blaenau Gwent Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Wales 
Cardiff & The Vale Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Wales 
Cardiff Stroke Day Service 
Other 
(support) 
Stroke Association 
Wales 
Bridgend Communication 
Support 
Other 
(support) 
Stroke Association 
Wales 
Bridgend Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Wales 

Appendix 3                                                                                                   
Post-acute Organisational Audit 2021 
46 
 
Cwm Taf Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Wales 
Rhondda Cynon Taff Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Wales 
Rhondda Taff Ely 
Communication Support 
Other 
(support) 
Stroke Association 
Wales 
Carmarthen Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Wales 
Conwy & Denbighshire 
Stroke Recovery Service 
Other 
(support) 
Stroke Association 
Wales 
Gwynedd & Ynys Mon 
Stroke Recovery Service 
Other 
(support) 
Stroke Association 
Wales 
Wrexham & Flintshire 
Stroke Recovery Service 
Other 
(support) 
Stroke Association 
Wales 
Carmarthenshire 
Communication Support 
Other 
(support) 
Stroke Association 
Wales 
Ceredigion Stroke Recovery 
Service 
Other 
(support) 
Stroke Association 
Wales 
Pembrokeshire Stroke 
Recovery Service 
Other 
(support) 
Stroke Association 
Wales 
Other 
Stroke Association Connect 
Other 
(support) 
Stroke Association 
Other 
 

Appendix 4 
Post-acute Organisational Audit 2021 
47 
Appendix 4: Post-acute Organisational Audit proforma 2021 
AUDIT OF POST-ACUTE STROKE SERVICES 
Paper questionnaire 
Introduction and overview 
Organisational Audit of Post-Acute Services 
The Sentinel Stroke National Audit Programme (SSNAP) has been commissioned by the Healthcare 
Quality Improvement Partnership (HQIP) to deliver an organisational audit of post-acute services. 
This will involve auditing post-acute providers directly about the care they provide for stroke 
patients. Post-acute providers who offer some form of stroke service outside of the acute setting are 
being approached for information on the structure and organisation of that service. 
This information will be used to: 
• 
measure the extent to which stroke rehabilitation is being organised 
• 
establish a baseline of current service organisation 
• 
enable providers to benchmark the quality of their service nationally and regionally 
• 
identify improvements and make recommendations for change 
• 
provide timely, transparent information to patients and the public about the quality of stroke 
care organisation in the post-acute setting 
• 
provide commissioners with evidence of the quality of commissioned services 
Definition of post-acute service 
We define post-acute services as ANY service which follows acute hospital in-patient care. It includes 
any post-acute services which provides rehabilitation and/or support to people who have been 
discharged from hospital but who continue to need rehabilitation or support. This audit focusses on 
four main service types: 
Post-acute inpatient care: Bed-based service for patients who continue to need inpatient (hospital) 
care with consultant review, but this no longer needs to be at an acute level i.e. they are no longer 
based on a HASU and do not require 24hr medical consultant cover. Patients predominantly require 
rehabilitation support prior to be able to reside in the community. May be provided in step down units 
such as in community hospitals. 
Early Supported Discharge (ESD): A coordinated multi-disciplinary team intended to facilitate the 
earlier transfer of care from hospital into the community and providing intensive stroke rehabilitation 
in the patient’s place of residence. 
Community Rehabilitation Team/Service (CRT): Multi-disciplinary team that provides rehabilitation 
for patients in their own home or other community setting (including care homes and nursing homes). 

Appendix 4 
Post-acute Organisational Audit 2021 
48
This may be following hospital discharge, post ESD rehabilitation or at any point post stroke where 
rehabilitation needs are identified. The intensity or duration of this service should be determined by 
patient need. 
Combined ESD/CRT: Your service provides both ESD and CRT (as outlined above) and also meets the 
following criteria: Shared clinical caseload, One management structure, Single point of access/referral 
route, Staffing establishment/budget is combined- with staff able to work flexibly across team 
functions as required and No re-referral to another part of your own team (i.e. from ESD to CST). 
6-month assessment provider: Providers who carry out a 6-month outcome assessment of patients 
only. For the purpose of this audit, acute hospitals providing 6-month assessments will fall under this. 
This option excludes ESD, CRT, Combined ESD/CRT and Standalone/ single discipline that provide 6-
month assessments as part of their service function. 
Standalone/single discipline service: A stand-alone service with a specific rehabilitation function or 
single discipline rehabilitation (e.g. outpatients). These services do not function as a multidisciplinary 
team and may be clinic or domiciliary based. 
Other: This may be support services or non-hospital based residential/bedded facility. 
Completing your questionnaire 
Step by step instructions for how to complete and lock your questionnaire on the SSNAP webtool will 
be provided to support you during the data collection period (Post-acute> Organisational Audit 
2021 > Documents). This paper document has been made available to give teams the opportunity to 
review the data being asked for and start the process of collecting on paper if they wish to, but data 
must be formally submitted via the SSNAP webtool. 
Dependent on what service functions you have identified for your team during registration, you will only 
be required to answer questions pertaining to that service functions. The electronic audit 
questionnaire can be found by logging into the SSNAP webtool (www.strokeaudit.org) and going to Post-
acute> Organisational Audit 2021 > Proforma. For audit leads who are primary leads for more than one 
service, you will need to select the correct service from the drop-down list and complete the audit for 
each service separately. 
THIS DOCUMENT WILL NOT BE ACCEPTED AS A DATA SUBMISSION. ALL SUBMISSIONS MUST BE MADE 
VIA THE SSNAP WEBTOOL. 
This proforma should describe your stroke services as of 1ST April 2021 (see below guidance on 
commissioned services/COVID response). Please complete all questions. Clarification is available 
online against each question ('H' button) and in the supporting documentation provided (Post-
acute> Organisational Audit 2021 > Documents). In some cases, you will either be directed to a later 
question or a response will not apply based on answers to key questions. Data should be submitted 
via the SSNAP Web Portal https://www.strokeaudit.org. 

Appendix 4 
Post-acute Organisational Audit 2021 
49 
COVID response: 
If you have had to reorganise as a temporary response to COVID-19 then please report as per your 
usual commissioned service. We appreciate that this reorganisation may have been in place for a 
prolonged period of time due to COVID-19. However, if there is no intention to revert to your usual 
service delivery model please report your current service structure. 
Final Deadline: 30th April 2021.  Checking week 3rd - 7th May 2021 
Helpdesk: 
Telephone: xx-xxxx-xxxx 
E-mail: xxx@xxx.xx  POST-ACUTE PROVIDER ID:[        ] 
Service Function 
From the post-acute registration process, we know that your team carries out the service functions that 
are ticked below: 
This information will be automatically populated based on what is indicated during registration for the 
team. Further information about post-acute service functions can be found here: Post-acute service 
function 
Service 
1 
Post-acute Inpatient care 
2 
Early Supported Discharge (ESD) 
3 
Community Rehabilitation Team/Service 
4 
Combined ESD/CRT 
5 
6-month Assessment Provider 
6 
Standalone/ Single Discipline Service 
7 
Other Post-Acute Provider 

Appendix 4 
Post-acute Organisational Audit 2021 
50
TAB ONE 
SECTION 1: General organisational information 
Please refer to page 4 for clarification regarding commissioned services/service changes in response to 
COVID-19 
1.1 Is this team registered with the Sentinel Stroke National Audit Programme (SSNAP) to participate 
in or receive information on the SSNAP clinical or organisational audit? Yes 
   No 
1.1a. If yes, what is your SSNAP team code? [Free text] 
1.2 Is this service stroke/neurology specific? Yes 
   No 
1.2a. If no, does it have a designated in-patient unit where stroke patients are treated?  Yes 
 No 
1.3 This team treats: 
(Select one only) 
Only stroke patients 
Stroke and neurology patients 
General service that sees people with all conditions including stroke 
1.4 How many people with stroke have been treated by this service in the last 7 days? [range of 0-
1000] 
1.5 How many new referrals of people with stroke has this service received in the last 12 
calendar months? [range of 20-1000] 
1.5a. Over the last year, has the number of referrals: 
Stayed the same 
    Increased 
Decreased 
1.6 How many new patient referrals of all types/conditions has this service received in the last 12 
calendar months? [range of 20-3000] 
1.6a. Over the last year, has the number of referrals: 
Stayed the same 
    Increased 
Decreased 

Appendix 4 
Post-acute Organisational Audit 2021 
51 
1.7 Do people with stroke under the care of this team have access to the following 
therapies/disciplines? (select all that apply). 
Yes, 
within 
service 
Yes, 
but 
NOT 
within 
service 
No Total 
whole-
time 
equival
ents 
(WTE) 
Headcou
nt 
(number 
of 
individua
ls) 
Average 
time 
from 
referral 
to 
first contact 
with 
therapy/dis
cipline 
(d
)
Therapy/d
iscipline 
provided 
fewer than 
5 
days/week 
Therapy/d
iscipline 
provided 
5 
days/week 
Therapy/dis
cipline 
provided 
6 days/week 
Therapy/dis
cipline 
provided 
7 
days/week 
(a) 
Occupation
al therapist 
O 
O 
O 
O 
O 
O 
O 
(b) 
Physiother
apist 
O 
O 
O 
O 
O 
O 
O 
(c) Speech 
and 
Language 
Th
i
O 
O 
O 
O 
O 
O 
O 
(d) Clinical 
Psychologis
t 
O 
O 
O 
O 
O 
O 
O 
(e) Dietitian 
O 
O 
O 
O 
O 
O 
O 
(f) 
Social 
Worker 
O 
O 
O 
O 
O 
O 
O 
(g) Doctor 
O 
O 
O 
O 
O 
O 
O 
(h) Nurse 
O 
O 
O 
O 
O 
O 
O 
(i) 
Rehabilitati
on/Therapy 
assistant 
O 
O 
O 
O 
O 
O 
O 
(j) 
Patient/Fa
mily/Carer 
support 
O 
O 
O 
O 
O 
O 
O 

Appendix 4 
Post-acute Organisational Audit 2021 
52 
1.8 Do any staff from this service routinely carry out 6-month reviews of people with stroke? 
Yes 
No 
1.8a. If yes, which disciplines routinely carry out six-month reviews? (Select all that apply) 
Stroke specialist doctor (Consultant level/ Staff Grade) ☐ 
Non-specialist doctor (Consultant level/ Staff Grade) ☐ 
Junior doctor ☐ 
GP ☐ 
Nurse ☐ 
Occupational therapist ☐ 
Physiotherapist ☐ 
Speech and Language Therapist ☐ 
Clinical psychologist ☐ 
Social worker ☐ 
Support worker/therapy assistant ☐ 
Dietitian ☐ 
Orthoptist ☐ 
Orthotist ☐ 
Podiatrist ☐ 
Voluntary sector employee ☐ 
1.8b. If yes, how many 6-month reviews has this team carried out in the last 12 months? 
[range of 1-1000] 
1.8c. Which patients are offered a 6-month review by this service? 
All patients previously under the care of this service 
All patients discharged from the acute hospital(s) within this service’s catchment area 
1.9 Are people with stroke discharged from this team given a copy of their own joint health & social 
care plan? 
(k) 
Orthotics 
O 
O 
O 
O 
O 
O 
O 
(l) 
Orthoptics 
O 
O 
O 
O 
O 
O 
O 
(m) 
Podiatry 
O 
O 
O 
O 
O 
O 
O 

Appendix 4 
Post-acute Organisational Audit 2021 
53
Yes   No 
1.9.1. Do people with stroke discharged from this team have access to commissioned services for the 
provision of emotional, social and/or practical support (e.g. provided by the third sector/charities)? 
Yes   No 
1.10 
Do people with stroke under the care of this team have access to their rehabilitation plan? 
Yes 
No 
1.11 
Does this team have patient information displayed/available on the following? (Select all that 
apply) 
Patient versions of national and/or local guidelines/standards ☐ 
The causes and treatment of stroke ☐ 
Secondary prevention of stroke ☐ 
Social Services local Community Care arrangements ☐ 
Local and national patient organisations (e.g. Stroke Association) ☐ 
The Department for Work and Pensions ☐ 
How to participate in stroke research ☐ 
None of the above ☐ 
1.12 
Does this team routinely offer a structured training programme for carers? 
Yes 
No 
1.13 
Does this team provide access to a self-management tool or course for people with stroke? 
Yes 
No 
1.14 
Is there the facility for nurses to attend internal or external training courses relating to stroke 
management? 
Yes   
No 
1.14a. If yes, how many sessions have these nurses attended in the last 12 months? 
(1 session = half day) [sessions] 
1.15 
Is there the facility for therapists to attend internal or external training courses related to 
stroke management? 
Yes 
No 

Appendix 4 
Post-acute Organisational Audit 2021 
54 
1.15a. If yes, how many sessions have these therapists attended in the last 12 months? 
(1 session = half day) [sessions] 
1.16 
Is there the facility for rehabilitation/therapy assistants to attend internal or external training 
courses related to stroke management? 
Yes 
No 
1.16a. If yes, how many sessions have these therapy assistants attended in the last 12 months? 
(1 session = half day) [sessions] 
1.17 
Are individual people with stroke under the care of this team discussed in a 
formal multidisciplinary team meeting?   Yes 
  No 
1.17a. If yes, how often would each patient be discussed in 7 days? (Select only one option) 
Less than once a week 
Once a week 
Twice a week 
More than twice a week 
1.17b. Which disciplines consistently attend these meetings? (Select all that apply) 
Clinical psychologist ☐ 
Dietitian ☐ 
Occupational therapist ☐ 
Physiotherapist ☐ 
Social worker ☐ 
Specialist doctor ☐ 
Specialist nurse ☐ 
Speech and Language therapist ☐ 
Rehabilitation/Therapy Assistant ☐ 
Family/carer support worker ☐ 
Orthotist ☐ 
Orthoptist ☐ 
Podiatrist☐ 
1.18 
The Clinical Leadership of this team (carrying the ultimate clinical responsibility for all patients 
under the care of this team) is provided by a registered healthcare professional(s) from which 
discipline? (Select all that apply) 
Clinical psychologist ☐ 
Dietitian ☐ 

Appendix 4 
Post-acute Organisational Audit 2021 
55 
Occupational therapist ☐ 
Physiotherapist ☐ 
Specialist doctor ☐ 
Specialist nurse ☐ 
Speech and Language therapist ☐ 
Orthoptist ☐ 
Orthotist ☐ 
Podiatrist ☐ 
No Clinical leadership ☐ 
1.19 
Who commissions this service?  [drop down list] 
1.20 
How many patients have been recruited into stroke research studies/trials in the last 12 
months? [range of 0-1000] 
1.21 
Please provide the postcode of where your team is based (Main site)? [postcode] 
1.21a. Is your team based in more than one location?  Yes 
No 
1.22 Have you had to reorganise as a temporary response to COVID-19 even though here you are 
reporting your usual commissioned service? Yes
 No 

Appendix 4 
Post-acute Organisational Audit 2021 
56
TAB TWO 
SECTION 2: Vocational rehabilitation 
Please refer to page 4 for clarification regarding commissioned services/service changes in response to 
COVID-19 
2.1 Is any part of this team commissioned to provide vocational rehabilitation? 
Yes
 
No 
Not commissioned but provided
 
2.1a. If yes, who commissions this vocational rehabilitation service? [drop down list] 
2.1b. If no, is there an alternative local service you can refer people with stroke to for 
vocational rehabilitation (e.g. other rehabilitation services or charities)? Yes 
    No 
2.1i. What is the name of the vocational rehabilitation service? [Free text] 
2.2 Where does your service/team provide vocational rehabilitation? (Select all that apply) 
Acute hospital ☐ 
Community hospital ☐ 
Doctors’ surgery/health centre/clinic ☐ 
Leisure Centre/Gym/Community Centre ☐ 
Patient/carer/family member’s home ☐ 
Care home ☐ 
Person’s workplace☐ 
2.3 What disciplines are responsible for delivering vocational rehabilitation for this service? (Select all 
that apply) 
Clinical psychologist ☐ 
Occupational therapist ☐ 
Physiotherapist ☐ 
Social worker ☐ 
Specialist nurse ☐ 
Speech and Language therapist ☐ 
Rehabilitation/Therapy assistant ☐ 
Family/carer support worker ☐ 

Appendix 4 
Post-acute Organisational Audit 2021 
57
2.4 Who is offered vocational rehabilitation by this service? (select one only) 
All people with stroke of working age 
Only people with stroke considered fit enough to return to work 
Only people with stroke considered fit enough to return to work and who were not previously 
unemployed 
2.5. What is the average number of vocational rehabilitation sessions that are provided per 
patient?  [whole number 1-100] 
2.5a. What frequency are the intervention sessions? (select one only) 
Daily 
Weekly 
Twice weekly 
Fortnightly 
Monthly 
No set schedule 
2.6 In this service, when would a person with stroke become eligible for vocational 
rehabilitation? (Select all that apply) 
Upon discharge/referral from inpatient care ☐ 
Upon discharge/referral from outpatient/domiciliary care ☐ 
On their return to work ☐ 
When patient is discharged home ☐ 

Appendix 4 
Post-acute Organisational Audit 2021 
58 
TAB THREE 
SECTION 3: Inpatient care 
Please refer to page 4 for clarification regarding commissioned services/service changes in response to 
COVID-19 
3.1 
What is the total number of beds within this service that may be used for stroke patients? 
[number of beds] 
3.2 Where is this stroke service provided? (Select all that apply) 
Rehabilitation beds in acute NHS trust ☐ 
Rehabilitation beds in community NHS trust ☐ 
Combined acute and community NHS trust ☐ 
Social enterprise ☐ 
Private sector provider ☐ 
3.3 Over the last six months, what has been the average length of time from acute referral to a bed 
being available for a stroke patient? (in days; 0-999) [  ] 
3.3a 
Over 
the 
last 
year, 
has 
the 
average 
wait 
time: 
Stayed the same 
    Increased  
  
 Decreased 
3.4 Who provides consultant leadership for this service? 
Stroke Physician 
Rehabilitation Medicine Consultant 
Consultant Allied Health Professional 
Consultant Nurse 
3.4a. Who provides medical care for stroke patients under the care of this team? (Select all that apply) 
Stroke specialist doctor (Consultant level/ Staff Grade) ☐ 
Non-specialist doctor (Consultant level/ Staff Grade) ☐ 
Consultant in Rehabilitation medicine with specialty in neurorehabilitation ☐ 
Junior doctor/non-career grade ☐ 
GP☐ 
3.5 How many days per week is there a consultant led ward round? [0-7] 
3.6 How many nurses are normally on duty at 10AM for these beds? (Enter 0 if no staff of that grade). 

Appendix 4 
Post-acute Organisational Audit 2021 
59 
Weekdays 
Saturdays      Sundays/Bank Holidays 
3.6i. Registered nurses [  ] 
          [  ] 
[  ] 
3.6ii. Unregistered nurses 
[  ] 
[  ] 
[  ] 
3.6.1 Of the registered nurses on duty at 10AM, how many are trained in: 
Weekdays 
Saturdays 
Sundays/Bank Holidays 
3.6.1i. Swallow screening 
[  ] 
[  ] 
[  ] 
3.6.1ii. Stroke assessment 
and management 
[  ] 
[  ] 
                    [  ] 
3.7 How many nurses are normally on duty at 10PM for these beds? (Enter 0 if no staff of that grade). 
Weekdays      Saturdays      Sundays/Bank Holidays 
3.7i Registered nurses 
 [  ] 
          [  ] 
           [  ] 
3.7.ii Unregistered nurses [ ] 
          [  ] 
           [  ] 
3.7.1 Of the registered nurses on duty at 10PM, how many are trained in: 
Weekdays 
Saturdays 
Sundays/Bank Holidays 
3.7.1i Swallow screening 
[  ] 
[  ] 
[  ] 
3.7.1ii Stroke assessment 
and management 
[  ] 
[  ] 
                    [  ] 
3.7.2 What is the total establishment in whole time equivalents (WTEs) of nurses who treat stroke 
patients? 
3.8 Does this in-patient facility have access to an on-site therapy gym?  Yes 
No 
3.9 Does this in-patient facility have access to an on-site therapy kitchen? Yes 
No 
Nurse band 
Whole time equivalents 
WTE 
Headcount 
(number 
of 
individuals) 
Band 1 
[  ] 
[  ] 
Band 2 
[  ] 
[  ] 
Band 3 
[  ] 
[  ] 
Band 4 
[  ] 
[  ] 
Band 5 
[  ] 
[  ] 
Band 6 
[  ] 
[  ] 
Band 7 
[  ] 
[  ] 
Band 8a 
[  ] 
[  ] 
Band 8b 
[  ] 
[  ] 
Band 8c 
[  ] 
[  ] 

Appendix 4 
Post-acute Organisational Audit 2021 
60
TAB FOUR 
SECTION 4: Community based care 
Please refer to page 4 for clarification regarding commissioned services/service changes in response to 
COVID-19 
4.1 How many days per week is this service provided? (select one only) 
Fewer than 5 days 
5 days 
6 days 
7 days 
4.2 Can people with stroke be re-referred back to this service after discharge? Yes 
No 
4.2a. If yes, how are they re-referred? (Select all that apply) 
Directly (self, patient and/or carer) ☐ 
Hospital/secondary care ☐ 
GP/primary care ☐ 
Third sector support services (e.g. Stroke Association Connect) ☐ 
4.3.1 
Where are treatment/assessment sessions provided? (Select all that apply) 
Acute hospital ☐ 
Community hospital ☐ 
Doctor’s surgery/health centre/clinic ☐ 
Leisure Centre/Gym ☐ 
Patient/carer/family member’s home ☐ 
Care home ☐ 
4.3.2 
What proportion of treatment/assessment sessions are/were provided by each method (total 
should sum to 100%)? 
Treatment/assessment 
sessions 
Current 
One year ago 
Face to face (individual) [0-100] 
[0-100] 
[0-100] 

Appendix 4 
Post-acute Organisational Audit 2021 
61 
Face to face (in groups) [0-100] 
[0-100] 
[0-100] 
By video consultation 
(individual) [0-100] 
[0-100] 
[0-100] 
By video consultation (in 
groups) [0-100] 
[0-100] 
[0-100] 
By telephone [0-100] 
[0-100] 
[0-100] 
Total 
[100] 
[100] 
4.4.1 What is the average waiting time over the last 6 months (in days) between discharge/referral 
and this service first carrying out an initial review? [0-999] 
4.4.1a Over the last year, has this average waiting time: 
Stayed the same 
Increased 
Decreased 
4.4.2 What is the average waiting time over the last 6 months (in days) between discharge/referral 
and treatment commencing for this service? [0-999] 
4.4.2a Over the last year, has this average waiting time: 
Stayed the same 
Increased 
Decreased 
4.5 Does this service treat/assess patients who live in care homes?  Yes 
No 
4.6 Does a member of this team attend multidisciplinary team meetings (MDT) at the local acute 
hospitals to discuss stroke patients currently receiving acute care? Yes 
No 
4.7 Is there a limit for how long stroke patients have access to this service? Yes 
No 
4.7a If yes, how is this measured (Select one)?? 
Duration 
0-6 weeks 
7-12 weeks 
13-26 weeks 
>26 weeks 

Appendix 4 
Post-acute Organisational Audit 2021 
62 
Appointments 
5 sessions 
6-10 sessions 
11-15sessions 
16+ sessions 
4.8 Which patient reported outcome measures are routinely recorded by your service? (Select all 
that apply) 
Modified Rankin scale  ☐ 
Barthel Index  ☐ 
Nottingham Extended Activities of Daily Living  ☐ 
Berg Balance Scale  ☐ 
EQ5D (quality of life measure) ☐ 
PHQ-9 (depression) ☐ 
GAD-7 (anxiety) ☐ 
Other ☐ 
4.9 Which of the following criteria does your combined ESD/CRT meet (Select all that apply): 
Shared clinical caseload ☐ 
One management structure ☐ 
Single point of access/referral route ☐ 
Staffing establishment/budget is combined- with staff able to work flexibly across team functions as 
required ☐ 
No re-referral to another part of your own team (i.e. from ESD to CST) ☐ 
None of the above ☐ 
Free text 

Appendix 4 
Post-acute Organisational Audit 2021 
63 
TAB FIVE 
SECTION 5: Other 
Please refer to page 4 for clarification regarding commissioned services/service changes in response to 
COVID-19 
5.1 This team treats: (Select one only) 
Only stroke patients 
Stroke and neurology patients 
General service that sees people with all conditions including stroke 
5.2 Who provides this service? (Select one only) 
Post-acute support service 
Residential/bedded facility 
5.3 How many stroke patients do you see a year? [  ] 
5.4. Select the services you provide (select all that apply). 
Information and signposting service ☐ 
Benefit support ☐ 
Patient, family and carer support☐ 
Communication support ☐ 
Emotional support☐ 
Exercise and education☐ 
Re-ablement service or equivalent☐ 
Equipment, wheelchair support☐ 
Befriending/peer support/stroke club/respite☐ 
Intermediate care beds ☐ 
Level1/Level 2/Level2b unit ☐ 
Residential facility ☐ 
5.5 Where are these services provided? (Select all that apply) 
Acute hospital ☐ 
Community hospital/ community based bedded facility ☐ 
Doctor’s surgery/health centre/clinic ☐ 
Leisure Centre/Gym ☐ 
Patient/carer/family member’s home ☐ 
Care home/ nursing home ☐ 

Appendix 4 
Post-acute Organisational Audit 2021 
64 
5.6 Is your service formally commissioned? 
Yes 
No 
5.6a If yes, who commissions this service? (Select all that apply) 
Health (trust, CCG, LHB) ☐ 
Social care/local authority ☐ 
Voluntary sector / charitable funds ☐ 
Other ☐ 

Appendix 5 
Post-acute Organisational Audit 2021 
65 
Appendix 5: Summary of denominators used in the report 
Total number of services 
n=664 
Post-acute inpatient team 
n=93 
Multidisciplinary services 
n=245 
This includes Early Supported Discharge team (ESD) (n=88), Community Rehabilitation 
teams (CRT) (n=86), and Combined ESD/CRT team (n=71) 
6-month assessment providers 
n=198 
This includes: Standalone 6-month assessment providers (78), Post-acute Inpatient team 
(n=12), Early supported discharge team (ESD) (n=29), Community Rehabilitation teams 
(CRT) (n=30), Combined ESD/CRT team (n=48), and Single discipline service (n=1) 
Single discipline services 
n=66 
Other Residential or Bedded Facility 
n=2 
Other Support Services 
n=180 
Vocational rehabilitation providers 
n=167 
This includes: Post-acute Inpatient team (n=12), Early supported discharge team (ESD) 
(n=43), Community Rehabilitation team (CRT) (n=50), Combined ESD/CRT team (n=44), 
Single Discipline service (n=16), and Other Residential or Bedded (n=2) 
Services commissioned to carry out vocational rehabilitation as a sole or additional type 
of service. 
n=49 
Services not commissioned to but provide vocational rehabilitation 
n=118 
Services in England 
n=591 
Services in Wales 
n=42 
Services in Northern Ireland 
n=28 
Services in the Isle of Man and Jersey 
n=2 
National Stroke Association Connect 
n=1 

Appendix 6 
Post-acute Organisational Audit 2021 
66 
Appendix 6: Key indicator criteria 
Key 
indicator 
Key 
indicator 
title 
Applicable 
services 
Criteria 
Additional criteria 
1 
The service is 
stroke/neuro 
specific 
Post-acute 
inpatient & 
multidisciplinary 
services 
Team responded 'Yes’ to 
Q1.2 
2 
Team has an 
appropriate 
level of 
staffing for 
all core 
disciplines 
Post-acute 
inpatient team 
For 2 points: 
The team responded ‘Yes’ to 
having the following 
disciplines (Q1.7): 
- occupational therapy 
- physiotherapy 
- speech/language therapy 
- doctor 
- nurse 
AND 
Meet the following 
thresholds for each 
discipline's WTEs (1.x)/stroke 
beds (Q3.1) (3.x): 
- OT:  0.81/5 
- PT:  0.84/5 
- SLT:  0.4/5 
- Total of all stroke nurses 
from Bands 1-8: 1.35 (3.7.2 
What is the total 
establishment in whole time 
equivalents (WTEs) of nurses 
who treat stroke patients?) 
For 1 point: 
Team responded, 
'Yes OR Yes but' to 
doctor requirement, 
and 'Yes' to all other 
disciplines included 
and the threshold 
for each discipline is 
median WTEs/stroke 
beds 
Multidisciplinary 
services 
For 2 points: 
The team responded ‘Yes’ to 
having the following 
disciplines (Q1.7): 
- Occupational Therapy 
- Physiotherapy 
- Speech/Language therapy 
- Doctor 
- Nurse 
AND 
Meet the following 
thresholds for each 
discipline's WTEs 
For 1 point: 
Team responded, 
'Yes or Yes but' to 
doctor requirement, 
and 'Yes' to all other 
disciplines included 
and the threshold 
for each discipline is 
median 
WTEs/patients 

Appendix 6 
Post-acute Organisational Audit 2021 
67 
Key 
indicator 
Key 
indicator 
title 
Applicable 
services 
Criteria 
Additional criteria 
(1.x)/patients 
(S01PatientsAll12Months): 
- OT:  1/100 
- PT:  1/100 
- SLT:  0.4/100 
3 
Team has 
appropriate 
access to all 
relevant 
disciplines 
Post-acute 
inpatient & 
multidisciplinary 
services 
Team responded 'Yes' or 'Yes 
but' to having all the 
following disciplines (Q1.7): 
- occupational therapy 
- physiotherapy 
- speech/language therapy 
- clinical psychologist 
- dietitian 
- social worker 
- doctor 
- nurse 
- rehabilitation assistant 
- carer 
- orthotic 
- orthoptics 
- podiatry 
4 
Team 
provides 
rehabilitatio
n every day 
Post-acute 
inpatient & 
multidisciplinary 
services 
For two point: Team 
responded '7 days' for two of 
the following disciplines 
(Q1.7) and for MDTs only Q 
4.1 = 7 day service: 
- occupational therapy 
- physiotherapy 
- speech and language 
therapy 
- clinical psychologist 
- rehabilitation assistant 
For 1 point: Team 
responded '7 days' 
for one of the 
following disciplines 
(Q1.7) and for MDT 
only  Q 4.1 = 7 day 
service: 
- occupational 
therapy 
- physiotherapy 
-speech & language 
therapy 
- clinical 
psychologist 
- rehabilitation 
assistant 

Appendix 6 
Post-acute Organisational Audit 2021 
68 
Key 
indicator 
Key 
indicator 
title 
Applicable 
services 
Criteria 
Additional criteria 
5 
Team 
includes 
access to 
clinical 
psychology 
Post-acute 
inpatient & 
multidisciplinary 
services 
Team responded 'Yes' or 'Yes 
but' to clinical psychology 
Q1.7d 
6 
Inpatient 
nurses are 
trained in 
stroke 
assessment 
and 
management 
Post-acute 
inpatient team 
Nurses trained in stroke 
assessment Q3.6.1 (ii) is 
greater than half of all 
registered nurses (Q3.6) on 
weekdays and weekends 
7 
Team 
provides 
rehabilitatio
n to people 
in care 
homes 
Multidisciplinary 
services 
Team responded 'Yes' to 4.5 
(Does this service 
treat/assess patients who 
live in care homes?) 
8 
Team 
regularly 
attends 
inpatient 
MDT 
Multidisciplinary 
service 
Team responded 'Yes' to 
Q4.6 (Does a member of this 
team attend 
multidisciplinary team 
meetings (MDT) at the local 
acute hospital(s) to discuss 
stroke patients currently 
receiving acute care?) 
9 
Team service 
provision is 
not time-
limited 
Multidisciplinary 
service 
Team responded 'No' to 
Q4.7 (Is there a limit for how 
long stroke patients have 
access to this service?) 
10 
Teams has at 
least weekly 
formal 
multidisciplin
ary team 
meeting with 
core 
disciplines in 
attendance 
Post-acute 
inpatient & 
multidisciplinary 
services 
Team responded at least 
once per week to Q1.17a 
and the following disciplines 
are present at team 
meetings Q1.17b: 
- occupational therapy 
- physiotherapy 
- speech and language 
therapy 
- nurse 
- doctor is also required for 
Post-acute inpatient teams 
only 

Appendix 6 
Post-acute Organisational Audit 2021 
69 
Key 
indicator 
Key 
indicator 
title 
Applicable 
services 
Criteria 
Additional criteria 
11 
Team offers 
stroke 
training for 
all disciplines 
Post-acute 
inpatient & 
multidisciplinary 
services 
The following disciplines 
receive stroke-specific 
training Q1.14, Q1.15, 
Q1.16: 
- nurses 
- therapists 
- rehabilitation assistants 
Needs to be 'Yes' to all three 
staff groups, and the number 
of sessions attended needs 
to be above two. 
12 
Team 
commences 
rehabilitatio
n within 
recommende
d no. days 
from 
discharge 
Multidisciplinary 
service 
Team responded with the 
following waiting times for 
initial review Q4.4.1 
- If Early Supported 
Discharge teams waiting 
time is less than 1 day 
- If  Combined ESD/CRT, 
waiting time is less than 2 
days 
- If Community 
Rehabilitation teams, waiting 
time is less than 3 days 
13 
Team 
participate in 
SSNAP 
clinical audit 
Post-acute 
inpatient, 
multidisciplinary 
services and 
standalone 6-
month 
assessment 
providers 
Team responded 'Yes' to 
Q1.1 Registered on SSNAP 
14 
Team 
actively 
involved in 
research 
Post-acute 
inpatient & 
multidisciplinary 
Services 
Team responded greater 
than or equal to 1 for Q1.20 
How many patients have 
been recruited into stroke 
research studies/trials in the 
last 12 months? 

Appendix 6 
Post-acute Organisational Audit 2021 
70 
Key 
indicator 
Key 
indicator 
title 
Applicable 
services 
Criteria 
Additional criteria 
15 
Access to 
commissione
d vocational 
rehabilitatio
n 
All ISDNs 
At least 50% of teams (Post-
acute inpatient, 
multidisciplinary services, 
single discipline services) in 
the ISDN responded 'Yes' or 
'Not commissioned but 
provided' to Q2.1 (Is any part 
of this team commissioned 
to provide vocational 
rehabilitation?) 
16 
Provision of 
6-month 
reviews 
All ISDNs 
The total number of patients 
seen for six-month review 
Q1.8b(If yes, how many 6-
month reviews has this team 
carried out in the last 12 
months?) for all teams in an 
ISDN is at least 50% of the 
total patients (estimate 
based on number of stroke 
patients at 72hrs for all 
routinely admitting hospitals 
in that ISDN (SSNAP clinical 
audit)) 
17 
Provision of 
formally 
commissione
d support 
services 
All ISDNs 
The total number of stroke 
patients seen by teams  in 
the ISDN who responded 
'yes' to the criteria below is 
at least 50% of the total 
patients (estimate based on 
SSNAP clinical audit): 
Q5.4 
• Information and 
signposting service 
• Patient, family and carer 
support 
• Communication support 
• Emotional support 
• Exercise and education 
• Befriending/peer 
support/stroke club/respite 
AND these teams responded 
'Yes' to 5.6 (Is your service 
formally commissioned?) 
AND  these teams responded 
'Yes' to 5.6a (If yes, who 

Appendix 6 
Post-acute Organisational Audit 2021 
71 
Key 
indicator 
Key 
indicator 
title 
Applicable 
services 
Criteria 
Additional criteria 
commissions this service?) 
• Health (trust, CCG, LHB) 
• Social care/local authority 

Appendix 7 
Post-acute Organisational Audit 2021 
72 
Appendix 7: Service commissioning 
Service name 
Service 
type 
NHS Trust 
Commissioner 
Adult Community Speech 
and Language Therapy 
Portsmouth and SE 
Hampshire 
Single 
Discipline 
Solent NHS Trust 
Fareham and Gosport 
CCG,Portsmouth 
CCG,South Eastern 
Hampshire CCG 
Adult Community Speech 
and Language Therapy Team 
Single 
Discipline 
Dorset HealthCare University 
NHS Foundation Trust 
Dorset CCG 
Airedale Community Stroke 
Team 
CRT 
Airedale NHS Foundation 
Trust 
Airedale, Wharfedale 
and Craven CCG 
Amherst Court Inpatient 
Rehab 
Post-Acute 
Inpatient 
Services 
Medway Community 
Healthcare CIC 
Medway CCG 
Aneurin Bevan UHB 
Community Neuro Rehab & 
ESD Team 
ESD 
Aneurin Bevan University 
Health Board 
Aneurin Bevan Health 
Board 
Anglian Community 
Enterprise ESD 
ESD 
Anglian Community 
Enterprise CIC 
North East Essex CCG 
Antrim/Ballymena 
Community Stroke Team 
CRT 
Northern Health and Social 
Care Trust 
Northern Local 
Commissioning Group 
Armagh Dungannon 
Community Stroke 
Team/ESD 
ESDCRT 
Southern Health and Social 
Care Trust 
Southern Local 
Commissioning Group 
Ashford Neuro Team 
ESDCRT 
Kent Community Health NHS 
Foundation Trust 
Kent and Medway CCG 
BANES Community Neuro 
and Stroke Service 
ESDCRT 
Virgin Care Ltd 
Bath and North East 
Somerset, Swindon 
and Wiltshire CCG 
Barnet 6 Month Assessment 
Provider 
6-month 
Assessment 
Providers 
Central London Community 
Healthcare NHS Trust 
Barnet CCG 
Barnet ESD Team 
ESD 
Central London Community 
Healthcare NHS Trust 
Barnet CCG 
Barnsley Integrated 
Community Stroke Team 
ESDCRT 
South West Yorkshire 
Partnership NHS Foundation 
Trust 
Barnsley CCG 
Bassetlaw District General 
Hospital 
Post-Acute 
Inpatient 
Services 
Doncaster and Bassetlaw 
Teaching Hospitals NHS 
Foundation Trust 
Bassetlaw CCG 
Bassetlaw LTNC Team 
ESDCRT 
Nottinghamshire Healthcare 
NHS Trust 
Bassetlaw CCG 
Bedford Post Stroke Review 
Service 
6-month 
Assessment 
Providers 
Stroke Association 
Bedfordshire 
CCG,Other, 

Appendix 7 
Post-acute Organisational Audit 2021 
73 
Service name 
Service 
type 
NHS Trust 
Commissioner 
Bedfordshire ESD Team 
ESD 
Cambridgeshire Community 
Services NHS Trust 
Bedfordshire CCG 
Belfast Community Stroke 
Team 
ESDCRT 
Belfast Health and Social Care 
Trust 
Belfast Local 
Commissioning Group 
Berkshire Community Neuro 
Rehab Team 
ESDCRT 
Berkshire Healthcare NHS 
Foundation Trust 
Berkshire West CCG 
Berkshire West Neuro 
Inpatient Team 
Post-Acute 
Inpatient 
Services 
Berkshire Healthcare NHS 
Foundation Trust 
Berkshire West CCG 
Bexhill Hospital - Irvine Unit 
Post-Acute 
Inpatient 
Services 
East Sussex Healthcare NHS 
Trust 
East Sussex CCG 
Bexley Community ESD & 
CRT Team 
ESDCRT 
Oxleas NHS Foundation Trust 
South East London CCG 
Birmingham Community 
Stroke Team 
CRT 
Birmingham Community 
Healthcare NHS Foundation 
Trust 
Birmingham and 
Solihull CCG 
Birmingham Heartlands ESD 
Team 
ESD 
University Hospitals 
Birmingham NHS Foundation 
Trust 
Birmingham and 
Solihull CCG 
Birmingham Neuro 
Rehabilitation Team 
CRT 
Birmingham Community 
Healthcare NHS Foundation 
Trust 
Birmingham and 
Solihull CCG 
Birmingham Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Birmingham and 
Solihull CCG,Sandwell 
and West Birmingham 
CCG, 
Bishop Auckland Hospital 
Post-Acute 
Inpatient 
Services 
County Durham and 
Darlington NHS Foundation 
Trust 
County Durham CCG 
Blackburn with Darwen 
Community Stroke Team 
CRT 
Lancashire and South 
Cumbria Foundation Trust 
Blackburn with Darwen 
CCG 
Blackpool Neurophysio 
Team 
Single 
Discipline 
Blackpool Teaching Hospitals 
NHS Foundation Trust 
Blackpool CCG,Fylde 
and Wyre CCG, 
Blackpool Stroke ESD Team 
ESD 
Blackpool Teaching Hospitals 
NHS Foundation Trust 
Blackpool CCG,Fylde 
and Wyre CCG, 
Bolton Community Stroke 
Team 
ESDCRT 
Bolton NHS Foundation Trust 
Bolton CCG 
Bournemouth and Poole 
Community Therapy Team 
CRT 
Dorset HealthCare University 
NHS Foundation Trust 
Dorset CCG 
Bournemouth and Poole 
ESD Team 
ESD 
University Hospitals Dorset 
NHS Foundation Trust 
Dorset CCG 
Bradford Community Stroke 
Nursing Team 
Single 
Discipline 
Bradford Teaching Hospitals 
NHS Foundation Trust 
Bradford Districts CCG 

Appendix 7 
Post-acute Organisational Audit 2021 
74 
Service name 
Service 
type 
NHS Trust 
Commissioner 
Bradford District Care 
Speech and language 
therapy 
Single 
Discipline 
Bradford Teaching Hospitals 
NHS Foundation Trust 
Bradford Districts CCG 
Bradford Neurological 
Rehabilitation Team 
CRT 
Bradford Teaching Hospitals 
NHS Foundation Trust 
Bradford District and 
Craven CCG 
Bradford Stroke ESD team 
ESD 
Bradford Teaching Hospitals 
NHS Foundation Trust 
Bradford District and 
Craven CCG 
Bradford Teaching Hospitals 
6 M Provider 
6-month 
Assessment 
Providers 
Bradford Teaching Hospitals 
NHS Foundation Trust 
Bradford Districts CCG 
Bradford Teaching Hospitals 
Orthoptic Department 
Single 
Discipline 
Bradford Teaching Hospitals 
NHS Foundation Trust 
Bradford City 
CCG,Bradford Districts 
CCG, 
Bradley Unit 
Post-Acute 
Inpatient 
Services 
Ashford and St Peter's 
Hospitals NHS Foundation 
Trust 
East Berkshire 
CCG,Guildford and 
Waverley CCG,North 
West Surrey 
CCG,Surrey Heartlands 
CCG,Surrey Heath CCG, 
Brecon War Memorial 
Hospital 
Post-Acute 
Inpatient 
Services 
Powys Teaching Health Board 
Powys Health Board 
Brent 6 Month Assessment 
Provider 
6-month 
Assessment 
Providers 
London North West 
University Healthcare NHS 
Trust 
Brent CCG 
Brent Stroke ESD 
ESD 
London North West 
University Healthcare NHS 
Trust 
Brent CCG 
Brighton and Hove 
Community Neuro Rehab 
Team 
ESDCRT 
Sussex Community NHS 
Foundation Trust 
Brighton and Hove CCG 
Brighton General Hospital 
Neurophysiotherapy 
Outpatients 
Single 
Discipline 
Brighton and Sussex 
University Hospitals NHS 
Trust (acquired by University 
Hospitals Sussex NHS 
Foundation Trust) 
Brighton and Hove 
CCG,East Sussex CCG, 
Bristol ESD Team for Stroke 
ESD 
University Hospitals Bristol 
and Weston NHS Foundation 
Trust 
Bristol, North 
Somerset and South 
Gloucestershire CCG 
Bristol Neuro-Outpatients 
Single 
Discipline 
University Hospitals Bristol 
and Weston NHS Foundation 
Trust 
Bristol, North 
Somerset and South 
Gloucestershire CCG 
Bristol Speech & Language 
Therapy for Adult 
Outpatients 
Single 
Discipline 
University Hospitals Bristol 
and Weston NHS Foundation 
Trust 
Bristol, North 
Somerset and South 
Gloucestershire CCG 

Appendix 7 
Post-acute Organisational Audit 2021 
75 
Service name 
Service 
type 
NHS Trust 
Commissioner 
Bromley SCREHN 
Community Rehab Team 
SD/THMT 
CRT 
Lewisham and Greenwich 
NHS Trust 
Bromley CCG 
Bronglais Hospital 
6-month 
Assessment 
Providers 
Hywel Dda Health Board 
Hywel Dda Health 
Board 
Buckinghamshire ESD Team 
ESD 
Buckinghamshire Healthcare 
NHS Trust 
Buckinghamshire CCG 
Buckinghamshire Healthcare 
6 Month Assessment 
Provider 
6-month 
Assessment 
Providers 
Buckinghamshire Healthcare 
NHS Trust 
Buckinghamshire CCG 
Buckinghamshire Healthcare 
CRT 
CRT 
Buckinghamshire Healthcare 
NHS Trust 
Buckinghamshire CCG 
1 April 2018 
Buckinghamshire 
Neurorehabilitation Unit 
Post-Acute 
Inpatient 
Services 
Buckinghamshire Healthcare 
NHS Trust 
Buckinghamshire CCG 
Bury Stroke Rehab Team 
ESDCRT 
Pennine Acute Hospitals NHS 
Trust 
Bury CCG 
Calderdale Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Calderdale CCG 
Calderdale Stroke Early 
Supported Discharge Team 
ESD 
Calderdale and Huddersfield 
NHS Foundation Trust 
Calderdale CCG 
Camborne Redruth 
Community Hospital SALT 
Single 
Discipline 
Cornwall Partnership NHS 
Foundation Trust 
Kernow CCG 
Camden Community 
Neurology & Stroke Service 
ESDCRT 
Central and North West 
London NHS Foundation 
Trust 
Camden CCG 
Cannock Community Stroke 
Team 
ESDCRT 
Walsall Healthcare NHS Trust 
Stafford and Surrounds 
CCG 
Cardiff and Vale ESD Team 
ESD 
Cardiff and Vale University 
Health Board 
Cardiff and Vale Health 
Board 
Cardiff and Vale SRC 
Post-Acute 
Inpatient 
Services 
Cardiff and Vale University 
Health Board 
Cardiff and Vale Health 
Board 
Carlisle Community Neuro 
Physiotherapy 
Single 
Discipline 
North Cumbria Integrated 
Care NHS Foundation Trust 
North Cumbria CCG 
Carlisle ESSD Team 
ESD 
North Cumbria Integrated 
Care NHS Foundation Trust 
North Cumbria CCG 
Causeway Community 
Stroke Team 
CRT 
Northern Health and Social 
Care Trust 
Northern Local 
Commissioning Group 
Central Lancashire 
Community Neuro Rehab 
Team 
ESDCRT 
Lancashire and South 
Cumbria Foundation Trust 
Chorley and South 
Ribble CCG 

Appendix 7 
Post-acute Organisational Audit 2021 
76 
Service name 
Service 
type 
NHS Trust 
Commissioner 
Central London Community 
Healthcare Stroke ESD & 
Neuro Team 
ESDCRT 
Central London Community 
Healthcare NHS Trust 
Central London 
(Westminster) 
CCG,Hammersmith 
and Fulham CCG,West 
London CCG, 
Central Manchester 
Community Stroke Team 
ESDCRT 
Manchester University NHS 
Foundation Trust 
Manchester CCG 
Central Nottinghamshire 
ESD Team 
ESD 
Sherwood Forest Hospitals 
NHS Foundation Trust 
Mansfield and Ashfield 
CCG,Newark and 
Sherwood CCG, 
Chase Farm Hospital 
Inpatient Rehab Team 
Post-Acute 
Inpatient 
Services 
Barnet, Enfield and Haringey 
Mental Health NHS Trust 
North Central London 
CCG 
Cheshire and Merseyside 
Rehabilitation Network 
Post-Acute 
Inpatient 
Services 
Walton Centre NHS 
Foundation Trust 
Betsi Cadwaladr 
University Health 
Board ,Cheshire 
CCG,Halton 
CCG,Knowsley 
CCG,Liverpool 
CCG,South Cheshire 
CCG,South Sefton 
CCG,Southport and 
Formby CCG,St Helens 
CCG, 
Chester Post Stroke Review 
service 
6-month 
Assessment 
Providers 
Stroke Association 
Cheshire CCG,Other, 
Chesterfield Royal ESD Team ESD 
Chesterfield Royal Hospital 
NHS Foundation Trust 
Derby and Debyshire 
CCG 
Chesterfield Royal Hospital 
Stroke Unit 
6-month 
Assessment 
Providers 
Chesterfield Royal Hospital 
NHS Foundation Trust 
Derby and Debyshire 
CCG 
Chorley and South Ribble 
Hospital 
Post-Acute 
Inpatient 
Services 
Lancashire Teaching 
Hospitals NHS Foundation 
Trust 
Chorley and South 
Ribble CCG 
Clacton Hospital 
Post-Acute 
Inpatient 
Services 
Anglian Community 
Enterprise CIC 
North East Essex CCG 
Clayponds Inpatient Neuro 
Therapy Team 
Post-Acute 
Inpatient 
Services 
West London NHS Trust 
Ealing CCG 
Coalville Community 
Hospital 
Post-Acute 
Inpatient 
Services 
Leicestershire Partnership 
NHS Trust 
East Leicestershire and 
Rutland CCG,Leicester 
City CCG,West 
Leicestershire CCG, 
Cockermouth and Maryport 
Therapy Teams 
CRT 
North Cumbria Integrated 
Care NHS Foundation Trust 
North Cumbria CCG 

Appendix 7 
Post-acute Organisational Audit 2021 
77 
Service name 
Service 
type 
NHS Trust 
Commissioner 
Colchester Post-Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Other 
Community stroke 
rehabilitation 
Single 
Discipline 
Swansea Bay University Local 
Health Board 
Swansea Bay 
University Local Health 
Board 
Cornwall 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
Cornwall Partnership NHS 
Foundation Trust 
Kernow CCG 
Cornwall and Isles of Scilly 
ESD Team 
ESD 
Royal Cornwall Hospitals NHS 
Trust 
Kernow CCG 
Cornwall Partnership 
Community Rehabilitation 
team 
CRT 
Cornwall Partnership NHS 
Foundation Trust 
Kernow CCG 
County Durham & 
Darlington Community 
Stroke Rehab Team 
CRT 
County Durham and 
Darlington NHS Foundation 
Trust 
Durham Dales, 
Easington and 
Sedgefield CCG,North 
Durham CCG, 
Coventry Community Neuro 
Rehab Team 
CRT 
Coventry and Warwickshire 
Partnership NHS Trust 
Coventry and Rugby 
CCG 
Coventry ESD 
ESD 
Coventry and Warwickshire 
Partnership NHS Trust 
Coventry and Rugby 
CCG 
Coventry Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Coventry and Rugby 
CCG 
CPFT CNRS North 
Community 
CRT 
Cambridgeshire and 
Peterborough NHS 
Foundation Trust 
Cambridgeshire and 
Peterborough CCG 
CPFT CNRS South 
Community 
CRT 
Cambridgeshire and 
Peterborough NHS 
Foundation Trust 
Cambridgeshire and 
Peterborough CCG 
CPFT ESD North Community 
ESD 
Cambridgeshire and 
Peterborough NHS 
Foundation Trust 
Cambridgeshire and 
Peterborough CCG 
CPFT ESD South Community 
ESD 
Cambridgeshire and 
Peterborough NHS 
Foundation Trust 
Cambridgeshire and 
Peterborough CCG 
CPFT North Inpatient 
Post-Acute 
Inpatient 
Services 
Cambridgeshire and 
Peterborough NHS 
Foundation Trust 
Cambridgeshire and 
Peterborough CCG 
CPFT South Inpatient 
Post-Acute 
Inpatient 
Services 
Cambridgeshire and 
Peterborough NHS 
Foundation Trust 
Cambridgeshire and 
Peterborough CCG 
Craigavon/Banbridge 
Community Stroke 
Team/ESD 
ESDCRT 
Southern Health and Social 
Care Trust 
Southern Local 
Commissioning Group 

Appendix 7 
Post-acute Organisational Audit 2021 
78 
Service name 
Service 
type 
NHS Trust 
Commissioner 
Crawley & Horsham Post-
Stroke Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
West Sussex CCG 
Crawley Hospital Stroke 
Rehab Ward 
Post-Acute 
Inpatient 
Services 
Sussex Community NHS 
Foundation Trust 
West Sussex CCG 
Crewe Post Stroke Review 
Service 
6-month 
Assessment 
Providers 
Stroke Association 
Cheshire CCG 
Croydon Community Neuro 
Rehab Team 
CRT 
Croydon Health Services NHS 
Trust 
Croydon CCG 
Croydon ESD Team 
ESD 
Croydon Health Services NHS 
Trust 
Croydon CCG 
CSH Surrey Community 
Rehabilitation Team 
CRT 
CSH Surrey 
North West Surrey CCG 
Cumberland Infirmary 
Carlisle 
6-month 
Assessment 
Providers 
North Cumbria Integrated 
Care NHS Foundation Trust 
North Cumbria CCG, 
Cumberlege Intermediate 
Care Centre 
Post-Acute 
Inpatient 
Services 
Essex Partnership University 
NHS Foundation Trust 
Castle Point and 
Rochford 
CCG,Southend CCG, 
Cumbria Stroke Well-being 
Service 
Single 
Discipline 
North Cumbria Integrated 
Care NHS Foundation Trust 
North Cumbria CCG 
Cumbria West ESD Team 
ESD 
North Cumbria Integrated 
Care NHS Foundation Trust 
North Cumbria CCG 
Cwm Taf 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
Cwm Taf Morgannwg 
University Local Health Board 
Cwm Taf Morgannwg 
University Local Health 
Board 
Cwm Taf UHB ESD Team 
ESD 
Cwm Taf Morgannwg 
University Local Health Board 
Cwm Taf Morgannwg 
University Local Health 
Board 
Danesbury Neurological 
Centre 
Post-Acute 
Inpatient 
Services 
Hertfordshire Community 
NHS Trust 
East and North 
Hertfordshire CCG 
Dartford Post-Stroke Review 
Service 
6-month 
Assessment 
Providers 
Stroke Association 
Dartford, Gravesham 
and Swanley CCG 
Dartford, Gravesham & 
Swanley Community Rehab 
Team 
ESDCRT 
Virgin Care Ltd 
Dartford, Gravesham 
and Swanley CCG 
Donald Wilson House - St 
Richard's Hospital 
Post-Acute 
Inpatient 
Services 
University Hospitals Sussex 
NHS Foundation Trust 
West Sussex CCG 
Doncaster Community 
Stroke Rehab and ESD Team 
ESDCRT 
Rotherham, Doncaster and 
South Humber NHS 
Foundation Trust 
Doncaster CCG 

Appendix 7 
Post-acute Organisational Audit 2021 
79 
Service name 
Service 
type 
NHS Trust 
Commissioner 
Dorset Acquired Brain Injury 
Rehabilitation Service 
CRT 
Dorset HealthCare University 
NHS Foundation Trust 
Dorset CCG 
Dorset HealthCare 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
Dorset HealthCare University 
NHS Foundation Trust 
Dorset CCG 
Dorset HealthCare ESD 
Team 
ESD 
Dorset HealthCare University 
NHS Foundation Trust 
Dorset CCG 
Dorset Stroke and Neuro 
Service 
CRT 
Dorset HealthCare University 
NHS Foundation Trust 
Dorset CCG 
Down, Lisburn, and Bangor 
Community Stroke Team 
ESDCRT 
South Eastern Health and 
Social Care Trust 
Belfast Local 
Commissioning Group 
Downe General Hospital 
Post-Acute 
Inpatient 
Services 
South Eastern Health and 
Social Care Trust 
South Eastern Local 
Commissioning Group 
DPOW Community Rehab 
and ESD Stroke Team 
ESDCRT 
Northern Lincolnshire and 
Goole Hospitals NHS 
Foundation Trust 
North East Lincolnshire 
CCG 
Dudley Community Stroke 
Rehabilitation Team 
ESDCRT 
Dudley Group NHS 
Foundation Trust 
Dudley CCG 
Dudley Post-Stroke Review 
Service 
6-month 
Assessment 
Providers 
Stroke Association 
Dudley CCG 
Durham and Darlington Post 
Stroke Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
County Durham CCG 
Ealing Stroke & Neuro 
Rehab Team 
CRT 
London North West 
University Healthcare NHS 
Trust 
Ealing CCG 
East & North Hertfordshire 
Neuro Service 
CRT 
Hertfordshire Community 
NHS Trust 
East and North 
Hertfordshire CCG 
East and North Herts ESD 
Team 
ESD 
Hertfordshire Community 
NHS Trust 
East and North 
Hertfordshire CCG 
East Antrim Community 
Stroke Team 
CRT 
Northern Health and Social 
Care Trust 
Northern Local 
Commissioning Group 
East Berkshire ESD Team 
ESD 
Berkshire Healthcare NHS 
Foundation Trust 
Berkshire West CCG 
East Berkshire Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
East Berkshire CCG 
East Cheshire Integrated 
Community Stroke 
Rehabilitation Service 
ESDCRT 
University Hospitals of North 
Midlands NHS Trust 
Cheshire CCG 
East Coast Community 
Healthcare 
ESD 
James Paget University 
Hospitals NHS Foundation 
Trust 
Norfolk and Waveney 
CCG 

Appendix 7 
Post-acute Organisational Audit 2021 
80 
Service name 
Service 
type 
NHS Trust 
Commissioner 
East Coast Community 
Healthcare Stroke 
Neurology Service 
CRT 
James Paget University 
Hospitals NHS Foundation 
Trust 
Norfolk and Waveney 
CCG 
East Devon Community 
Stroke Rehab Unit 
Post-Acute 
Inpatient 
Services 
Royal Devon and Exeter NHS 
Foundation Trust 
Devon CCG 
East Kent Neuro Rehab Unit 
Post-Acute 
Inpatient 
Services 
East Kent Hospitals University 
NHS Foundation Trust 
Kent and Medway CCG 
East Lancashire Community 
Stroke Rehab Team 
ESDCRT 
East Lancashire Hospitals 
NHS Trust 
East Lancashire CCG 
East Riding Community 
Stroke Service 
CRT 
City Health Care Partnership 
CIC 
East Riding of 
Yorkshire CCG 
East Staffordshire 
Community Stroke Rehab 
Team 
ESDCRT 
Midlands Partnership NHS 
Foundation Trust 
East Staffordshire CCG 
East Sussex Community 
Stroke Rehabilitation & ESD 
ESDCRT 
East Sussex Healthcare NHS 
Trust 
East Sussex CCG 
East Sussex Post-Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Brighton and Hove CCG 
East Sussex SALT 
Community Services 
Single 
Discipline 
East Sussex Healthcare NHS 
Trust 
East Sussex CCG 
Eastern Devon Stroke 
Support ESD Team 
ESD 
Royal Devon and Exeter NHS 
Foundation Trust 
Devon CCG 
Eden ESSDT 
ESD 
North Cumbria Integrated 
Care NHS Foundation Trust 
North Cumbria CCG 
Edgware Community 
Hospital 
Post-Acute 
Inpatient 
Services 
Central London Community 
Healthcare NHS Trust 
Barnet CCG 
ELFT Community Stroke 
Team 
CRT 
East London NHS Foundation 
Trust 
Newham CCG 
ELFT ESD Team 
ESD 
East London NHS Foundation 
Trust 
Newham CCG 
Enfield ESD & Enfield 
Community Stroke Team 
ESDCRT 
Barnet, Enfield and Haringey 
Mental Health NHS Trust 
North Central London 
CCG 
Enfield Stroke Navigator 6 
Month Assessment Provider 
6-month 
Assessment 
Providers 
Enfield Stroke Navigator 
Enfield CCG 
Eryri Hospital Inpatient 
Stroke Rehab Team 
Post-Acute 
Inpatient 
Services 
Betsi Cadwaladr University 
Health Board 
Betsi Cadwaladr 
University Health 
Board 
ESD Team- North West and 
South West Surrey 
ESD 
Ashford and St Peter's 
Hospitals NHS Foundation 
Trust 
Guildford and 
Waverley CCG,North 
West Surrey 

Appendix 7 
Post-acute Organisational Audit 2021 
81 
Service name 
Service 
type 
NHS Trust 
Commissioner 
CCG,Surrey Heartlands 
CCG, 
Exeter Community 
Neurological Rehabilitation 
Team 
CRT 
Royal Devon and Exeter NHS 
Foundation Trust 
Devon CCG 
Farnham Hospital 6M 
Provider 
6-month 
Assessment 
Providers 
Frimley Health NHS 
Foundation Trust 
North East Hampshire 
and Farnham 
CCG,Surrey Heath CCG, 
Farnham Hospital Inpatient 
Rehab Team 
Post-Acute 
Inpatient 
Services 
Frimley Health NHS 
Foundation Trust 
North East Hampshire 
and Farnham CCG 
Farnham Hospital Neuro 
Outpatients Physiotherapy 
Single 
Discipline 
Virgin Care Ltd 
North East Hampshire 
and Farnham 
CCG,Surrey Heath CCG, 
Feldon Stroke Rehabilitation 
Unit SWFT 
Post-Acute 
Inpatient 
Services 
South Warwickshire NHS 
Foundation Trust 
South Warwickshire 
CCG 
First Community Health and 
Care ESD 
ESDCRT 
First Community Health and 
Care CIC 
Surrey Heartlands CCG 
Forest Ward - Swindon 
Intermediate Care Centre 
Post-Acute 
Inpatient 
Services 
Great Western Hospitals NHS 
Foundation Trust 
Bath and North East 
Somerset, Swindon 
and Wiltshire CCG 
Frimley Health Trust 
Community Services 
ESDCRT 
Frimley Health NHS 
Foundation Trust 
North East Hampshire 
and Farnham CCG 
Frimley Park ESD Team 
ESD 
Frimley Health NHS 
Foundation Trust 
East Berkshire 
CCG,North East 
Hampshire and 
Farnham CCG,Surrey 
Heath CCG, 
Frimley Park Six Month 
Review 
6-month 
Assessment 
Providers 
Frimley Health NHS 
Foundation Trust 
Surrey Heartlands CCG 
Frimley/ Surrey Heartlands 
Virgincare Community 
rehabilitation 
CRT 
Virgin Care Ltd 
Surrey Heartlands CCG 
Fylde Coast Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Blackpool CCG,Fylde 
and Wyre CCG, 
Gateshead ESD-Community 
Rehab Team 
ESDCRT 
Gateshead Health NHS 
Foundation Trust 
Newcastle Gateshead 
CCG 
Glan Clwyd Hospital 
6-month 
Assessment 
Providers 
Betsi Cadwaladr University 
Health Board 
Betsi Cadwaladr 
University Health 
Board 
Gloucestershire 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
Gloucestershire Health and 
Care NHS Foundation Trust 
Gloucestershire CCG 

Appendix 7 
Post-acute Organisational Audit 2021 
82 
Service name 
Service 
type 
NHS Trust 
Commissioner 
Gloucestershire ESD Team 
ESD 
Gloucestershire Health and 
Care NHS Foundation Trust 
Gloucestershire CCG 
Good Hope Hospital Early 
Supported Discharge Team 
ESD 
University Hospitals 
Birmingham NHS Foundation 
Trust 
Birmingham and 
Solihull CCG 
Greenwich ESD Team 
ESD 
Oxleas NHS Foundation Trust 
South East London CCG 
Greenwich Neuro 
Rehabilitation Team 
CRT 
Oxleas NHS Foundation Trust 
South East London CCG 
Halton Community Stroke 
Nurse Service Millbrow 
Clinic 
Single 
Discipline 
Bridgewater Community 
Healthcare NHS Trust 
Halton CCG 
Hampshire Hospitals NHS 
Foundation Trust ESD Team 
ESD 
Hampshire Hospitals NHS 
Foundation Trust 
North Hampshire 
CCG,West Hampshire 
CCG, 
Haringey Community Stroke 
Therapy Team 
ESDCRT 
Whittington Health NHS Trust Haringey CCG 
Haringey Post Stroke Review 
Service 
6-month 
Assessment 
Providers 
Stroke Association 
North Central London 
CCG 
Harrogate Community 
Stroke and Neurology Team 
CRT 
Harrogate and District NHS 
Foundation Trust 
Harrogate and Rural 
District CCG 
Harrow 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
London North West 
University Healthcare NHS 
Trust 
Harrow CCG 
Heatherwood Hospital 
Neurology Outpatient 
Physiotherapy Service 
Single 
Discipline 
Frimley Health NHS 
Foundation Trust 
East Berkshire CCG 
Henderson Rehabilitation 
Unit 
Post-Acute 
Inpatient 
Services 
Sirona Care & Health 
Bristol, North 
Somerset and South 
Gloucestershire CCG 
Hereford Early Supported 
Discharge Team 
ESD 
Wye Valley NHS Trust 
Herefordshire CCG 
Herefordshire Community 
Stroke Rehab Team 
CRT 
Wye Valley NHS Trust 
Herefordshire CCG 
Herne Bay and Canterbury 
Community Stroke Rehab 
Team 
ESDCRT 
Kent Community Health NHS 
Foundation Trust 
Kent and Medway CCG 
Hertfordshire Post-Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
East and North 
Hertfordshire 
CCG,Herts Valleys CCG, 
Herts Valley ESD Team 
ESD 
Central London Community 
Healthcare NHS Trust 
Herts Valleys CCG 
Heywood Middleton and 
Rochdale Adult speech and 
language therapy 
Single 
Discipline 
Pennine Acute Hospitals NHS 
Trust 
Heywood, Middleton 
and Rochdale CCG 

Appendix 7 
Post-acute Organisational Audit 2021 
83 
Service name 
Service 
type 
NHS Trust 
Commissioner 
Heywood Middleton and 
Rochdale Community Stroke 
Team 
ESDCRT 
Pennine Acute Hospitals NHS 
Trust 
Heywood, Middleton 
and Rochdale CCG 
High Weald Lewes and 
Havens Community Neuro 
Rehab Service 
ESDCRT 
Sussex Community NHS 
Foundation Trust 
East Sussex CCG 
Hillingdon Community 
Rehab Team 
CRT 
Central and North West 
London NHS Foundation 
Trust 
Hillingdon CCG 
Hillingdon Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Hillingdon CCG 
Hillingdon Stroke ESD Team 
ESD 
Central and North West 
London NHS Foundation 
Trust 
Hillingdon CCG 
Holywell Rehabilitation Unit 
Post-Acute 
Inpatient 
Services 
Central London Community 
Healthcare NHS Trust 
Herts Valleys CCG 
Homerton Transitional 
Neurological Rehabilitation 
Unit (HTNRU) 
Post-Acute 
Inpatient 
Services 
Homerton University Hospital 
NHS Foundation Trust 
City and Hackney CCG 
Homerton University 
Hospital Adult Community 
Rehabilitation Team (ACRT) 
CRT 
Homerton University Hospital 
NHS Foundation Trust 
City and Hackney CCG 
Homerton University 
Hospital Integrated 
Independence Team 
ESD 
Homerton University Hospital 
NHS Foundation Trust 
City and Hackney CCG 
Homerton University 
Hospital Regional 
Neurological Rehabilitation 
Unit (RNRU) 
Post-Acute 
Inpatient 
Services 
Homerton University Hospital 
NHS Foundation Trust 
Other 
Horsham, Crawley and Mid 
Sussex Community Neuro 
Rehab Team 
ESDCRT 
Sussex Community NHS 
Foundation Trust 
Crawley CCG,Horsham 
and Mid Sussex CCG, 
Hounslow Community 
Stroke Rehab Team 
CRT 
Hounslow and Richmond 
Community Healthcare NHS 
Trust 
Hounslow CCG 
Hounslow Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Hounslow CCG 
Hull Integrated Community 
Stroke and ESD Team 
ESDCRT 
City Health Care Partnership 
CIC 
Hull CCG 
Integrated Neurological 
Services Twickenham 
CRT 
Hounslow CCG 
Ipswich Hospital Hand 
Therapy (Neuro) 
Single 
Discipline 
Ipswich Hospital NHS Trust 
(Acquired by East Suffolk and 
Ipswich and East 
Suffolk CCG 

Appendix 7 
Post-acute Organisational Audit 2021 
84 
Service name 
Service 
type 
NHS Trust 
Commissioner 
North Essex NHS Foundation 
Trust) 
Isle of Wight Stroke Early 
Supported Discharge Team 
ESD 
Isle of Wight NHS Trust 
Isle of Wight CCG 
Islington Community Rehab 
Team 
CRT 
Whittington Health NHS Trust North Central London 
CCG 
Islington ESD Team 
ESD 
Whittington Health NHS Trust North Central London 
CCG 
Islington Post Stroke Review 
Service 
6-month 
Assessment 
Providers 
Stroke Association 
North Central London 
CCG 
James Paget Hospital Post 
Acute Inpatient 
Post-Acute 
Inpatient 
Services 
James Paget University 
Hospitals NHS Foundation 
Trust 
Great Yarmouth and 
Waveney CCG 
Johnson Ward 
Rehabilitation Unit 
Post-Acute 
Inpatient 
Services 
York and Scarborough 
Teaching Hospitals NHS 
Foundation Trust 
Scarborough and 
Ryedale CCG 
Kendray Hospital 
Post-Acute 
Inpatient 
Services 
South West Yorkshire 
Partnership NHS Foundation 
Trust 
Barnsley CCG 
Kent Clinical 
Neuropsychology Service for 
Stroke 
Single 
Discipline 
Kent and Medway NHS and 
Social Care Partnership Trust 
Kent and Medway CCG 
Kings Lynn and West Norfolk 
Specialist Community Stroke 
team 
CRT 
Queen Elizabeth Hospital 
King's Lynn NHS Foundation 
Trust 
Norfolk and Waveney 
CCG 
Kirklees Post Stroke Review 
Service 
6-month 
Assessment 
Providers 
Stroke Association 
Greater Huddersfield 
CCG 
Knowsley ESD /CRT Team 
ESDCRT 
Liverpool Heart and Chest 
NHS Foundation Trust 
Knowsley CCG 
Lagan Valley Hospital 
Post-Acute 
Inpatient 
Services 
South Eastern Health and 
Social Care Trust 
South Eastern Local 
Commissioning Group 
Lambeth 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
Guy's and St Thomas' NHS 
Foundation Trust 
Lambeth CCG 
Lambeth Community Stroke 
team 
CRT 
Guy's and St Thomas' NHS 
Foundation Trust 
Lambeth CCG 
Lambeth Community Stroke 
team 
ESD 
Guy's and St Thomas' NHS 
Foundation Trust 
Lambeth CCG 
Lambeth Neuro Rehab Team CRT 
Guy's and St Thomas' NHS 
Foundation Trust 
South East London CCG 
Lancashire North ESD Team 
ESDCRT 
University Hospitals of 
Morecambe Bay NHS 
Foundation Trust 
Morecambe Bay CCG 

Appendix 7 
Post-acute Organisational Audit 2021 
85
Service name 
Service 
type 
NHS Trust 
Commissioner 
Lanyon Stroke 
Rehabilitation Unit 
Post-Acute 
Inpatient 
Services 
Cornwall Partnership NHS 
Foundation Trust 
Kernow CCG 
Leeds CRT 
CRT 
Leeds Community Healthcare 
NHS Trust 
Leeds CCG 
Leicester City Stroke 
Rehabilitation Unit 
Post-Acute 
Inpatient 
Services 
University Hospitals of 
Leicester NHS Trust 
Leicester City CCG 
Leicester ESD Team 
ESD 
University Hospitals of 
Leicester NHS Trust 
Leicester City CCG 
Leicester, Leicestershire and 
Rutland CINSS 
CRT 
Leicestershire Partnership 
NHS Trust 
East Leicestershire and 
Rutland CCG,Leicester 
City CCG,West 
Leicestershire CCG, 
Lewisham 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
Lewisham and Greenwich 
NHS Trust 
Lewisham CCG 
Lewisham Community 
Stroke Rehab Team 
CRT 
Lewisham and Greenwich 
NHS Trust 
Lewisham CCG 
Lewisham ESD Team 
ESD 
Lewisham and Greenwich 
NHS Trust 
Lewisham CCG 
Lincolnshire Stroke Service 
ESDCRT 
Lincolnshire Community 
Health Services NHS trust 
Lincolnshire CCG 
Livability Icanho Community 
Rehabilitation Service 
CRT 
ICANHO Suffolk 
Great Yarmouth and 
Waveney CCG,Ipswich 
and East Suffolk 
CCG,West Suffolk CCG, 
Liverpool Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Liverpool CCG 
Liverpool Stroke Recovery 
Partnership (LSRP) 
ESD 
Liverpool University Hospitals 
NHS Foundation Trust 
Liverpool CCG 
Liverpool University Hospital 
OT Stroke Review Clinic 
Single 
Discipline 
Liverpool University Hospitals 
NHS Foundation Trust 
Liverpool CCG 
Locala (North & South 
Kirklees) Stroke ESD 
ESDCRT 
Locala Community 
Partnerships CIC 
Greater Huddersfield 
CCG 
Luton Stroke ESD Service & 
6 Month Provider 
ESD 
Virgin Care Ltd 
Luton CCG 
Lymington New Forest ESD 
team 
ESD 
Southern Health NHS 
Foundation Trust 
West Hampshire CCG 
Lymington New Forest 
Hospital 
Post-Acute 
Inpatient 
Services 
Southern Health NHS 
Foundation Trust 
West Hampshire CCG 
Meadow Court Community 
Hospital 
Post-Acute 
Inpatient 
Services 
North East London NHS 
Foundation Trust 
Barking and Dagenham 
CCG,Havering CCG, 

Appendix 7 
Post-acute Organisational Audit 2021 
86 
Service name 
Service 
type 
NHS Trust 
Commissioner 
Medway & Swale ESD Team 
ESD 
Medway Community 
Healthcare CIC 
Medway CCG 
Medway Post Stroke Review 
Service 
6-month 
Assessment 
Providers 
Stroke Association 
Medway CCG 
Medway SCART Team 
CRT 
Medway Community 
Healthcare CIC 
Medway CCG 
Merton Neuro Rehab Team 
CRT 
Central London Community 
Healthcare NHS Trust 
Merton CCG 
Mid Essex ESD Team 
ESD 
Provide 
Mid Essex CCG 
Mid Essex Stroke Psychology 
Service 
Single 
Discipline 
Essex Partnership University 
NHS Foundation Trust 
Mid Essex CCG 
Mid Ulster Community 
Stroke Team 
CRT 
Northern Health and Social 
Care Trust 
Northern Local 
Commissioning Group 
Milford Hospital Community 
Rehabilitation Service 
CRT 
Royal Surrey County Hospital 
NHS Foundation Trust 
Guildford and 
Waverley CCG 
Milton Keynes ESD Team 
ESD 
Central and North West 
London NHS Foundation 
Trust 
Milton Keynes CCG 
Milton Keynes Neuro Rehab 
Service 
CRT 
Central and North West 
London NHS Foundation 
Trust 
Milton Keynes CCG 
Milton Keynes Six Month 
Assessment Provider 
6-month 
Assessment 
Providers 
Central and North West 
London NHS Foundation 
Trust 
Milton Keynes CCG 
Montagu Hospital 
Post-Acute 
Inpatient 
Services 
Doncaster and Bassetlaw 
Teaching Hospitals NHS 
Foundation Trust 
Doncaster CCG 
Morecambe Bay ESD Team 
ESDCRT 
University Hospitals of 
Morecambe Bay NHS 
Foundation Trust 
Morecambe Bay CCG 
Morecambe Bay Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Morecambe Bay CCG 
Moseley Hall Hospital 
Community Rehab Team 
CRT 
Birmingham Community 
Healthcare NHS Foundation 
Trust 
Birmingham and 
Solihull CCG 
Moseley Hall Stroke 
Rehabilitation Unit 
Post-Acute 
Inpatient 
Services 
Birmingham Community 
Healthcare NHS Foundation 
Trust 
Birmingham and 
Solihull CCG 
MY Therapy Neuro Rehab 
Team Wakefield 
CRT 
Mid Yorkshire Hospitals NHS 
Trust 
Wakefield CCG 
Neath Port Talbot Hospital 
Post-Acute 
Inpatient 
Services 
Swansea Bay University Local 
Health Board 
Swansea Bay 
University Local Health 
Board 

Appendix 7 
Post-acute Organisational Audit 2021 
87 
Service name 
Service 
type 
NHS Trust 
Commissioner 
Neurological Physiotherapy 
Out patients 
Single 
Discipline 
University Hospitals Dorset 
NHS Foundation Trust 
Dorset CCG 
New Epsom and Ewell 
Community Hospital 
Post-Acute 
Inpatient 
Services 
Surrey Downs Health and 
Care 
Surrey Downs CCG 
Newcastle upon Tyne 
Community Stroke Team 
CRT 
Newcastle upon Tyne 
Hospitals NHS Foundation 
Trust 
Newcastle Gateshead 
CCG 
Newcastle upon Tyne ESD 
Team 
ESDCRT 
Newcastle upon Tyne 
Hospitals NHS Foundation 
Trust 
Newcastle Gateshead 
CCG 
Newham Post-Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Newham CCG 
Newry and Mourne 
Community Stroke 
Rehab/ESD Team 
ESDCRT 
Southern Health and Social 
Care Trust 
Southern Local 
Commissioning Group 
Newton Abbot Hospital 
Post-Acute 
Inpatient 
Services 
Torbay and South Devon NHS 
Foundation Trust 
Devon CCG 
Newtown Hospital 
Post-Acute 
Inpatient 
Services 
Powys Teaching Health Board 
Powys Health Board 
Norfolk Community 6 
Month Assessment Provider 
6-month 
Assessment 
Providers 
Norfolk Community Health 
and Care NHS Trust 
Norfolk and Waveney 
CCG 
North Bristol Outpatient & 
Community Adult Speech 
and Language Therapy 
Service 
Single 
Discipline 
North Bristol NHS Trust 
Bristol, North 
Somerset and South 
Gloucestershire 
CCG,Bristol, North 
Somerset and South 
Gloucestershire CCG, 
North Devon District 
Hospital Dietetics 
Single 
Discipline 
Northern Devon Healthcare 
NHS Trust 
Devon CCG 
North Devon District 
Hospital Neuro Rehab 
Outpatients 
Single 
Discipline 
Northern Devon Healthcare 
NHS Trust 
Devon CCG 
North Devon District 
Hospital Orthoptics 
Single 
Discipline 
Northern Devon Healthcare 
NHS Trust 
Devon CCG 
North Devon District 
Hospital Orthotics 
Single 
Discipline 
Northern Devon Healthcare 
NHS Trust 
Devon CCG 
North Devon Stroke & 
Neuro Rehab Supported 
Discharge Team 
ESDCRT 
Northern Devon Healthcare 
NHS Trust 
Devon CCG 
North East Linconshire Post-
Stroke Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
North East Lincolnshire 
CCG 

Appendix 7 
Post-acute Organisational Audit 2021 
88 
Service name 
Service 
type 
NHS Trust 
Commissioner 
North East London 
Community Stroke Team 
ESDCRT 
North East London NHS 
Foundation Trust 
Barking and Dagenham 
CCG,Havering CCG, 
North Manchester 
Community Stroke/ESD 
Team 
ESDCRT 
Manchester University NHS 
Foundation Trust 
Manchester CCG 
North Sefton Community 
Neuro Rehab Team 
CRT 
Lancashire and South 
Cumbria Foundation Trust 
Southport and Formby 
CCG 
North Somerset Stroke 
Service 
CRT 
Sirona Care & Health 
Bristol, North 
Somerset and South 
Gloucestershire CCG 
North Tees and Hartlepool 
ESD/CST Team 
ESDCRT 
North Tees and Hartlepool 
NHS Foundation Trust 
Hartlepool and 
Stockton-on-Tees CCG 
North West Surrey Adult 
Community SLT team 
Single 
Discipline 
CSH Surrey 
North West Surrey 
CCG,Surrey Heartlands 
CCG, 
North Worcestershire ESD 
Team 
ESDCRT 
Herefordshire and 
Worcestershire Health and 
Care NHS Trust 
Herefordshire and 
Worcestershire CCG 
Northampton Community 
Stroke Team 
ESDCRT 
Northampton General 
Hospital NHS Trust 
Corby CCG,Nene CCG, 
Northamptonshire 
Community Stroke Beds 
Post-Acute 
Inpatient 
Services 
Northamptonshire 
Healthcare NHS Foundation 
Trust 
Nene CCG 
Northern Devon 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
Northern Devon Healthcare 
NHS Trust 
Devon CCG 
Northern Devon Health and 
Social Care CRT 
CRT 
Northern Devon Healthcare 
NHS Trust 
Devon CCG 
Northumbria ESD Team 
ESD 
Northumbria Healthcare NHS 
Foundation Trust 
North Tyneside 
CCG,Northumberland 
CCG, 
Norwich Community 
Hospital - Beech Ward 
Post-Acute 
Inpatient 
Services 
Norfolk Community Health 
and Care NHS Trust 
Norfolk and Waveney 
CCG 
Norwich ESD Team 
ESD 
Norfolk Community Health 
and Care NHS Trust 
Norfolk and Waveney 
CCG 
Nottingham City 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
Nottingham CityCare 
Partnership CIC 
Nottingham City CCG 
Nottingham City Community 
Stroke Service 
CRT 
Nottingham CityCare 
Partnership CIC 
Nottingham City CCG 
Nottinghamshire County 
South Community Stroke 
ESDCRT 
Nottinghamshire Healthcare 
NHS Trust 
Nottingham and 
Nottinghamshire CCG 
Oldham Community Stroke 
Team 
ESDCRT 
Oldham NHS Trust 
Oldham CCG 

Appendix 7 
Post-acute Organisational Audit 2021 
89
Service name 
Service 
type 
NHS Trust 
Commissioner 
Oldham Post Stroke Review 
Service 
6-month 
Assessment 
Providers 
Stroke Association 
Oldham CCG 
Omagh Hospital and Primary 
Care Complex 
Post-Acute 
Inpatient 
Services 
Western Health and Social 
Care Trust 
Western Local 
Commissioning Group 
Oxford Centre for 
Enablement 
Post-Acute 
Inpatient 
Services 
Oxford University Hospitals 
NHS Foundation Trust 
Other 
Oxford ESD Team 
ESD 
Oxford University Hospitals 
NHS Foundation Trust 
Oxfordshire CCG 
Oxfordshire Stroke 
Rehabilitation Unit 
Post-Acute 
Inpatient 
Services 
Oxford Health NHS 
Foundation Trust 
Oxfordshire CCG 
Pendle Community Hospital 
- Marsden Stroke Unit 
Post-Acute 
Inpatient 
Services 
East Lancashire Hospitals 
NHS Trust 
East Lancashire CCG 
Penrith Community Hospital 
Post-Acute 
Inpatient 
Services 
North Cumbria Integrated 
Care NHS Foundation Trust 
North Cumbria CCG 
Physiotherapy Outpatients 
Oxford Centre for 
Enablement 
Single 
Discipline 
Oxford University Hospitals 
NHS Foundation Trust 
Oxfordshire 
CCG,Berkshire West 
CCG,Buckinghamshire 
CCG,Milton Keynes 
CCG,Northamptonshire 
CCG, 
Plymouth City Post-Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Devon CCG 
Plymouth Community 
Healthcare ESD Team 
ESD 
Livewell Southwest 
Devon CCG 
Portsmouth Brain Injury 
Outreach Team 
Single 
Discipline 
Portsmouth Hospitals 
University National Health 
Service Trust 
Fareham and Gosport 
CCG,Portsmouth 
CCG,South Eastern 
Hampshire CCG, 
Portsmouth Community ESD 
Team 
ESDCRT 
Portsmouth Hospitals 
University National Health 
Service Trust 
Fareham and Gosport 
CCG,Portsmouth 
CCG,South Eastern 
Hampshire CCG, 
Portsmouth Community 
Neuro Service 
CRT 
Solent NHS Trust 
Portsmouth CCG 
Powys Community Stroke 6 
Month Assessment Provider 
6-month 
Assessment 
Providers 
Powys Teaching Health Board 
Powys Health Board 
Prince Philip Hospital 
6-month 
Assessment 
Providers 
Hywel Dda Health Board 
Hywel Dda Health 
Board 

Appendix 7 
Post-acute Organisational Audit 2021 
90 
Service name 
Service 
type 
NHS Trust 
Commissioner 
Provide CIC Adult Speech & 
Language Therapy 
Single 
Discipline 
Provide 
Mid Essex CCG 
Pulross Centre 2B Neuro 
Rehabilitation Team 
Post-Acute 
Inpatient 
Services 
Guy's and St Thomas' NHS 
Foundation Trust 
South East London CCG 
QEF Neuro Rehabilitation 
Services 
Post-Acute 
Inpatient 
Services 
Queen Elizabeth’s 
Foundation for Disabled 
People 
Ealing CCG,Lambeth 
CCG,North East 
Hampshire and 
Farnham CCG,North 
Hampshire CCG,South 
West London 
CCG,Southampton 
CCG,Surrey Heartlands 
CCG,West Hampshire 
CCG,West Sussex CCG, 
Queen Elizabeth Hospital 
Edgebaston 
6-month 
Assessment 
Providers 
University Hospitals 
Birmingham NHS Foundation 
Trust 
Birmingham and 
Solihull CCG 
Queens Hospital Romford 
ESD Team 
ESD 
Barking, Havering and 
Redbridge University 
Hospitals NHS Trust 
Barking and Dagenham 
CCG,Havering 
CCG,Redbridge CCG, 
Redbridge HASS Community 
Stroke Service 
CRT 
North East London NHS 
Foundation Trust 
Redbridge CCG 
Redbridge Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Redbridge CCG 
RIACT Stroke & Neuro Team 
Single 
Discipline 
County Durham and 
Darlington NHS Foundation 
Trust 
Darlington CCG 
Richmond Community 
Neuro-Rehab Team 
CRT 
Hounslow and Richmond 
Community Healthcare NHS 
Trust 
Richmond CCG 
Richmond ESD Team 
ESD 
Hounslow and Richmond 
Community Healthcare NHS 
Trust 
Richmond CCG 
Rotherham ESD/CRT 
ESDCRT 
Rotherham NHS Foundation 
Trust 
Rotherham CCG 
Rowan Rehab unit 
Post-Acute 
Inpatient 
Services 
Dorset HealthCare University 
NHS Foundation Trust 
Dorset CCG 
Royal Free Neuro 
Rehabilitation Centre 
Post-Acute 
Inpatient 
Services 
Royal Free London NHS 
Foundation Trust 
Barnet CCG,Camden 
CCG,Enfield 
CCG,Haringey 
CCG,Harrow 
CCG,Islington 
CCG,North Central 
London CCG, 

Appendix 7 
Post-acute Organisational Audit 2021 
91 
Service name 
Service 
type 
NHS Trust 
Commissioner 
Royal Surrey Hospital 
6-month 
Assessment 
Providers 
Royal Surrey County Hospital 
NHS Foundation Trust 
Guildford and 
Waverley CCG 
Rutson Rehabilitation Unit 
Post-Acute 
Inpatient 
Services 
South Tees Hospitals NHS 
Foundation Trust 
Hambleton, 
Richmondshire and 
Whitby CCG 
Salford Community Stroke 
Team 
ESDCRT 
Salford Royal NHS 
Foundation Trust 
Salford CCG 
Salford Post Stroke Review 
Service 
6-month 
Assessment 
Providers 
Stroke Association 
Salford CCG 
Salford Royal Hospital 
Post-Acute 
Inpatient 
Services 
Salford Royal NHS 
Foundation Trust 
Salford CCG 
Sandwell and West 
Birmingham ESD team 
ESD 
Sandwell and West 
Birmingham Hospitals NHS 
Trust 
Sandwell and West 
Birmingham CCG 
Sandwell Post-Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Sandwell and West 
Birmingham CCG 
Sapphire Unit - Gravesham 
Community Hospital 
Post-Acute 
Inpatient 
Services 
Virgin Care Ltd 
Dartford, Gravesham 
and Swanley CCG 
Scarborough and Rydale 
Community Stroke 
Rehabilitation 
CRT 
Humber NHS Foundation 
Trust 
North Yorkshire CCG 
Seaton/Axminster/Sidmouth 
CRT 
CRT 
Royal Devon and Exeter NHS 
Foundation Trust 
Devon CCG 
SGH Community Rehab and 
ESD Stroke Team 
ESDCRT 
Northern Lincolnshire and 
Goole Hospitals NHS 
Foundation Trust 
North Lincolnshire CCG 
Sheffield Community Stroke 
Rehabilitation Team 
ESDCRT 
Sheffield Teaching Hospitals 
NHS Foundation Trust 
Sheffield CCG 
Sheffield Stroke Pathway 
Assessment and 
Rehabilitation Centre 
(SPARC) 
Post-Acute 
Inpatient 
Services 
Sheffield Teaching Hospitals 
NHS Foundation Trust 
Sheffield CCG 
Sheffield Stroke Psychology 
Outpatient service 
Single 
Discipline 
Sheffield Health and Social 
Care NHS FT 
Sheffield CCG 
Sheppey Community 
Hospital Inpatient Rehab 
Post-Acute 
Inpatient 
Services 
Medway Community 
Healthcare CIC 
Swale CCG 
Sheppey SCART Team 
CRT 
Medway Community 
Healthcare CIC 
Swale CCG 
Shrewsbury and Telford ESD 
Team 
ESD 
Shrewsbury and Telford 
Hospital NHS Trust 
Shropshire CCG,Telford 
and Wrekin CCG, 

Appendix 7 
Post-acute Organisational Audit 2021 
92 
Service name 
Service 
type 
NHS Trust 
Commissioner 
Singleton Hospital 
Post-Acute 
Inpatient 
Services 
Swansea Bay University Local 
Health Board 
Swansea Bay 
University Local Health 
Board 
Snowdon at Home Neuro 
ESD Team 
ESD 
Solent NHS Trust 
Southampton 
CCG,West Hampshire 
CCG, 
Solent Adult Community 
Speech and Language 
Therapy 
Single 
Discipline 
Solent NHS Trust 
Southampton CCG 
Solent Community Neuro 
Rehabilitation Team 
CRT 
Solent NHS Trust 
Southampton 
CCG,West Hampshire 
CCG, 
Solent Neuro Rehab Gym 
East (Southampton) 
Single 
Discipline 
Solent NHS Trust 
Portsmouth CCG,South 
Eastern Hampshire 
CCG, 
Solent Neuro Rehab Gym 
West (Southampton) 
Single 
Discipline 
Solent NHS Trust 
Southampton 
CCG,West Hampshire 
CCG, 
Solent Neuropsychology 
Single 
Discipline 
Solent NHS Trust 
Fareham and Gosport 
CCG,Portsmouth 
CCG,South Eastern 
Hampshire 
CCG,Southampton 
CCG,West Hampshire 
CCG, 
Solent Stroke 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
Solent NHS Trust 
West Hampshire CCG 
Solent Stroke ESD Team 
(Southampton) 
ESD 
Solent NHS Trust 
Southampton 
CCG,West Hampshire 
CCG, 
Solent Vocational 
Rehabilitation Service 
Single 
Discipline 
Solent NHS Trust 
Southampton 
CCG,West Hampshire 
CCG, 
Solihull Hospital ESD Team 
ESD 
University Hospitals 
Birmingham NHS Foundation 
Trust 
Birmingham and 
Solihull CCG 
Somerset Community Stroke 
Rehabilitation Units 
Post-Acute 
Inpatient 
Services 
Somerset NHS Foundation 
Trust 
Somerset CCG 
Somerset Partnership 
CRT/ESD Team 
ESDCRT 
Somerset NHS Foundation 
Trust 
Somerset CCG 
South Bristol Community 
Hospital 
Post-Acute 
Inpatient 
Services 
Sirona Care & Health 
Bristol, North 
Somerset and South 
Gloucestershire CCG 
South Cheshire and Vale 
Royal Stroke ESD Team 
ESDCRT 
Mid Cheshire Hospitals NHS 
Foundation Trust 
Cheshire CCG 

Appendix 7 
Post-acute Organisational Audit 2021 
93 
Service name 
Service 
type 
NHS Trust 
Commissioner 
South East Essex 
Community Stroke Team 
CRT 
Essex Partnership University 
NHS Foundation Trust 
Castle Point and 
Rochford 
CCG,Southend CCG, 
South East Essex ESD Team 
ESD 
Essex Partnership University 
NHS Foundation Trust 
Castle Point and 
Rochford 
CCG,Southend CCG, 
South East Staffordshire 
Community Neuro Rehab 
Team 
CRT 
Midlands Partnership NHS 
Foundation Trust 
South East 
Staffordshire and 
Seisdon Peninsula CCG 
South Kent Coast 
Community Stroke Rehab 
Team 
ESDCRT 
Kent Community Health NHS 
Foundation Trust 
Kent and Medway CCG 
South Sefton ESD Team 
ESD 
Liverpool University Hospitals 
NHS Foundation Trust 
South Sefton CCG 
South Tees Community 
neurological Rehabilitation 
Team 
Single 
Discipline 
South Tees Hospitals NHS 
Foundation Trust 
South Tees CCG 
South Tees Community 
Stroke Service Post Acute 
Post-Acute 
Inpatient 
Services 
South Tees Hospitals NHS 
Foundation Trust 
South Tees CCG 
South Tees Community 
Stroke Service Psychology 
Single 
Discipline 
South Tees Hospitals NHS 
Foundation Trust 
South Tees CCG 
South Tees Community 
Stroke Service SALT 
Single 
Discipline 
South Tees Hospitals NHS 
Foundation Trust 
South Tees CCG 
South Tees Community 
Therapy team 
CRT 
South Tees Hospitals NHS 
Foundation Trust 
South Tees CCG 
South Tees ESD Team 
ESD 
South Tees Hospitals NHS 
Foundation Trust 
South Tees CCG 
South Tees Stroke Co-
ordinator Six Month 
Assessment Provider 
6-month 
Assessment 
Providers 
South Tees Hospitals NHS 
Foundation Trust 
South Tees CCG 
South Tyneside & 
Sunderland Community 
Stroke Rehabilitation Team 
CRT 
South Tyneside and 
Sunderland NHS Foundation 
Trust 
South Tyneside 
CCG,Sunderland CCG, 
South Tyrone and Lurgan 
Hospitals 
Post-Acute 
Inpatient 
Services 
Southern Health and Social 
Care Trust 
Southern Local 
Commissioning Group 
South Warwickshire Stroke 
Outreach Team 
CRT 
South Warwickshire NHS 
Foundation Trust 
South Warwickshire 
CCG 
South West Acute ESD Team 
ESD 
Western Health and Social 
Care Trust 
Western Local 
Commissioning Group 
South West Essex ESD Team 
ESD 
North East London NHS 
Foundation Trust 
Basildon and 
Brentwood 
CCG,Thurrock CCG, 

Appendix 7 
Post-acute Organisational Audit 2021 
94 
Service name 
Service 
type 
NHS Trust 
Commissioner 
South West Yorkshire Health 
& Wellbeing Development - 
6 Month Assessment 
Provider 
6-month 
Assessment 
Providers 
South West Yorkshire 
Partnership NHS Foundation 
Trust 
Wakefield CCG 
South Worcestershire ESD 
Team 
ESDCRT 
Herefordshire and 
Worcestershire Health and 
Care NHS Trust 
Herefordshire and 
Worcestershire CCG 
South, Central and Crosscity 
Birmingham ESD Team 
ESD 
Birmingham Community 
Healthcare NHS Foundation 
Trust 
Birmingham and 
Solihull CCG 
Southport & Formby ESD 
Team 
ESD 
Southport and Ormskirk 
Hospital NHS Trust 
Southport and Formby 
CCG 
Southport & Ormskirk– 6 
month review 
6-month 
Assessment 
Providers 
Southport and Ormskirk 
Hospital NHS Trust 
Southport and Formby 
CCG,West Lancashire 
CCG, 
Southport And Ormskirk 
Orthoptics, Ophthalmology 
Single 
Discipline 
Southport and Ormskirk 
Hospital NHS Trust 
Southport and Formby 
CCG 
Southwark 6 Month 
Assessment Provider 
6-month 
Assessment 
Providers 
Guy's and St Thomas' NHS 
Foundation Trust 
Southwark CCG 
Southwark Community 
Stroke Rehab Team 
CRT 
Guy's and St Thomas' NHS 
Foundation Trust 
Southwark CCG 
Southwark ESD Team 
ESD 
Guy's and St Thomas' NHS 
Foundation Trust 
Southwark CCG 
Southwark Neuro Rehab 
Team 
CRT 
Guy's and St Thomas' NHS 
Foundation Trust 
South East London CCG 
St Helens ESD Team 
ESD 
North West Boroughs 
Healthcare NHS Foundation 
Trust 
St Helens CCG 
St Luke's Hospital Dietetics 
Single 
Discipline 
Bradford Teaching Hospitals 
NHS Foundation Trust 
Bradford District and 
Craven CCG 
St Lukes Stroke 
Rehabilitation Team - 
Market Harborough Hospital 
Post-Acute 
Inpatient 
Services 
Leicestershire Partnership 
NHS Trust 
East Leicestershire and 
Rutland CCG,Leicester 
City CCG,West 
Leicestershire CCG, 
St Margaret's Hospital Essex 
Post-Acute 
Inpatient 
Services 
Essex Partnership University 
NHS Foundation Trust 
West Essex CCG 
St Martin's Hospital - Sulis 
Unit 
Post-Acute 
Inpatient 
Services 
Virgin Care Ltd 
Bath and North East 
Somerset, Swindon 
and Wiltshire CCG 
St Martin's Hospital Neuro 
Outpatient Services 
Single 
Discipline 
Virgin Care Ltd 
Bath and North East 
Somerset, Swindon 
and Wiltshire CCG 
St Pancras Hospital 
Post-Acute 
Inpatient 
Services 
Central and North West 
London NHS Foundation 
Trust 
North Central London 
CCG 

Appendix 7 
Post-acute Organisational Audit 2021 
95 
Service name 
Service 
type 
NHS Trust 
Commissioner 
St Peter's Community 
Hospital Rehab Unit 
Post-Acute 
Inpatient 
Services 
Provide 
Mid Essex CCG 
St Peters Hospital 
6-month 
Assessment 
Providers 
Ashford and St Peter's 
Hospitals NHS Foundation 
Trust 
Surrey Heartlands CCG 
Stafford Community Stroke 
Team 
ESDCRT 
Walsall Healthcare NHS Trust 
Stafford and Surrounds 
CCG 
Staffordshire ESD & CRT 
Team 
ESDCRT 
Midlands Partnership NHS 
Foundation Trust 
North Staffordshire 
CCG,Stoke on Trent 
CCG, 
Staffordshire Rehabilitation 
Team 
Post-Acute 
Inpatient 
Services 
Midlands Partnership NHS 
Foundation Trust 
North Staffordshire 
CCG,Stoke on Trent 
CCG, 
Stockport  Community 
Neuro-Rehab Service 
ESDCRT 
Stockport NHS Foundation 
Trust 
Stockport CCG 
Stockport Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Stockport CCG 
Suffolk ESD Stroke Care 
Team 
ESD 
Norfolk Community Health 
and Care NHS Trust 
Ipswich and East 
Suffolk CCG,West 
Suffolk CCG, 
Surrey Downs Community 
Neurorehabilitation Service 
CRT 
Surrey Downs Health and 
Care 
Surrey Downs CCG 
Surrey Downs Health & Care 
SSD Team 
ESD 
Surrey Downs Health and 
Care 
Surrey Downs CCG 
Sussex Central Area 
Community Therapy Team 
CRT 
Sussex Community NHS 
Foundation Trust 
Crawley CCG,Horsham 
and Mid Sussex CCG, 
Sussex Joint Community 
Rehabilitation 
CRT 
East Sussex Healthcare NHS 
Trust 
Eastbourne, Hailsham 
and Seaford 
CCG,Hastings and 
Rother CCG,High 
Weald Lewes Havens 
CCG, 
Sussex Rehabilitation Centre 
Post-Acute 
Inpatient 
Services 
Brighton and Sussex 
University Hospitals NHS 
Trust (acquired by University 
Hospitals Sussex NHS 
Foundation Trust) 
Brighton and Hove 
CCG,East Sussex 
CCG,West Sussex CCG, 
Sutton Community Neuro 
Rehab Team 
CRT 
Epsom and St Helier 
University Hospitals NHS 
Trust 
Sutton CCG 
Sutton ESD Team 
ESD 
Epsom and St Helier 
University Hospitals NHS 
Trust 
Sutton CCG 

Appendix 7 
Post-acute Organisational Audit 2021 
96 
Service name 
Service 
type 
NHS Trust 
Commissioner 
Swale Post Stroke Review 
Service 
6-month 
Assessment 
Providers 
Stroke Association 
Swale CCG 
Swansea Bay Stroke Early 
Supported Discharge Team 
ESD 
Swansea Bay University Local 
Health Board 
Swansea Bay 
University Local Health 
Board 
Swansea Locality 6 month 
review team 
6-month 
Assessment 
Providers 
Swansea Bay University Local 
Health Board 
Swansea Bay 
University Local Health 
Board 
Swindon Community Stroke 
Team/ESD 
ESDCRT 
Great Western Hospitals NHS 
Foundation Trust 
Bath and North East 
Somerset, Swindon 
and Wiltshire CCG 
Swindon Outpatient 
Physiotherapy 
Single 
Discipline 
Great Western Hospitals NHS 
Foundation Trust 
Bath and North East 
Somerset, Swindon 
and Wiltshire CCG 
Tameside & Glossop Stroke 
Recovery Service 
6-month 
Assessment 
Providers 
Stroke Association 
Tameside and Glossop 
CCG 
Tameside and Glossop CNRT 
ESDCRT 
Tameside and Glossop 
Integrated Care NHS 
Foundation Trust 
Tameside and Glossop 
CCG 
Tameside General Hospital 
Post-Acute 
Inpatient 
Services 
Tameside and Glossop 
Integrated Care NHS 
Foundation Trust 
Tameside and Glossop 
CCG 
Telford and Wrekin Post-
Stroke Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Other 
Tewkesbury Assessment 
and Rehabilitation Unit 
CRT 
Gloucestershire Health and 
Care NHS Foundation Trust 
Gloucestershire CCG 
Thanet Intermediate 
Care/ESD Team 
ESDCRT 
Kent Community Health NHS 
Foundation Trust 
Kent and Medway CCG 
Torbay and South Devon 
Community Neuro Team 
ESDCRT 
Torbay and South Devon NHS 
Foundation Trust 
Devon CCG 
Trafford CNRT Stroke 
Pathway 
CRT 
Manchester University NHS 
Foundation Trust 
Trafford CCG 
Trafford ESD team 
ESD 
Manchester University NHS 
Foundation Trust 
Trafford CCG 
Ulster Hospital 6 Month 
Assessment 
6-month 
Assessment 
Providers 
South Eastern Health and 
Social Care Trust 
South Eastern Local 
Commissioning Group 
University Hospital of Wales 
- 6 Month Assessment 
Provider 
6-month 
Assessment 
Providers 
Cardiff and Vale University 
Health Board 
Cardiff and Vale Health 
Board 
University Hospital 
Southampton 
Post-Acute 
Inpatient 
Services 
University Hospital 
Southampton NHS 
Foundation Trust 
Southampton 
CCG,West Hampshire 
CCG, 

Appendix 7 
Post-acute Organisational Audit 2021 
97
Service name 
Service 
type 
NHS Trust 
Commissioner 
University Hospitals of 
South Manchester ESD 
Team 
ESD 
Manchester University NHS 
Foundation Trust 
Manchester 
CCG,Trafford CCG, 
Uplands Inpatient Stroke 
Rehab Team 
Post-Acute 
Inpatient 
Services 
Mid and South Essex NHS 
Foundation Trust 
Mid Essex CCG 
Vale Specialist Stroke 
Rehabilitation Unit 
Post-Acute 
Inpatient 
Services 
Gloucestershire Health and 
Care NHS Foundation Trust 
Gloucestershire CCG 
Virgincare Services Limited 
SALT 
Single 
Discipline 
Virgin Care Ltd 
North East Hampshire 
and Farnham 
CCG,Surrey Heath CCG, 
Volunteer Cornwall Stroke 
Befriending Service 
Single 
Discipline 
Cornwall Partnership NHS 
Foundation Trust 
Kernow CCG 
Wakefield ESD Team 
ESD 
Mid Yorkshire Hospitals NHS 
Trust 
Wakefield CCG 
Walsall CRT & ESD Team 
ESDCRT 
Walsall Healthcare NHS Trust 
Walsall CCG 
Walsall Inpatient Rehab 
Team 
Post-Acute 
Inpatient 
Services 
Walsall Healthcare NHS Trust 
Walsall CCG 
Waltham Forest Integrated 
Stroke Pathway (WISP) 
ESDCRT 
Barts Health NHS Trust 
Waltham Forest CCG 
Wandsworth Community 
Neuro 6 month review 
Service 
6-month 
Assessment 
Providers 
St George's University 
Hospitals NHS Foundation 
Trust 
Wandsworth CCG 
Wandsworth Community 
Neuro ESD Team 
ESD 
St George's University 
Hospitals NHS Foundation 
Trust 
Wandsworth CCG 
Wandsworth Community 
Neuro Rehabilitation Team 
CRT 
St George's University 
Hospitals NHS Foundation 
Trust 
Wandsworth CCG 
Wandsworth Post Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
Wandsworth CCG 
Warrington & Halton 
Orthoptic Stroke Service 
Single 
Discipline 
Warrington and Halton 
Hospitals NHS Foundation 
Trust 
Halton 
CCG,Warrington CCG, 
Warrington & Halton Post 
Acute Inpatient Care 
Post-Acute 
Inpatient 
Services 
Warrington and Halton 
Hospitals NHS Foundation 
Trust 
Halton 
CCG,Warrington CCG, 
Warrington and Halton ESD 
Team 
ESD 
Warrington and Halton 
Hospitals NHS Foundation 
Trust 
Halton 
CCG,Warrington CCG, 
Warrington and Halton 
Neurotherapy Outpatients 
Single 
Discipline 
Warrington and Halton 
Hospitals NHS Foundation 
Trust 
Halton 
CCG,Warrington CCG, 

Appendix 7 
Post-acute Organisational Audit 2021 
98 
Service name 
Service 
type 
NHS Trust 
Commissioner 
Warrington Community 
Neurosciences 
CRT 
Bridgewater Community 
Healthcare NHS Trust 
Warrington CCG 
Warrington Hospital SALT 
Single 
Discipline 
Warrington and Halton 
Hospitals NHS Foundation 
Trust 
Warrington CCG 
Waterside Hospital 
Post-Acute 
Inpatient 
Services 
Western Health and Social 
Care Trust 
Western Local 
Commissioning Group 
West Berkshire ESD Team 
ESD 
Berkshire Healthcare NHS 
Foundation Trust 
Berkshire West CCG 
West Cumbria Neurological 
Out-patients Physiotherapy 
Service 
Single 
Discipline 
North Cumbria Integrated 
Care NHS Foundation Trust 
North Cumbria CCG 
West Essex ESD Team 
ESD 
Essex Partnership University 
NHS Foundation Trust 
West Essex CCG 
West Hertfordshire Neuro 
Locality Team 
CRT 
Central London Community 
Healthcare NHS Trust 
Herts Valleys CCG 
West Kent Community 
Neuro Rehab Team 
ESDCRT 
Kent Community Health NHS 
Foundation Trust 
West Kent CCG 
West Kent Post-Stroke 
Review Service 
6-month 
Assessment 
Providers 
Stroke Association 
West Kent CCG 
West Lancashire Community 
Neuro Rehab Team 
CRT 
Virgin Care Ltd 
West Lancashire CCG 
West of England Orthoptic 
Service 
Single 
Discipline 
Royal Devon and Exeter NHS 
Foundation Trust 
Devon CCG 
West Suffolk Hospital 
6-month 
Assessment 
Providers 
West Suffolk NHS Foundation 
Trust 
West Suffolk CCG 
West Sussex Coastal (South) 
Community Neuro Rehab 
Team 
CRT 
Sussex Community NHS 
Foundation Trust 
Coastal West Sussex 
CCG 
West Sussex Coastal (West) 
Neuro Rehab Team 
CRT 
Sussex Community NHS 
Foundation Trust 
West Sussex CCG 
West Wales General 
Hospital 
6-month 
Assessment 
Providers 
Hywel Dda Health Board 
Hywel Dda Health 
Board 
Western Trust Northern 
Sector Community Stroke 
Team 
ESDCRT 
Western Health and Social 
Care Trust 
Western Local 
Commissioning Group 
Wexham Park Hospital 
Post-Acute 
Inpatient 
Services 
Frimley Health NHS 
Foundation Trust 
East Berkshire CCG 
Wexham Park Hospital 
Neurology Outpatient 
Physiotherapy Service 
Single 
Discipline 
Frimley Health NHS 
Foundation Trust 
East Berkshire CCG 

Appendix 7 
Post-acute Organisational Audit 2021 
99 
Service name 
Service 
type 
NHS Trust 
Commissioner 
Weymouth and Portland 
ICRT 
CRT 
Dorset HealthCare University 
NHS Foundation Trust 
Dorset CCG 
WHC Adult Community 
Services 
CRT 
Wiltshire Health and Care 
Bath and North East 
Somerset, Swindon 
and Wiltshire CCG 
WHC Mulberry Stroke 
Rehabilitation Ward 
Post-Acute 
Inpatient 
Services 
Wiltshire Health and Care 
Wiltshire CCG 
White Cross Court Stroke 
Rehabilitation Unit 
Post-Acute 
Inpatient 
Services 
York and Scarborough 
Teaching Hospitals NHS 
Foundation Trust 
Vale of York CCG 
Whiteabbey Hospital 
Post-Acute 
Inpatient 
Services 
Northern Health and Social 
Care Trust 
Northern Local 
Commissioning 
Group,Northern, 
Devon CCG 
Wiltshire ESD 
ESD 
Wiltshire Health and Care 
Bath and North East 
Somerset, Swindon 
and Wiltshire CCG 
Wiltshire Health and Care 
Community Neuro  Therapy 
Team 
CRT 
Wiltshire Health and Care 
Bath and North East 
Somerset, Swindon 
and Wiltshire CCG 
Wiltshire Health and Care 
Community Orthotics 
Single 
Discipline 
Wiltshire Health and Care 
Bath and North East 
Somerset, Swindon 
and Wiltshire CCG 
Wiltshire Health and Care 
Spasticity Clinic 
Single 
Discipline 
Wiltshire Health and Care 
Bath and North East 
Somerset, Swindon 
and Wiltshire 
CCG,Bristol, North 
Somerset and South 
Gloucestershire 
CCG,Wiltshire CCG, 
Wiltshire Health and Care 
Speech and Language 
Therapy 
Single 
Discipline 
Wiltshire Health and Care 
Bath and North East 
Somerset, Swindon 
and Wiltshire CCG 
Wirral Orthoptic Stroke 
Service 
Single 
Discipline 
Wirral University Teaching 
Hospital NHS Foundation 
Trust 
Wirral CCG 
Wirral Stroke ESD Team 
ESD 
Wirral University Teaching 
Hospital NHS Foundation 
Trust 
Wirral CCG 
Wirral Stroke Physiotherapy 
Service 
Single 
Discipline 
Wirral University Teaching 
Hospital NHS Foundation 
Trust 
Wirral CCG 
Wirral Stroke SLT Service 
Single 
Discipline 
Wirral University Teaching 
Hospital NHS Foundation 
Trust 
Wirral CCG 

Appendix 8 
Post-acute Organisational Audit 2021 
100 
Appendix 8: Maps 
Community-based multidisciplinary team locations 
Figure 1: East of England 
Key: 
Early Supported Discharge team 
Community Rehabilitation team 
Combined ESD/CRT 

Appendix 8 
Post-acute Organisational Audit 2021 
101 
Figure 2: The Southeast of England 
Figure 3: London 

Appendix 8 
Post-acute Organisational Audit 2021 
102 
Figure 4: Midlands 
Figure 5: Northern Ireland 

Appendix 8 
Post-acute Organisational Audit 2021 
103 
Figure 6: The North of England 
Figure 7: Southwest of England 

Appendix 8 
Post-acute Organisational Audit 2021 
104 
Figure 8: Wales