Variation in rehabilitation for stroke and major trauma

Provision of rehabilitation services for both stroke and major trauma patients is variable and improvements in follow-up stroke care have not matched those in the acute sector according to two new reports from the National Audit Office.

Amyas Morse, head of the National Audit Office said that “Current services for people who suffer major trauma are not good enough. There is unacceptable variation, which means that if you are unlucky enough to have an accident at night or at the weekend, in many areas you are likely to receive worse quality of care and are more likely to die. The Department of Health and the NHS must get a grip on coordinating services through trauma networks, on costs and on information on major trauma care, if they are to prevent unnecessary deaths.”

Major trauma care in England

On stroke rehabilitation she reported that “Care for people who have had a stroke has significantly improved since we reported in 2005. The publication and early implementation of the stroke strategy have begun to make a real difference and have helped to put in place the right mechanisms to bring about these improvements. There is still work to be done though: the poorer performers must be dragged up to the same standard as the best, so that the gains that have been made are sustained and value for money improved further. The Department should focus on ensuring that health, social care and employment services are working together much more effectively.”

Progress in improving stroke care

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