Early Supported Discharge (ESD)

This Early Supported Discharge (ESD) webpage aims to bring together and share the learning and information gathered so far on ESD into a resource for staff working with stroke survivors and their carers in the community, those involved in commissioning such services, and people looking to develop new services or improve existing community stroke services.

The resource comprises a collection of material on ESD including evidence from literature and research, business cases, inspirational presentations, learning from the national rehabilitation projects 2009-10 and some hints and tools which may be useful.

The page will evolve and develop as the Stroke Improvement Programme gathers more learning from those involved in delivering community stroke services and people who are finding new and creative solutions to the challenges around this part of the pathway.

What is ESD?

Research and Literature
The evidence base behind ESD, and recent CLAHRC work.

Preparation for ESD
A collection of presentations from clinical staff who have developed ESD services, including explanation and reflection on the process and pathway to ESD.

Supporting documentation
A range of publications to support and guide the process for developing ESD within community services.

Models
Presentations covering different models for ESD delivery discussing their services, reviewing their outcomes, and analysing the data.

Supporting Commissioning
Some examples of business cases, presentations, ESD service reviews and guidance from NAO and NICE to support the development of business cases.

Crossing Organisational Boundaries
Presentations from those involved in joining up health and social care.

Case studies
Case studies on ESD and from the Rehabilitation national projects 2009-2010.

Useful Tools
Some improvement tools and Department of Health material.

Integrating health and social care
A local authority will need to be able to clearly see benefits for their organisations in joint working with community rehabilitation services. This paper offers useful examples to support discussions and social care around the benefits for local authorities from joint working with health stroke services.

If you have something to share, please contact Jill Lockhart and we would be pleased to review it for this webpage. Information which might include business cases, job descriptions, policies and protocols, examples of good practice, case studies, and examples of training programmes or new services for stroke survivors in the community.