Transfer of care

Quality Marker 12
Quality marker 12 of the National Stroke Strategy defines seamless transfer of a care as ‘a workable, clear discharge plan that has fully involved the individual (and their family where appropriate) and responded to the individual's particular circumstances and aspirations …developed by health and social care services, with other services such as transport and housing.’

Supporting resources

• Going up a gear: practical steps to improve stroke care
  The Stroke Improvement Programme's publication draws together the key themes and learning from the 2009/10 projects and includes ‘top tips’ that have emerged from the projects to help others as they make improvements in stroke care (published June 2010)
   
• Improving post hospital and long term care: case studies from the transfer of care and rehabilitation national projects (published June 2010)
   
• Transfer of care national projects 2009-10
  Includes links to the case studies from the projects and the presentations and posters from the Accelerating Progress in Stroke Care event, 22 June 2010.
   
• Joint Care Planning
  This resource includes information on key national papers that support and define joint care planning, a consensus document about the principles which underpin joint care planning, information on Fair Access to Care Services along with examples of documentation used and national guidance.

Contact
Sarah Gillham
National Improvement Lead
NHS Improvement - Stroke
Email: sarah.gillham@improvement.nhs.uk