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Neuro rehabilitation and early supported discharge stroke service

We are a multidisciplinary team comprising of physiotherapists, occupational therapists, speech and language therapists and assistant practitioners, who are specialists in neurological and stroke rehabilitation within a community setting. Our approach is individualised, patient centred, and evidence based.

The neurological rehabilitation or neuro rehab team (NRT) accepts referrals for patients who have long term neurological conditions, or strokes who require a specialist rehabilitation program in a community setting. The Bedfordshire stroke early supported discharge service (ESD) facilitates those admitted to acute stroke units to be discharged home sooner by providing up to six weeks of rehabilitation, similar to that provided in the hospital. Working as one team allows us to be flexible on our continuity of care for stroke survivors between ESD and NRT service.

We are a county wide service based in three localities across Bedfordshire:

Where our service is based

Kempston Clinic
Halsey Road
MK42 8AU

Queensborough House
Friars Walk

Shefford Health Centre
Robert Lucas Drive
SG17 5FS

Hours of operation

Monday to Friday 08.00 – 16.00

How to contact our service

To query a referral or to speak to a team member, call the neuro rehab service office number:

01234 310391 (answer phone available)

How to refer to our service

To make a new referral (referrals accepted from all professionals and self referrals), call our single point of access number: 0345 602 4064

Who can be referred to our service?

For early supported discharge service

  • Registered with a Bedfordshire GP
  • 18 and over
  • Medically stable
  • Able to transfer from bed to chair with 1 person or independently if living alone
  • Primary diagnosis of stroke (within 6 weeks from date of onset)
  • Patients should be engaged with a rehabilitation programme and have their initial goals identified prior to discharge from hospital.
  • Home environment suitable for rehabilitation
  • Safe at night
  • Adequate cognitive ability to maintain own safety when at home alone
  • Adequate nutrition – modified diet acceptable (includes PEG feeding)
  • Continence well managed or returned to usual level of continence
  • Communication – able to raise alarm and have basic ability to communicate
  • Medication management – system in place to safely manage medication and appropriate systems in place to manage any changes that may be required.

For the neuro rehab service

  • Registered with a Bedfordshire GP
  • 18 and over
  • Medically stable
  • Newly diagnosed long term neurological conditions or following a deterioration in their existing neurological condition who will benefit from Multidisciplinary therapy input and are able to make functional gain with the intervention.
  • Patient is able to make consistent progress
  • Has got adequate rehab potential to make progress
  • Has the ability to participate in the rehabilitation
  • Understands the concept of rehabilitation and is able to work towards a goal.
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The staff are wonderful; the receptionists were polite and efficient, the nurses I have seen, were incredible.