The NHS organisations responsible for planning and paying for
health services in County Durham and Darlington are re-launching a
10-week public consultation on proposals affecting stroke
rehabilitation services at Bishop Auckland Hospital.
NHS Durham Dales, Easington and Sedgefield Clinical
Commissioning Group (CCG), NHS Darlington CCG and NHS North Durham
CCG are working together with County Durham and Darlington NHS
Foundation Trust (CDDFT) in an effort to ensure care is accessible
and meets the needs of the whole population across County Durham
The initial consultation, scheduled to take place in November
2019, was paused due to the announcement of the general
What happens at the moment?
At the moment, the majority of the local population who have had
a suspected stroke are taken to the hyperacute stroke ward (Ward 2)
at the University Hospital of North Durham (UHND).
On average, patients will spend two to three days being treated
on the ward and the majority (80%) then either go home, to a
residential or nursing care home, or to intermediate care.
Intermediate care is where someone is medically fit but requires a
little more therapy support before going home.
For those who require longer term acute specialist stroke
rehabilitation they are currently transferred to Bishop Auckland
Hospital. This is about 20% of the total number of strokes
who start their care at ward 2 at UHND.
Those patients who transfer to the stroke rehabilitation ward at
Bishop Auckland Hospital stay there on average for nearly three
weeks. After that, patients who are well enough go home do so
with further therapy provided in the community. Others are
discharged to a community hospital such as the Richardson Community
Hospital in Barnard Castle or Chester-le-Street Community Hospital,
or receive ongoing care in a nursing or residential home.
The feedback we have received from patients and their families
has identified the need for better transition between hospital and
community based services. The feedback also highlighted that
more needed to be done to ensure specialist community stroke
services are accessible and effective.
What might change?
The CCGs within County Durham and Darlington are committed to
more effective community services which are person-centred and
deliver care closer to home where possible.
The CCGs are consulting on two options:
Option One - Maintain current services, nothing
Option Two - Consolidate stroke rehab services
at the University Hospital of North Durham, alongside the current
hyperacute stroke unit and ensure robust pathway between hospital
The CCGs' preferred option is option two. This is because
the CCGs feel that there should be:
An improved focus on prevention
a more consistent and equitable service for patients across
County Durham and Darlington
A model of care that will help to recruit and retain staff
The CCGs are keen to hear the views of current patients and
families as well as the wider population of County Durham and
Darlington and key stakeholders during the consultation, which will
run from Tuesday January 14, 2020 until Tuesday March 3, 2020.
As part of the consultation, there are a number of ways that
people can have their say:
Survey - complete the online survey by
following the link https://www.surveymonkey.co.uk/r/SRehConsultation
alternatively, if you would prefer to complete a paper version,
please call 0191 389 8609 please leave your name, email or home
address and phone number or you can email firstname.lastname@example.org.
Online - Further information is available
on the CCG websites - see details below or by emailing My.email@example.com, or via
telephone 0191 389 8609.
Public meeting - Come along to one of the
public consultation meetings. Four meetings have been
arranged across the area:
You can book a place by clicking on the Eventbrite link next to
Event 1 - Saturday, January 25, 2020,
10am-12pm, Bishop Auckland Football Club, DL14 9AE -
Event 2 - Tuesday, February 4, 2020, 6-8pm,
Great Hall, Durham Town Hall, DH1 3NJ -
Event 3 - Thursday, February 6, 2020, 10-12pm,
The Witham, Barnard Castle, DL12 8LY -
Event 4 - Tuesday, February 11, 2020, 1pm -3pm
St Augustine Parish Centre, Darlington, DL3 7TG -
If you would like to attend a meeting, please register at one of
the above events or 0191 3898609 and please leave your name, email
or home address and phone number and which event you would like to
attend. Or you can email firstname.lastname@example.org.
Dr Stewart Findlay, chief officer on behalf of the CCGs said:
"Stroke is the fourth single leading cause of death in the UK and
the single largest cause of complex disability.
"In County Durham and Darlington stroke remains a major cause of
death and disability with around 1,000 people suffering a stroke
"We have launched this public consultation as we are keen to
hear the views of local people on our proposals for stroke services
currently being delivered at Bishop Auckland General
"Our aspiration as local leaders of the NHS is to focus our
efforts on prevention and ensure care is accessible and meets the
needs of our whole population. Some causes of stroke are
preventable and we also know that more care and rehabilition
following a stroke can take place in the community. We need to
strengthen both areas across County Durham.
"I would urge people to come along to one of our public meetings
to find out more and have their say by completing our consultation
Background information about the consultation is available on
the CCG websites:
'I cannot commend the clinic enough. It is marvellous we
have this service at all and well done to you all.'
Patient, Coronary Heart Disease / Heart Failure Service, Shotley
Bridge Community Hospital