Our aim is to provide expert and compassionate care for older people who may have multiple conditions when they come into hospital and then return them to good health and their home as soon as possible.
At Royal Cornwall Hospital in Truro, we provide a frailty assessment service in the Emergency Department and Medical Admissions Unit and care for patients with a fractured neck or femur on the Trauma Unit.
Our Consultants and multidisciplinary teams provide specialist frailty care on wards at all our main acute hospitals and at community hospitals. There is a special acute older people’s ward at Royal Cornwall Hospital called Kerensa Ward where we see our frailest acute patients.
Our team are also involved in the care of stroke patients with a specialist service provided on the Phoenix Ward. You can read more about this service below.
Our service is spread across the Royal Cornwall Hospital, and two specialist Stroke Rehabilitation Units at Camborne Redruth and Bodmin Community Hospitals.
We have an experienced, multidisciplinary team of professionals including doctors, nurses, physiotherapists, occupational therapists, speech and language therapists, dieticians, support workers and stroke care coordinators who work in liaison with our patients and their family, carers and GP.
Symptoms of a stroke include facial weakness, arm and leg weakness and speech problems.Find out more about the symptoms of a stroke on NHS Choices.
Our Early Supported Discharge (ESD) stroke service provides early specialist rehabilitation at home to allow patients who have had a stroke to be discharged sooner.
The team includes a number of specialists to help patients regain as much confidence and independence as possible, including:
The team is based at Royal Cornwall Hospital (covering mid – West Cornwall) and Bodmin Hospital (Covering mid – East Cornwall).
The team provides specialist stroke rehabilitation to patients at home. This could be up to 45 minutes a day and five times a week if required. The ESD team will provide support for up to six weeks after discharge from hospital. Some people do not require all six weeks and are discharged sooner if their goals have been achieved. Some people require longer-term support, if this is the case, the ESD team will discuss how NHS community services or voluntary services could help.
You can contact the Early Supported Discharge team on 01872 253415, Monday to Friday between 8am and 4pm.
The stroke service is heavily involved with the Royal Cornwall Clinical Research team, who carry out regular studies into how we can improve care and rehabilitation for stroke patients. Your care team will tell you if there are any relevant studies that you could get involved in. Find out more about taking part in clinical research here.
About 50% of our referrals are not a TIA. In order to maintain our service, we need to improve the referral process and make sure that patients who have not had a TIA are seen by the most appropriate service.
We are happy to see patients with minor strokes though the TIA clinic if they’re not candidates for urgent treatment (such as thrombolysis), and they are safe at home and able to swallow.
A transient ischaemic attack (TIA) or “mini stroke” is a brief episode of neurological dysfunction caused by a temporary disruption in the blood supply to part of the brain.
About a quarter of patients who present with a stroke have had a preceding TIA and many of these TIAs happen in the preceding 24 to 48 hours. Around 10% of patients who have a TIA will have a significant stroke within a week.
If these symptoms present, please consider an alternative referral pathway.