ABSTRACT NUMBER: ESOC2026A1830 POST STROKE UNMET NEED IN THE COMMUNITY: RESULTS OF A NOVEL INTERDISCIPLINARY CLINIC

Abstract Background and aims In 2023 a novel interdisciplinary clinic was created in an Irish stroke centre, led by a stroke specialist physiotherapist, speech and language therapist and Advanced Nurse Practitioner. A structured review is provided to all stroke survivors at 6 months post discharge, using the Greater Manchester Stroke Assessment Tool. Where required, survivors with rehabilitative needs are enrolled in a time-limited course of outpatient rehabilitation. A ‘rapid review’ service is also available for high-risk patients, providing semi-urgent outpatient assessment. Methods Demographic data, the Greater Manchester Stroke Assessment Tool, and onward referrals were collected on all patients seen in the interdisciplinary clinic between 14/03/2023 and 01/09/2025. Results The interdisciplinary clinic reviewed 519 patients between 14/03/2023 and 01/09/2025. 35 of these were for non-stroke admissions. Of the 476 patients reviewed post stroke, 417 of these reviews took place at approximately 6 months post stroke; 68 were urgent reviews for patients felt to be at high risk of readmission. At 6 months post-discharge, 391 (93.8%) of patients reported at least one unmet need in the community. The median number of unmet needs was 5 (IQR2-7). The commonest unmet needs were fatigue (52.8%), not exercising regularly (44.6%) and pain (38.4%). Physiotherapy input was needed in 23.8%; speech and language therapy in 13.0% and dietetics in 17.1%. Conclusions This clinic identifies higher levels of unmet need in this cohort than in previous studies. The provision of a therapist-led six-month review clinic may ameliorate unmet need in the chronic phase of stroke. Conflict of interest Dr Elizabeth Murphy: nothing to disclose. Ms Susan Lawson: nothing to disclose. Ms Gillian Harte: nothing to disclose. Ms Rachel Walsh: nothing to disclose. Dr Derek Hayden: nothing to disclose. Dr Daniel Ryan: nothing to disclose.