Welcome to the Greater Manchester Neurorehabilitation & Integrated Stroke Delivery Network

Who we are

The network was established in 2015 as an Operational Delivery Network and on the 1st of October 2020 transitioned to an Integrated Stroke Delivery Network. This change is part of an NHS initiative to establish 20 ISDNs across England. We recently merged with the Greater Manchester Neuro-Rehabilitation Network to form the Greater Manchester Neurorehabilitation & Integrated Stroke Delivery Network from the 1st October 2021. We will launch a new website shortly.

We are a partnership of NHS providers and commissioners of stroke and neurorehabilitation care in the Greater Manchester region, including Eastern Cheshire, working closely with other stakeholders.

The network comprises of a small team and we are governed by a Board who oversee our strategy and ensure we deliver our vision. The team facilitates improvements in stroke and neurorehabilitation (community only) services, with much of our work conducted via a range of groups. The governance arrangements will be updated once the network formally commences in October 2021.

Our vision

To support the development of high quality and equitable stroke and community neurorehabilitation services in Greater Manchester, to achieve the best outcomes and experience for patients. We will do this by:

  • Being patient centred
  • Working collaboratively with our stakeholders
  • Facilitating transformational change through effective partnership working
  • Encouraging the early adoption of evidence in stroke services

We actively engage with patients and carers to ensure their voices are heard, working closely with relevant voluntary sector organisations in our area.

Learn more about the network from our Manager and hear Alan’s story to find out more about our stroke care pathway.

You can subscribe to our mailing list here, follow us on Twitter or view videos on our YouTube channel. Find out what we have achieved so far in our Annual Report or in our plain English version.

Where we operate

The network is hosted by Salford Royal NHS Foundation Trust, but works across the region. We help improve stroke services in a hospital and community setting, encompassing the patient journey from pre-hospital care to community rehabilitation, as well as a focus on stroke prevention. We support community neurorehabilitation services and some aspects of inpatient care including training and education of staff.

Professionals involved in stroke care can register to access further information in our Resources section of the website.

You can find out what type of stroke care each of our local hospitals provides using our interactive map of the region below.

H

Royal Bolton Hospital

District Stroke Centre. Treats post-acute stroke patients from Bolton.

H

Fairfield General Hospital

Hyper Acute Stroke Unit and a Primary Stroke Centre. Treats acute stroke patients between the hours of 6.45am-10.45pm from Bury, North Manchester, Oldham and Rochdale. Post-acute patients from these areas are also treated here.

H

Manchester Royal Infirmary

District Stroke Centre. Treats post-acute stroke patients from Central Manchester.

H

University Hospital of
South Manchester

District Stroke Centre. Treats post-acute stroke patients from South Manchester.

H

Salford Royal Hospital

Hyper Acute Stroke Unit and the Comprehensive Stroke Centre. Treats acute stroke patients 24/7 from its own catchment area of patients which includes Bolton, Central Manchester, Salford, Trafford and Wigan. Also treats patients from all other areas of Greater Manchester between 10.45pm-6.45am.

H

Stepping Hill Hospital

Hyper Acute Stroke Unit and a Primary Stroke Centre. Treats acute stroke patients between the hours of 6.45am-10.45pm from Macclesfield, South Manchester, Stockport and Tameside. Post-acute patients from Stockport and Macclesfield are also treated here.

H

Tameside General Hospital

District Stroke Centre. Treats post-acute stroke patients from Tameside.

H

Trafford General Hospital

District Stroke Centre. Treats post-acute stroke patients from Trafford.

H

Royal Albert Edward Infirmary

District Stroke Centre. Treats post-
acute stroke patients from Wigan.

The Greater Manchester Stroke Pathway

In 2015, Greater Manchester (including Eastern Cheshire) re-designed its hospital services for stroke patients.

The change was made after research showed that patients with a recent onset of stroke benefited from being treated at specialised centres called Hyper Acute Stroke Units (HASUs). These centres provide clot busting treatments and urgent assessments like brain scans, and have teams of specialist staff – factors shown to increase the chances of survival and recovery from stroke.

You can find out what type of stroke care each of our local hospitals provides using our interactive map of the region.

Community rehabilitation for stroke survivors in Greater Manchester is also being transformed and in most boroughs patients now receive similar services after they leave hospital.

You can find out more general information about stroke by visiting the Stroke Association website.

pre hospital phase

1. Pre-hospital phase

Patients who have had a recent stroke (i.e. <48 hours ago) are taken by ambulance to one of our three Hyper Acute Stroke Units. Patients who have had a stroke after this time will be seen at their District Stroke Centre.

acute hospital phase

2. Acute hospital phase

Patients taken to a Hyper Acute Stroke Unit are reviewed by a specialist stroke team who assess whether they have had a stroke and order tests such as a brain scan to confirm a diagnosis. Patients diagnosed with a stroke <4 hours ago may be suitable to receive a clot busting treatment called thrombolysis.

transfer to local hospital

3. Transfer to local hospital

Patients brought to a Hyper Acute Stroke Unit are normally transferred (also called repatriation) to their District Stroke Centre within 3 days, although some may remain if too unwell to move

discharge and rehabilitation

4. Discharge and rehabilitation

Some patients may be well enough to be discharged home from the Hyper Acute Stroke Unit after a short stay. Others who have been transferred to their District Stroke Centre may need continued rehabilitation support before they are discharged. This is usually under the care of an Early Supported Discharge or Community Rehabilitation team who work closely with the hospital team and also voluntary sector organisations who may offer extra support.