Table 4.

Recommendations.

1. SSVR should be delivered by an integrated cross-sector multi-disciplinary team with significantly improved cross-service collaboration. The introduction of a SSVR case manager who can to bridge gaps between different services and sectors would ensure delivery.

2. Routine collection of work-related outcomes from stroke survivors is needed to inform business case development and local commissioning.

3. Joint or integrated commissioning between health and other sectors, e.g. DWP with CQUIN targets set to ensure work outcomes are recognised locally by health services.

4. Service providers should receive adequate VR and/or stroke specific training and guidance to meet the work needs of stroke survivors. Awareness of policy and best practice guidelines needs to be raised in all sectors.