Table 3.

Facilitators to providing healthcare that minimises treatment burden and maximises patient capacity

Theme	Structure of healthcare system	Resources	Knowledge and awareness of both patients and professionals	Availability of social care	Patient complexity
Facilitators	Communication between health professionals: electronic communication; pre-existing or personal contacts.	Hospital: stroke training for nurses; activities and facilities available on wards; stroke specific psychological support; opportunity for participation in clinical trials.	Pharmacist visits in the ward to provide info to stroke survivors about medications.	Peer support for stroke survivors and carers.	Screening for psychological and cognitive difficulties at routine check-ups.
	Collaborative working: regular multidisciplinary meetings; interdisciplinary collaboration, e.g. between different health professionals and services.	Community: provision of home adaptations for physical disability; intensive and goal-driven therapy.	Written information.	General vitality programmes in the community.	Named keyworker throughout the ‘stroke journey’.
			Stroke nurse visits in the ward and community.	Social network support e.g. friends and family living locally.	Patient self-efficacy. Shared decision-making and visual aids that foster this.
			Chest, heart and stroke welfare officers.		Regular medication reviews.
			Online self-management tools.		Dossette boxes.
			‘In-house’ primary and secondary care information services.		Consultants with geriatric backgrounds: better able to deal with multimorbidity.
			Transparency in services available in the community.