Quality statement 3: Access to a clinical psychologist

Quality statement

Adults who have had a stroke have access to a clinical psychologist with expertise in stroke rehabilitation who is part of the core multidisciplinary stroke rehabilitation team. [new 2016]

Rationale

Many adults who have had a stroke experience psychological difficulties, including low mood and anxiety, as well as difficulties with cognition such as problems with memory and information processing. Psychological therapies may help people and their families or carers with these difficulties. Having a clinical psychologist as part of the core multidisciplinary stroke rehabilitation team can help to ensure that people have access to psychological therapy tailored to their needs.

Quality measures

Structure

Evidence of local arrangements and protocols to ensure that services providing stroke care have a core multidisciplinary stroke rehabilitation team that includes a clinical psychologist with expertise in stroke rehabilitation.

Data source: Local data collection.

Outcome

Quality of life for adults who have had a stroke.

Data source: Local data collection.

What the quality statement means for different audiences

Service providers (such as secondary care providers) ensure that the core multidisciplinary stroke rehabilitation team includes a clinical psychologist with expertise in stroke rehabilitation.

Health and social care practitioners are aware of the need for a clinical psychologist with expertise in stroke rehabilitation to be part of the core multidisciplinary stroke rehabilitation team.

Commissioners (such as clinical commissioning groups) ensure that they commission services that have a clinical psychologist with expertise in stroke rehabilitation as part of their core multidisciplinary stroke rehabilitation team.

Adults who have had a stroke who need help with psychological problems can see a clinical psychologist who specialises in stroke rehabilitation. The psychologist is part of the stroke rehabilitation team.

Source guidance

Stroke rehabilitation in adults (2013) NICE guideline CG162, recommendation 1.1.3 (key priority for implementation)

Definitions of terms used in this quality statement

The core multidisciplinary stroke team

The team should comprise the following professionals with expertise in stroke rehabilitation:

  • consultant physicians

  • nurses

  • physiotherapists

  • occupational therapists

  • speech and language therapists

  • clinical psychologists

  • rehabilitation assistants

  • social workers.

[NICE's guideline on stroke rehabilitation in adults, recommendation 1.1.3]