Key Performance Indicators

KPI 11

A binding, personalised, and documented rehabilitation and sector transition plan provided at the time of discharge to at least 60% of patients.

Current status

Out of 37 countries responding, only 15 reported that a plan is provided.
10/15 countries providing a rehabilitation plan had data on how many actually receives a plan; in those countries on average 74 %.

Most patients in Europe leave hospital without a rehabilitation plan.

Discharge from the stroke unit without a plan for further rehabilitation remains shockingly common: In 19 countries no rehabilitation and sector transition plan are provided on discharge, 14 countries have reported that such plan is provided. This is concerning, as this will mean at least a delay in continuation of rehabilitation in the communities, do not allow for a common access to life after strobe support, and inevitably causes uncertainty for the patient and carers about the immediate future after discharge. National stroke plans are needed to define continuity of care and the level of care to be provided.