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<p>Depression affects approximately one third of people with stroke, and stroke services
in the National Health Service are very aware of the impact this can have on the quality
of life and level of independence of people who experienced a stroke, and the importance
of understanding through measurement which people are affected, to support appropriate
management.</p><p>The National Clinical Guideline for Stroke 2023 recommends that
people with stroke should be routinely screened for anxiety and depression using standardised
tools, the results of which should be used alongside other sources of information
to inform clinical formulation of treatment and support needs.</p><p>The latest published
Sentinel Stroke National Audit Programme (SSNAP) data, from October to December 2023,
showed that 92.4% of stroke patients were screened for mood disturbances, including
depression, in hospital. 75% of stroke patients who were followed up at six months
post stroke also had a mood screen, with 53% of patients receiving the psychological
support needed.</p><p>NHS England is driving implementation of the National Service
Model for an Integrated Community Stroke Service (ICSS) with a number of specific
projects aimed at improving delivery of psychological rehabilitation. The ICSS model
is vital to support psychological recovery, return to work, and improved quality of
life. From July 2024, the SSNAP will record the amount of psychological rehabilitation
provided to patients, and measure changes in quality of life over time.</p>
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