[Skip to content]

Search our Site
HRCH logo

Stroke Early Supported Discharge Team (ESD)

The Stroke Early Supported Discharge Team provides an early, intensive rehabilitation service for stroke patients.

The team helps patients to leave hospital more quickly and return to their own homes so that patients can maximise independence as quickly as possible after their stroke.

Patients are referred directly from stroke units or rehab units and are assessed within one working day (Monday to Friday).

Treatment is intensive in the home for the first two weeks. After this time treatment will gradually reduce in intensity over the next four weeks.

Patients may also be supported by a care package or district nurse if needed and must be organised prior to discharge. Any equipment must also be organised prior to discharge.

The stroke early supported discharge team is part of the Richmond Community Neuro Rehabilitation Team.

Patient case-study:

You can find out about how the Stroke Early Supported Discharge Team benefits local patients by reading the patient case-study here.

Stroke Early Supported Discharge Team in the press


Tel:  020 8614 7350


Richmond Rehabilitation Unit
22 Evelyn Road

Opening times: 

  • Monday to Friday: 8.30am – 5pm

ESD Team Richmond

Referrals can be made between Monday to Friday 8.30am to 5pm.

Please contact the clinician-held mobile phone to discuss referrals:

Tel: 07944 102 668

Referrals should then be emailed to the Single Point of Access at hounslowandrichmond.spa@nhs.net

Referral criteria:

The referral criteria are set out in the London Stroke Strategy:

  • Patient must be registered with a Richmond GP

  • Diagnosis of new stroke confirmed by consultant or scan

  • Medically stable and fit for discharge

  • Adequate cognitive ability and communication to be safe at home with appropriate support

  • Able to transfer with assistance of 1 +/- equipment

  • Able to actively participate in daily rehab and goals identified

  • Referral will facilitate discharge and they require 3hrs 45mins of each therapy per week for the first two weeks

  • The patient agrees to rehab at home at this intensity

  • The patient has a continence strategy in place

The Community Neuro Rehabilitation Team (Richmond) who provide the Trust's Early Supported Discharge Service

Who we are

  • Sarah Coleman – ESD Co-ordinator

  • Papiya De – Physiotherapist  

  • Roisin Hyde – Occupational Therapist

  • Sheema Fookeerah - Occupational Therapist

  • Tamara Mehdi - Speech and Language Therapist 

  • Jade Chapman - Therapy Assistant

  • James Fathers - Therapy Assistant

  • (Clinical psychologist currently vacant)