Stroke services

We provide a comprehensive range of stroke services for prevention, hyperacute treatment, rehabilitation and follow-up after discharge. We have a hyperacute stroke unit, two acute stroke units and provide rehabilitation services from all three of our hospitals. We also a offer a 24/7 thrombolysis service at Scunthorpe.

Symptoms

A stroke is caused by the disruption of blood supply to the brain.  Without the appropriate nutrients and oxygen brain cells are damaged and cannot function, which can affect physical and mental processes like movement and communication. A stroke is a medical emergency and the sooner doctors are able to diagnose the condition and treat the patient, the better the recovery potential. Recognise the symptoms and Act fast when these are present:

F – Face: ask the person to smile.  Is there a drooping of the mouth at one side?
A – Arm: ask the person to raise both arms. Does one arm drift downwards?
S – Speech: can the person speak clearly and understand what is said to them?
T – Time: call 999 if they show any of the above symptoms.

Symptoms are sudden and may also include loss of vision, loss of balance and coordination, numbness or only mild weakness.

NHS Choices

Information about symptoms, causes, diagnosis and treatment is available on the NHS choices stroke pages.

TIA

If the symptoms resolve within minutes, you may have had a TIA, transient ischaemic attack (a mini stroke). A TIA is a warning sign, which should not be ignored. Seek urgent medical attention for assessment and treatment by contacting your GP or local emergency department immediately.

High-risk TIA patients must be assessed by a specialist within 24 hours of onset of symptoms. Low-risk TIA patients must be assessed by a specialist within seven days of the onset of symptoms. Your GP will have an urgent referral telephone or fax number which will ensure you are seen by a stroke specialist within these times.

A rapid access TIA clinic is run at Scunthorpe and Grimsby hospitals five days a week for those who have suffered TIA or minor stroke. Same-day CT scan and carotid duplex is offered as the investigation of choice for those patients suitable who are seen in the TIA clinics.

Risk factors

There are certain risk factors that can increase your risk of having a stroke:

  • Smoking
  • High blood pressure
  • Irregular heart beat
  • Diabetes
  • Diet
  • Lack of excercise.

Stroke facts: Every five minutes someone in the UK has a stroke. High blood pressure is the most common cause of stroke and stopping smoking can cut the risk of a stroke in half, no matter how long you have smoked or how old you are.

Tests

The quicker someone who has had a stroke is diagnosed and treated the better chance they have of recovering. A quick assessment is vital to ensuring the correct emergency treatment can be given.  Initial tests will attempt to determine:

  • What type of stroke a person has had
  • Which part of the brain has been affected
  • The condition of the heart and lungs
  • Any problems with swallowing.

People who have suffered a stroke will need a brain scan (either a CT or MRI scan), blood tests, blood pressure checks and ECG (electrocardiagram) to see what caused the stroke, the damage that has been done and what medical treatment can be provided. Other tests include a cartoid doppler (to measure the speed of blood flow in the cartoid arteries in the neck), an echocardiogram (to look at how the heart is working), a chest x-ray to look at the condition of the heart and lungs and swallow screening to assess if the patient is suffering from swallowing difficulties.

Treatments

Medication may be given to help prevent the stroke getting worse, to control blood pressure and to treat any underlying problems.
The most common type of stroke, ischaemic stroke, can be treated with a ‘clot busting’ drug which dissolves the clots blocking the blood flow to the brain. This is called thrombolysis treatment. The window of opportunity for thrombolysis is within four and a half hours of the onsent of symptoms. Please note this treatment is not suitable for all patients. We are recognised as a stroke thrombolysis centre and offer a 24/7 service at Scunthorpe General Hospital. Some patients may be referred to the vascular team at Hull Royal Infirmary for surgery if required.

Rehabilitation

Rehabilitation starts early, once a patient is medically stable. Getting patients to move early has been shown to lead to better long term outcomes. We work towards getting patients home as early as possible and continue to support their rehabilitation in the home. This has been shown to produce the best outcomes for rehabilitation.

Following your discharge from hospital we will reassess you either in an outpatient clinic or at home. For additional support you will be offered the services of our community team of therapists and family support workers.

Facilities

We see around 700 people with a diagnosed acute stroke each year from the North Lincolnshire, North East Lincolnshire and East Riding areas.

They hyperacute stroke unit at Scunthorpe General Hospital is a four bed unit providing intensive nursing, medical and therapy care for the first 72 hours  following the onset of stroke. Patients have access to immediate CT scanning, are on cardiac monitors and have frequent blood pressure monitoring and other medical investigations.

FAQs regarding hyperacute services (276kb)
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We have acute stroke units at Grimsby and Scunthorpe hospitals (19 beds at Grimsby, 15 at Scunthorpe) providing post hyperacute care which includes further investigation into the cause of the stroke and a treatment plan for recovery and to lower the risk of a further stroke.

Rehabilitation and follow up care after discharge is provided at Scunthorpe, Grimsby and Goole hospitals.

The Stroke Association

Support for patients, family members and friends.

Key staff

Consultants

Scunthorpe General Hospital

  • Dr A. Qureshi, consultant acute care physician/geriatrician with stroke skills and clinical lead for Scunthorpe and Goole
  • Dr A. Banerjee, stroke specialist
  • Dr A. Ali, stroke specialist
  • Dr M. Rizeq (locum), stroke specialist
  • Dr Vijaykumar Singh, consultant acute care physician with stroke skills

Diana Princess of Wales Hospital

  • Dr A. Ali, stroke specialist and clinical lead for Grimsby
  • Dr J. Adiotomre, stroke specialist
  • Dr. S. Kamath, consultant geriatrician with stroke skills

Goole and District General Hospital

  • Dr M Rizeq (locum) stroke specialist
  • Dr N. Butt (locum) geriatrician

David Broomhead, therapy consultant all sites.

Nursing staff

Nurses and health care assistants will be your main carers in hospital. An individual or a special team will provide day to day care, provide your medication and regular health check ups and aid movement and feeding.
Scunthorpe General Hospital
Tina Drewry, Ward manager, stroke unit
Nurse Stroke Responders: Dawn Stokes, Lynn Shakleton, Laura Fitzpatrick, Holly Cowling, Veronica todd
Diana Princess of Wales Hospital
Lucy Risley, Ward manager, stroke unit
Goole and District General Hospital
Lynn King, Ward manager, Ward 3

Therapists and psychologists

A team of physiotherapists, occupational therapists and speech and language therapists work across all three sites for inpatient care and there are community teams to help early supported discharges, ongoing therapy input and follow up. A dedicated team of clinical psychologists for stroke patients are available five days a week at Scunthorpe and Grimsby.

Contact us

Stroke unit – Diana, Princess of Wales Hospital

Scartho Road
Grimsby
North East Lincolnshire
DN33 2BA
(01472) 875320
Appointments: (01472) 279214 or 03033 306540

Stroke unit – Scunthorpe General Hospital

Cliff Gardens
Scunthorpe
DN15 7BH
(01724) 290102
Appointments: (01724) 203412 or 03033 306541

Ward 3 – Goole and District Hospital

Woodland Avenue
Goole
East Riding of Yorkshire
DN14 6RX
(01724) 290039

Consultants