The Luton and Dunstable specialist stroke service commenced weekend TIA clinics from the 3rd September 2011 and was the first Trust in Beds and Herts to provide a 7-day TIA outpatient service.
Rapid Access clinics are provided on a Saturday and Sunday morning from 09:30 and are specifically aimed at high risk patients demonstrating symptoms with an ABCD score > 4. The service provides individual consultation with a specialist stroke physician, diagnostics and treatment on a 'one-stop' basis.
The Luton and Dunstable Stroke Team provide specialist medical and rehabilitation services and is headed up by two specialist consultants.
Providing services to patients across Luton, Bedfordshire and Hertfordshire, the Trust has a 28-bed unit with 8 hyperacute, monitored beds for hyperacute stroke patients.
The unit managed patients admitted in emergencies through the Emergency Department and accepts transfers from other hospitals.
This is a new specialist service, where a drug is used to dissolve blood clots in the brain, reducing the damage to the surrounding brain. This is emergency treatment which has to be given within three hours of the stroke occurring and it may not be appropriate in every case.
There is close integration with the neurosurgical team at The Royal Free Hospital/ Queens Square for those patients who require neurosurgical intervention.
The Trust works closely with the Bedfordshire Vascular Unit at Bedford Hospital and patients who are found to require surgery to their neck arteries are referred immediately to the vascular surgeons.
The TIA (mini-stroke) clinic runs 7 days a week in the outpatient department at St Mary's Wing. Urgent patients can be seen within 24 hours of referral and can have most of their investigations done on the same day. This ensures the Trust offers patients a prompt diagnosis and treatment.
All patients discharged from the stoke ward are offered a follow up appointment with the stroke medical team.
Please ensure the patient has TIA/mini stroke with no/minimal impairment.
Patients with the following should not be referred:
NICE Guidance - Treatment for TIA:
NICE Guidance - CG68 Stroke Quick Reference Guide:
NICE Guidance - CG68 Stroke NICE guideline:
NICE Guidance - Full Guideline:
NICE Guidance - CG68 Stroke: Understanding NICE Guidance
NHS Choices - Stroke:
Stroke - Act F.A.S.T:
NHS Brain Stroke:
The Stroke Association:
The Brain and Spine Foundation - Stroke:
Brain Injury Rehabilitation Trust (BIRT):
Connect - The Communication Disability Network:
NHS National Institute for Health Research - Stroke Research
Different Stokes - Support for Younger Stoke Survivors:
Health Talk Online:
NHS Choices - Transient Ischaemic Attack:
Department of Health National Stroke Strategy:
The Brain and Spine Foundation - TIA:
The clinic is situated in the Outpatient Department, ground floor, New St Mary's wing, Luton and Dunstable Hospital
Last updated: 03/04/2013
Update due: 03/04/2014