Vocational Stroke Service

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This service comes under the Regional Neuropsychology Service and is based with the Community Neurorehabilitation (Brain Injury) Service at Morriston Hospital. The service provides access to a Clinical Neuropsychologist for assessment and intervention, and some limited access to Occupational Therapy, a Rehabilitation Coach and assistant psychologists.

Aim of service

A quarter of strokes occur in people of working age. Similar to the problems experienced by individuals with traumatic brain injuries, less than half of this working age group resume work (Stroke Association, 2015).

The aim of the vocational stroke service is to support people to access, maintain or return to employment following a stroke. Clinicians typically provide an assessment of memory and concentration following a stroke. With the service users’ consent, they often write to employers to offer guidance and make recommendations. The service helps people to recognise and manage barriers to successfully returning to work such, supporting them with emotional difficulties, helping them to develop strategies for managing problems with cognition and supporting them to increase confidence.

The service also provides work preparation and supported placements. This may involve a combination of individual work and specialist vocational group programmes (i.e. return to work group). Service users are also able to access Community Neurorehabilitation Programmes, where they are consistent with their individually tailored goal plans.

Referral criteria

  • Confirmed diagnosis of new stroke, ischemic or haemorrhagic, made by a Physician or Neurologist or an acute setting and are medically stable.
  • Person has achieved activities of daily living goals and is functioning independently.
  • Person is ready and able to engage in vocational rehabilitation
  • There is a realistic possibility that person will return to work in near future
  • Person was in employment in the year prior to the stroke
  • Consent of the patient
  • Within SBUHB catchment
  • We do not accept referrals where there is evidence of other neurological or mental health conditions that need to be screened or treated first
Who can refer?

Referrals accepted from NHS stroke professionals, GPs and the Stroke Association Community workers.


Please follow this link to access the Vocational Stroke Referral form

Please follow this link to the Stroke Association website

Please follow this link to the Headway website

Please follow this link to the Swansea Council website for information on Local Area Coordinators

Helpful resources for a return to work:
Resources for employees returning to work - 

Please follow this link to the Getting back to work page on the Stroke Association website 

Please follow this link to a PDF complete guide to work and stroke by the Stroke Association

Resources for employers looking to support their returning employees - 

Please follow this link to a complete guide to stroke for employers on the Stroke Association website

Please follow this link to a PDF complete guide to stroke for employers by the Stroke Association

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