virtual 16th uk stroke forum conference

Please note, you can earn upto 18 CPD points at UKSF 2021. However, federation approval does not include satellite symposia sessions.

Virtual 16th UK Stroke Forum Conference

Tuesday 30th November – Thursday 2 December 2021 Scientific Programme

Tuesday 30th November 2021

Opening Plenary - From pandemic to possibilities: challenges and opportunities for UK stroke care and research 09:00 – 11:00 Main Auditorium Chair: Professor David Werring, University College London, UK and Dr Lisa Kidd, University of Glasgow, UK

09:00 – 09:05 Welcome from the UK Stroke Forum Chair

09:05 – 09:20 The impact of COVID-19 on the NHS: implications for stroke and cardiovascular disease Professor Chris Whitty, Chief Medical Officer for England

09:20 – 09:35 Improving UK stroke care through big data Professor Cathie Sudlow, Director, BHF Data Science Centre, UK

09:35 – 09:45 The voice of lived experience of stroke in setting the research agenda Professor Adewale Adebajo, Barnsley Hospital NHS Foundation Trust, UK

09:45 – 09:55 INTERVAL BREAK

Networks or notworks: a four nation perspective. The future for stroke services across the UK: four nation stroke plans update

09:55 – 10:07 Stroke Networks in Scotland – Lessons learnt over 20 years Professor Martin Dennis, The University of Edinburgh, UK

10:07 – 10:19 The Next Step in the Evolution of Stroke Networks Dr Shakeel Admad, University Hospital of Wales, UK

10:19 – 10:31 Networks – The Whole is Greater than the Sum of its Parts Dr Deb Lowe, Wirral University, UK

10:31 – 10:43 Northern Ireland Stroke Network – Board Games Dr Michael McCormick, Southern Health and Social Care trust, UK


10:43 – 11:00 Live Q&A

11:00 – 11:30 Industry, Exhibition, E-Poster viewing & Networking Lounge break

11:30 – 12:15 Breakout 1

Bayer Sponsored Symposium: Improving ways to perfect DOAC treatment in Chair: Amar Kapoor, Medical Science Liaison & Cardiovascular, Bayer, UK

Speaker: Dr Joseph Kwan, Imperial College, London, UK

Session Overview: Dr Joseph Kwan will explore the optimisation of oral anticoagulation for patients with non-valvular atrial fibrillation, particularly in relation to compliance and dosing.

11:30 – 12:15 Breakout 2

Rates, Risks and Routes to Reduce Vascular Dementia, the R4VaD study

Chair: Professor Joanna Wardlaw, The University of Edinburgh, UK

Speakers: Dr Ellen Backhouse, The University of Edinburgh UK and Dr Rosalind Brown, The University of Edinburgh, UK

Session Overview: R4VaD is a multicentre observational study of cognition after stroke, aiming to determine rates of cognitive impairment and develop better models of risk prediction. We have collected pre-morbid and pre-stroke cognition, lifestyle and socioeconomic factors, along with medical history in over 2000 participants from stroke centres across the UK. We also aim to improve mechanistic understanding via the study of genetic and inflammatory blood samples and nested mechanistic substudies, including advanced neuroimaging and blood pressure monitoring

In 2020 we also obtained approval to continue recruitment to R4VaD so as to obtain objective data on COVID-19 and stroke.

We will present our progress with this study and update on the next steps following our final few months of recruitment. This meeting is for any sites involved in R4VaD and anyone else who is interested in hearing about the progress to date.


12:45 – 14:05

Main Auditorium

Parallel Stream 1: Driving improvements in stroke care: our people are the solution Chair: Professor Dame Caroline Watkins, University of Central Lancashire , UK

12:45 – 12:55 What evidence is there that workforce quality affects outcome after stroke? Professor Peter Langhorne, University of Glasgow, UK

12:55 – 13:15 Stroke and its People…Who are you? Dr Jon Cooper, The Leeds Teaching Hospitals NHS Trust, UK and Dr Deb Lowe, Wirral University, UK


13:15 – 13:25 How can the community workforce work more flexibly to improve stroke care? Dr Rebecca Fisher, University of Nottingham, UK

13:25 – 13:35 How can the hospital workforce be supported to optimise delivery of acute stroke care? Ms Louise Ward, East Kent Hospitals University NHS Foundation Trust, UK

13:35 – 13:45 How can the Stroke-Specific Education Framework support the workforce implementation plan? Ms Colette Miller, University of Central Lancashire, UK

13:45 – 14:05 Live Q&A

12:45 – 14:05 Breakout 1

Parallel Stream 2: Seen and Unseen: From screening to management of perceptual and visual problems Chair: Dr Lauren Hepworth, University of Liverpool, UK

12:45 – 13:00 Screening for visual perception deficits after stroke Dr Kathleen Vancleef, Durham University, UK

13:00 – 13:15 Interventions for perceptual disorders after stroke: what is the research to date? Dr Christine Hazelton, Glasgow Caledonian University, UK

13:15 – 13:30 Rehabilitation for spatial inattention: results from the SPATIAL trial, and other therapeutic options Dr Verity Longley, Manchester Metropolitan University, UK

13:30 – 13:45 Visual hallucinations Dr Dominic ffytche, Kings College London, UK

13:45 – 14:05 Live Q&A

12:45 – 14:05 Breakout 2

Parallel Stream 3: Prehospital LVO identification: have we got the right tool for the job yet? Chair: Professor Chris Price, University of Newcastle, UK

12:45 – 13:00 Clinical assessment to find LVO Dr Natalia Pérez de la Ossa, Hospital Universitari Germans Trias i Pujol, Badalona, Spain

13:00 – 13:15 Blood biomarkers to find LVO Dr Joan Montaner, Universitat Autònoma de Barcelona, Spain

13:15 – 13:30 Bloodless biomarkers to find LVO Dr Lisa Shaw, Newcastle University, UK

13:30 – 13:45 How well must an LVO test perform to be useful for the NHS? Professor Martin James, SSNAP, UK


13:45 – 14:05 Live Q&A


14:35 – 15:20 Breakout 3

Daiichi-Sankyo Sponsored Symposium: Optimising stroke prevention during the COVD-19 pandemic

Chair: Dr David Hargroves, NHS England & NHS Improvement & East Kent Hospital University Foundation Trust, UK

Speakers: Dr David Hargroves, NHS England & NHS Improvement & East Kent Hospital University Foundation Trust, UK and Dr Kneele Metcalf, Norfolk and Norwich University Hospitals, UK

Session Overview: Join Dr David Hargroves and Dr Kneale Metcalf, as they assess the impact of COVID-19 on the management of patients with nonvalvular atrial fibrillation (NVAF) and explore what best practice looks like in 2022. This symposium is organised and sponsored by Daiichi Sankyo.


15:50 - 16:50 Main

Auditorium

AHP Training Workshop: Joint working across professions for identifying and managing cognitive issues post-stroke Chair: Ms Louise Clark, Dorset County Hospital, UK

Speakers: Ms Louise Clark, Dorset County Hospital, UK, Dr Viki Teggart, Manchester Mental Health and Social Care Trust, UK, Mr Will Chegwidden, Royal Free London NHS Foundation Trust, UK, Dr Catherine Ford, University of East Anglia, UK and Dr Eirini Kontou, University of Nottingham/Nottinghamshire Healthcare NHS Foundation Trust, UK

Session Overview: This training would be for all members of a multidisciplinary stroke team working with stroke survivors and their families.

It will focus on how we can deliver an integrated approach from assessment to management of cognition including ways to support this in communication-impaired stroke survivors.

Highlighting ideas for joint working in assessing and treating the issues, and offering support from a range of roles and interactions across the care pathway.

Discussing the core themes around understanding different roles of MDT members, professional trust and respect, common pathways, competency frameworks, communication, and examples of combining approaches into treatment plan

15:50 - 16:50 Breakout 1

AHP Training Workshop: Switched on for stroke rehabilitation: Optimising generic (non-discipline-specific) technology use in rehabilitation and long-term recovery Chair: Dr Madeline Cruice, City, University of London, UK and Gillian Capriotti, NHS Greater Glasgow and Clyde, UK

Speakers: Dr Abi Roper, City, University of London, UK, Caitlin Longman, Stroke Association, UK and Dr Lucy Bryant, University of Technology Sydney, Australia


Session Overview: This training workshop will be constructed and delivered by speech and language therapists with a background primarily of working with stroke survivors with aphasia. As such, a large focus regarding barriers will be related to language/ communication accessibility. However, the speakers proposed have a broader experience e.g., Roper in general user experience research in technology/ digital and will bring these broader perspectives into the workshop.

The intended audience of this workshop is the full multidisciplinary team and may additionally attract social care professionals and voluntary sector professionals too.

The speakers will present, discuss and demonstrate the:challenges and issues that arise in using technology what factors contribute to optimal use of technology (computer, IT, technology, apps, virtual reality) for all stroke survivors, and how to incorporate these in rehabilitation and recovery.

Speakers will showcase different technologies and encourage audience engagement and interaction (as much as can be achieved virtually!)

15:50 - 16:50 Breakout 2

BASP Training Workshop: Stroke mimics, Chameleons and Zebras.. Chair: Dr Louise Shaw, Royal United Hospital Bath , UK and Dr Isuru Induruwa, Clinical Lecturer and Chair of the BASP trainee committee.

Speakers: Dr Hawraman Ramadan - Bradford Teaching Hospitals NHS Foundation Trust

Session Overview: This interactive course will focus on the epidemiology, diagnostics and management of the most common (and rare) clinical syndromes seen by physicians involved in the care of patients with suspected Cerebrovascular conditions.

16:50 - 17:20 Industry, Exhibition, E-Poster viewing & Networking Lounge break

17:20-18:20 Main

Auditorium

AHP Training Workshop: Multi-sensory stimulation to promote recovery Chair: Dr Lauren Hepworth, University of Liverpool, UK

Speakers: Dr Claire Howard, Salford Royal, UK, Dr Sue Hunter, Keele University, UK and Dr Alex Street, Cambridge Institute for Music Therapy Research, UK

Session Overview: Sensory stimulation is a powerful rehabilitation tool to increase cortical excitability and neuroplasticity. Due to the number of senses this stimulation can be provided in many forms. In this session, speakers will provide practical ideas of how visual, tactile and auditory music stimulation can be integrated into routine rehabilitation to enhance recovery.

17:20-18:20 Breakout 1

Stroke Association Training Workshop: Securing funding and the support of mentors Chair: Richard Francis, Stroke Assoication, UK and Georgina Hill, Stroke Association, UK

Speakers: Dr Christine Hazelton, Glasgow Caledonian University, UK, Dr Adrian Parry-Jones, The University of Manchester, UK, Professor Audrey Bowen, The University of Manchester, UK and Dr Sarah Northcott, City, University of London, UK

Session Overview: This workshop will help attendees to understand a physician and allied health professional research trajectory and the role mentorship. The speakers, researchers funded by the Stroke Association, will discuss funding their career paths. Attendees are asked to prepare questions for the panel and share their experience and perspectives on securing funding and the role of mentors.


17:20-18:20 Breakout 2

The National Optimal Stroke Imaging Pathway (NOSIP): the greatest impact on acute stroke medicine in the next 5 years … or undeliverable? Chair: Professor Sir Mike Richards, author of the 2020 independent review of NHS diagnostics capacity, Diagnostics: Recovery and Renewal., UK

Speakers: Dr Soma Banerjee, Imperial College Healthcare NHS Trust & pan-London thrombectomy operational group UK and Professor Gary Ford, Oxford University Hospitals NHS Foundation Trust & Oxford Academic Health Science Network (AHSN), UK

Session Overview: Chaired by Professor Sir Mike Richards, author of the 2020 independent review of NHS diagnostics capacity Diagnostics: Recovery and Renewal, this webinar will provide an exciting opportunity to discuss how the recently published NHS England National Optimal Stroke Imaging Pathway (NOSIP) can support improvement in access to imaging and support the ambitions of the NHS England Long Term Plan

GIRFT and the National Stroke Programme/NHSE has worked with the NHS National Imaging Optimisation Delivery Board, Royal College of Radiologists (RCR) and other national bodies to develop and publish the NOSIP, which outlines how non-elective imaging resources should be used to provide timely access that will support clinical decision-making.

Offering an opportunity to discuss current challenges, as well as the key benefits of the NOSIP, Dr Soma Banerjee (Stroke Consultant from Imperial College Healthcare NHS Trust and Pan-London Thrombectomy Group Lead) and Professor Gary Ford (Consultant Stroke Physician at Oxford University Hospitals NHS Foundation Trust and Chair of the AHSN) will debate the ‘pros and cons’ of the NOSIP, exploring how this pathway aims to puts the patient at the centre, reduce duplication of imaging and ensure the right test is done first time to reduce unnecessary admissions, diagnostics and enhance rapid access to therapies such as thrombolysis and thrombectomy, whilst also acknowledging the challenges and ambitious elements to delivery.

In addition, this webinar will give you the opportunity to hear from a panel including Getting It Right First Time (GIRFT) Clinical Lead and National Speciality Advisor for Stroke Medicine with NHSE&I Dr David Hargroves, NHS E&I National Clinical Director for Stroke and GIRFT Senior Clinical Advisor Dr Deb Lowe, and NHS England’s digital and AI lead for stroke, Darrien Bold.


18:50 - 19:35 Main

Auditorium

Hyperfine Sponsered Symposium: A bedside brain MRI scanner and its potential role in managing acutely ill patients Chair: Dr Yossi Cohen, Senior Medical Director, Hyperfine, UK

Speakers: Dr Eddie Knopp, Senior Medical Director, Hyperfine, USA and Houchun Harry Hu, MRI Physicist, Hyperfine, USA

Session Overview: This talk will explore the Swoop® Portable MR Imaging System™, review clinical cases, and discuss its proposed use to improve NHS imaging pathways for better patient outcomes and operational savings.


19:35 CLOSE


Wednesday 1st December 2021

09:15 – 10:00 Breakout 1

CardioScan Sponsored Symposium - Key Success Factors for Diagnosing AF in TIA and Stroke Patients Chair: TBC

Speakers: Prof John Camm, UK, St George’s Hospital Medical School, University of London, Imperial College, UK, Dr Arvind Chandratheva, UK, University College London Hospitals NHS Foundation Trust, UK, Dr Karen Kee, UK, Croydon Health Services NHS Trust, UK, Dr Don Sims, UK, University Hospitals Birmingham NHS Foundation Trust, UK and Dr Bhaskar Mukherjee, UK, University Hospitals of Derby and Burton NHS Foundation Trust, UK

Session Overview: A panel of lead stroke consultants across various NHS trusts discuss critical success factors to effectively diagnosing AF in TIA and stroke patients using Holter monitoring, and how inpatient and outpatient services should be best organized to deliver the optimal pathway for patients.

09:30 – 10:00 Breakout 2

UCL Stroke Trials: Update Chair: Professor David Werring, University College London, UK

Speakers: Dr Jonathan Best, Clinical Research Fellow, UCL Queen Square Institute of Neurology, Faculty of Brain Sciences, UK

Session Overview: OPTIMAS 2021 is a multicentre randomised controlled trial of early (within 4 days) vs standard (7-14 days), guideline-based timing of anticoagulation with a direct oral anticoagulant (DOAC) in patients with atrial fibrillation and acute ischaemic stroke.

PROHIBIT-ICH is a multicentre randomised controlled trial investigating whether intensive lowering of blood pressure (BP) using telemetric home monitoring in survivors of intracerebral haemorrhage (ICH) is feasible, safe and effective in reducing brain injury

In this session, we will be presenting an update and progress of both these studies.

10:00 – 10:30 Industry, Exhibition & E-Poster viewing

Princess Margaret Memorial Lecture 10:30 – 11:15 Main Auditorium Chair: Professor David Werring, University College London, UK

10:30 – 11:15 Stroke care: Hitting the target and missing the point Professor Dame Caroline Watkins, University of Central Lancashire, UK


11:45 – 12:30 Main

Audltorlum

Medtronic Sponsored symposium: AF detection in possible cardioembolic strokes and TIA patients at Royal Stoke University Hospital Chair: Mrs Emma Matthews, Medtronic, UK


Speakers: Dr Indira Natarajan- University Hospitals of North Midlands NHS Trust, UK, Vince Walker, Hull and East Yorkshire Hospitals NHS Trust, UK and Savini Gunatilake, The Royal Wolverhampton NHS Trust, UK

Session Overview: Following the NICE Diagnostic Guidance (DG41) published in September 2020 recommending that Implantable Cardiac Monitors should be used to detect AF following Cryptogenic Stroke, Royal Stoke University Hospital have set up a service to ensure Cryptogenic Stroke and certain TIA patients get timely access to a Reveal LINQ device.

This session will focus on the pathway planning and rationale, patient cohorts, referral process to Cardiology and the long term management of the patient

11:45 – 12:15 Breakout 1

The Dragon’s Den: non-surgical, non-pharmacological pitches for optimising stroke secondary prevention

Chair: Caitlin Longman, Accessibility Lead, Stroke Association, UK and Dr Olive Lennon, Chair of INSsPiRE, UK

Speakers: Prof. Maggie Lawrence, Glasgow Caledonian University UK, Prof Coralie English, University of Newcastle, Australia, Dr James Faulkner, University of Winchester, UK, Dr Susanne Guidetti, Karolinska Institute, Sweden and John Rowbottom, PPI representative

Session Overview: This session addresses stroke secondary prevention, a top ten research priority identified by the James Lind Alliance

11:45 – 12:15 Breakout 2

AHP Training Workshop: Developing Nursing & AHP advanced practice roles/career pathways/clinical academic careers/ACP competency Framework

Chair: Miss Louise Ward, East Kent Hospitals University Foundation Trust, UK

Speakers and titles: The clinical journey....Developing a successful ANP service: Mr Chris Sanders, Southampton NHS Trust, UK

The operational journey....From Stroke Clinical Specialist to Operational Clinical Lead: Ms Niki Turner, Cardiff and vale University Hospital, UK

The Strategic journey...From Stroke Matron to Integrated Stroke Delivery Network Lead: Miss Jo Clayden, Mid and South Essex NHS Foundation trust, UK

Session Overview: Nursing and AHP roles within stroke care have rapidly developed over the last few years with new opportunities to expand and develop into roles traditionally not seen before. This session explores the routes available into advanced clinical roles such as ACPs, consultant posts, CSL posts for both nursing and AHP colleagues. Our speakers will discuss the challenges they faced as well as providing advice and tips on how to develop your own career pathway.


13:00 – 14:30 Main

Auditorium

Primary Care Training Workshop: Is less more? Minimally disruptive medicine after stroke Chair: Dr Duncan Edwards, University of Cambridge, UK and Dr Katie Gallacher, University of Glasgow, UK

Speakers and titles: Introduction on MDM: Victor Montori, Mayo Clinic, USA Treatment burden after a stroke: Dr Katie Gallacher, University of Glasgow, UK


Supported self-management after a stroke: Dr Lisa Kidd, University of Glasgow, UK, Cardiovascular prescribing in the older adult: Dr Terry Quinn, University of Glasgow, UK

Session Overview: Minimally disruptive medicine is a way of providing healthcare that is person centred, realistic, and takes account of treatment burden alongside an individual’s ability to manage their health. In this session we discuss treatment burden in relation to stroke.

13:00 – 14:30 Breakout 1

BASP Training Workshop: Thinking differently about delivering a medical stroke workforce Chair: Dr Louise Shaw, Royal United Hospital Bath , UK & Dr Isuru Induruwa, Clinical Lecturer and Chair of the BASP trainee committee.

Speakers and titles: Clinical Fellowship and CESR programme: Harit Buch, The Royal Wolverhampton NHS Trust, UK and Dr Shivangi Dwivedi, Senior Clinical Fellow in Diabetes and Endocrinology; Pastoral Lead, Clinical Fellowship, New Cross Hospital, Wolverhampton, The Royal Wolverhampton NHS Trust, UK

New and advanced stroke nursing roles: Ms Amanda Jones, Sheffield Teaching Hospitals, NHS Foundation Trust, UK

Physician Associates as part of the stroke medical team: Mr Sean Maber, Royal United Hospital Bath, UK

Supporting junior doctors’ health and wellbeing: Dr Michael Blaber, Sandwell & West Birmingham, UK

Session Overview: We are all increasingly facing difficulties in ensuring a consistent medical workforce. This session is aimed to give you some ideas both of how to think differently about the roles of different professionals you could have in your team, and how to support juniors and internationally recruited staff to succeed and be well at work.

13:00 -14:00 National Stroke Nurse Forum AGM


15:00 – 16:20 Breakout 1

Parallel Stream 4: Promoting effective exercise after stroke: how and how much Chair: Dr Ulrike Hammerbeck, The University of Manchester, UK

15:00 – 15:15 Exercise intensity and brain health following stroke Professor Sandra Billinger, University of Kansas Medical Centre, USA

15:15 – 15:30 What is the optimal dose of exercise for walking recovery after stroke? Dr Janice Eng, University of British Columbia, Vancouver, Canada

15:30 – 15:45 Supporting physical activity and sedentary behaviour change after stroke: Reflections from the Physical Activity Routines After Stroke (PARAS) study Dr Sarah Moore, Northumbria University, UK

15:45 – 16:00 We Walk: development and optimisation of a dyadic, person-centred intervention to promote outdoor walking after stroke Dr Jacqui Morris, University of Dundee, UK


16:00 – 16:20 Live Q&A

15:00 – 16:20 Breakout 1

Parallel Stream 5: Digital delivery – now and the future Chair: Dr Rachel Stockley, University of Central Lancashire, UK

15:00 – 15:15 Neuro-Rehabilitation on-Line (N-ROL): developing and delivering an MDT virtual rehabilitation service using group based interventions. Treating people holistically at home Dr Catherine Doogan, University College London, UK

15:15 – 15:30 Digital delivery/ transformation/ innovation: lessons learned by speech and language therapists working through the pandemic Professor Pam Enderby, University of Sheffield, UK

15:30 – 15:45 Evaluation of the novel Stroke Association Connect and the Here for You services Katherine Staley, Associate Director Customer & Beneficiary Support, Stroke Association, UK

15:45 – 16:00 Digital Rehabilitation: lessons, opportunities and ambitions Mr Darrien Bold, National Digital and AI Lead for Stroke, UK

16:00 – 16:20 Live Q&A

15:00 – 16:20 Breakout 2

Parallel Stream 6: Hyperacute ischaemic stroke: new frontiers Chair: Professor Craig Smith, The University of Manchester, UK

15:00 – 15:15 Reperfusion in vertebrobasilar artery occlusive stroke Professor Wouter Schonewille, St Antonius, Netherlands

15:15 – 15:30 Extending the therapeutic window of thrombectomy Professor Maarten G.Lansberg, Stanford University, USA

15:30 – 15:45 BP management in mechanical thrombectomy Professor Mikael Mazighi, Rothschild Foundation Hospital, Paris, France

15:45 – 16:00 TNK or alteplase? That is the question Professor Keith Muir, University of Glasgow, UK

16:00 – 16:20 Live Q&A


Bonus plenary: What do we know about the quality and quantity of post acute stroke rehabilitation in the UK? 16:50 – 18:10 Main Auditorium Chair: Ms Louise Clark, Dorset County Hospital, UK

16:50 – 17:05 SSNAP Post-acute organisational audit


Ms Louise Clark, Dorset County Hospital NHS Foundation Trust, UK & Dr Rebecca Fisher, University of Nottingham, UK

17:05 – 17:20 Inpatient rehabilitation: An overview of SSNAPPIEST + reflections on NAITs from PAOA Professor Sarah Tyson, The University of Manchester, UK

17:20 – 17:35 ESD: WISE + reflections on ESD/CST from PAOA Dr Rebecca Fisher, University of Nottingham, UK

17:35 – 17:50 Vocational rehabilitation - What is the current position and where do we need to go next? Based on PAOA and findings of RETAKE Dr Kate Radford, University of Nottingham, UK

17:50 – 18:10 Live Q&A

High Scoring Abstracts 16:50 - 18:10 Breakout 1 Chair: Dr Andrew Bateman, University of Essex, UK

16:50 – 16:58 Swallowing therapy for dysphagia in acute and sub-acute stroke (cochrane systematic review) Ms Gwenllian Wilkinson, University of Nottingham, UK

16:58 – 17:06 Neurological and vascular sequelae in a cohort of cerebrovascular fibromuscular dysplasia (fmd) - a retrospective cohort study. Dr Anthousa Kythreotou, Imperial College London, UK

17:06 – 17:14 Large scale implementation of nurse-initiated protocols for fever, hyperglycaemia and swallowing management: the results of the qasc europe project Professor Sandy Middleton, Australian Catholic University, Australia

17:14 – 17:22 Insight into the results of the james lind alliance stroke priority setting partnership priorities Miss Georgina Hill, Stroke Association, UK

17:22 – 17:30 A virtual nominal group technique to establish the core components of home-based stroke rehabilitation for survivors of stroke with severe disability. Mrs Lal Russell, University of Nottingham, UK

17:30 – 17:38 Randomised controlled parallel group feasibility trial (post stroke intervention trial in fatigue, positif) Professor Gillian Mead, The University of Edinburgh, UK

17:38 – 17:46 Hemianopia activity-based intervention: co-design of an occupational therapy intervention for visual field loss after stroke Dr Philip Clatworthy, University of Bristol, UK

17:46 – 18:10 Live Q&A

18:10 CLOSE


Thursday 2nd December 2021

09:30-10:50 Main

Auditorium

Parallel Stream 7: Not just the elderly: perspectives on younger strokes Chair: Mr Austin Willett, Different Strokes, UK

09:30 – 09:45 Risk factors for young stroke Linxin Li, University of Oxford, UK

09:45 – 10:00 Experiences of a young stroke survivor Eilish Briscoe, stroke survivor, UK

10:00 – 10:15 Innovating services Dr Niamh Kennedy, Ulster University, UK

10:15 – 10:30 Identifying needs and preferences for being supported after a stroke Dr Toni Withiel, Royal Melbourne Hospital City Campus, Australia, Dr Dana Wong, La Trobe University, Canada and Emma Power, University of Technology Sydney, Australia

10:30 – 10:50 Live Q&A

09:30-10:50 Breakout 1

Parallel Stream 8: Communication and psychological interventions in aphasia Chair: Dr Madeline Cruice, City, University of London, UK

09:30 – 09:45

Reporting on the mood and quality of life outcomes of the Ahasia Action, Success and Knowledge (ASK) national RCT to prevent depression in stroke survivors with aphasia and family members through early intervention Emeritus Professor Linda Worrall, University of Queensland, Australia and Dr Brooke Ryan, University of Queensland, Australia

09:45 – 10:00 Findings of the supporting wellbeing through peer-befriending (SUPERB) trial Professor Katerina Hilari, City, University of London, UK

10:00 – 10:15

Reporting on the outcomes of the Queens Square Intensive Comprehensive Aphasia Programme (ICAP) Professor Jenny Crinion, University College London, UK and Professor Alex Leff, The National Hospital for Neurology and Neurosurgery, UK

10:15 – 10:30 Findings of the CommuniCare study – enriched healthcare professional communication for patients with aphasia (Netherlands) - process evaluation findings Dr Lizet van Ewijk, University of Applied Sciences, Utrecht, Netherlands

10:30 – 10:50 Live Q&A

09:30-10:50 Breakout 2

Parallel Stream 9: Conundrums in stroke medicine Chair: Professor Hugh Markus, University of Cambridge, UK

09:30 – 09:45 Anticoagulation after a brain haemorrhage: new data, new challenges


Professor Rustam Al-Shahi Salman, The University of Edinburgh, UK

09:45 – 10:00 Cerebral microbleeds – do they matter? Dr Joan Marti-Fabregas, Hospital de la Santa Creu i Sant Pau, Spain

10:00 – 10:15 Stroke in antiphospholipid syndrome Dr Arvind Chandratheva, University College London, UK

10:15 – 10:30 How should we treat cervical arterial dissection? Professor Stefan Engelter, University of Basel, Switzerland

10:30 – 10:50 Live Q&A

10:50-11:20 Industry, Exhibition, E-Poster viewing & Networking Lounge break

11:20-12:05 Breakout 2

Meeting stroke patients’ needs for information to support shared decision making – Tailored Talks Chair and speaker: Professor Martin Dennis, Professor of Stroke medicine, The University of Edinburgh, UK

Session Overview: Currently, information for patients with stroke is shared by clinicians verbally, but usually with no audio-visual materials to aid understanding, or to provide a record of what has been said. Patients may receive specific printed information leaflets, or be directed to web pages. Patients and their families have to select information relevant to them which is problematic, because it relies on patients being able to identify that information which is relevant to them. Leaflets and on line materials may contain irrelevant information which does not apply to the individual. Clinicians in the University of Edinburgh in partnership with NHS Lothian (Health Innovation SE Scotland https://hises.edinburghbioquarter.com/ , Chest Heart and Stroke Scotland, and Pogo Studio (POGO) have developed Tailored Talks. https://www.pogo-studio.com/digital-healthcare/. Tailored Talks is an innovative digital presentation platform which allows healthcare professionals to tailor information to the individual and to share this on paper, on screen or remotely during face-to-face, or remote consultations. The platform and content will be demonstrated during the session, and its application through the whole pathway from hyperacute to life after stroke will be discussed

11:20-12:05 Breakout 3

Stroke Trials Investigator Meeting: DASH, MAPS-2, PhEAST, RECAST-3 & TICH-3 Chair: Professor Philip Bath, Stroke Trials Unit, University of Nottingham, UK

Speakers: Professor Nikola Sprigg, University of Nottingham, UK, Dr Tim England, University of Nottingham, UK and Professor Christine Roffe, Royal Stoke University Hospital, UK

Session Overview: The Nottingham Stroke Trials Unit has run phase I-III drug, cell-based and device trials over 20 years, including several major trials - ENOS, TARDIS, TICH-2 and RIGHT-2 - all published in The Lancet. This session will present updates on our ongoing and soon-to-start trials and is targeted at sites who have signed-up to take part in one or more of these trials, or those who might be interested in joining them:

DASH: phase II trial of desmopressin for aspirin-related acute intracerebral haemorrhage.

MAPS-2: phase III trial of metoclopramide for hyperacute post-stroke dysphagia.

PhEAST: phase IV trial of pharyngeal electric stimulation for sub-acute post-stroke dysphagia.

https://hises.edinburghbioquarter.com/

https://www.pogo-studio.com/digital-healthcare/


RECAST-3: phase III trial of remote ischaemic conditioning for hyperacute ischaemic stroke.

TICH-3: phase III trial of tranexamic acid for hyperacute intracerebral haemorrhage.

Brief presentations by the Chief Investigators of the trials will be followed by a question and answer session.


12:50 – 13:50 Breakout 2

Practical approaches to rehabilitation of functional neurological disorder Chair: Ulrike Hammerbeck, The University of Manchester, UK

Speakers: Dr Glenn Nielsen, St George’s University of London, UK and Mrs Clare Nicholson and Mrs Lorna Dixon, The National Hospital for Neurology and Neurosurgery, UK

Session Overview: Functional Neurological Disorder as a stroke mimic is very common. Patients can experience long term disabling symptoms and may present repeatedly to emergency services. As a consequence health care resource use is high. This session will provide an overview of current concepts of FND and how they relate to therapeutic management. Practical management strategies will be described, based on available evidence and published expert opinion.

12:50 – 13:35 Breakout 3

Wiltshire Farm Foods Sponsored Symposium - Eating well after stroke Chair: TBC

Speakers: Declan Henderson, Apetito and Wiltshire Farm Foods, UK

Session Overview: Including the causes, how they're diagnosed and what you can do to help manage you or a loved one's diet when they are living with a swallowing difficulty.


14:20 – 15:05 Main

Auditorium

ABBOTT Sponsored Symposium Chair: Dr David Hargroves, NHS England & NHS Improvement & East Kent Hospital University Foundation Trust, UK

Speakers: Dr David Hargroves, NHS England & NHS Improvement & East Kent Hospital University Foundation Trust, UK, Dr Matt Daniels, The University of Manchester, UK, Professor Indira Natarajan, University Hospitals of North Midlands, UK and Dr Adrian Large, University Hospitals of North Midlands, UK

Session Overview: See 2 examples of Stroke and Cardiology partnerships and their Stroke Prevention services; in the Midlands for patients with AF; including those contraindicated for OAC, and in Manchester for patients with prior cryptogenic stroke.

14:20 – 15:20 Breakout 1

AHP Training Workshop: NBM: What's next? Revisiting and reviewing our options: An MDT approach


Chair: Cara Lewis, Guy’s and St Thomas Hospital, UK and Dr Jacqui Benfield, University of Nottingham, UK

Speakers: Sam Francis, Bradford Royal, UK, Dr Jacqui Benfield, University of Nottingham, UK and Rebecca Julier, Sussex Community NHS Foundation Trust, UK

Session Overview: When a patient is recommended to be nil by mouth, appropriate options may include a period of NGT feeding and/or oral trials.

Establishing and maintaining consistent NGT access is not without its challenges and being fully NBM can impact negatively on oral health, swallow function and quality of life. Restricted amounts of oral intake, or 'oral trials', usually recommended by SLT and principally carried out by the nursing team, are commonly used to address this, and guide decisions regarding further escalation of oral intake, but relatively little evidence exists about their use.

This workshop will showcase the novel, extended role of the stroke dietitian in relation to the insertion and management of NGTs and describe the current evidence and clinical reasoning around the use of oral trials in acute stroke. This provides a novel opportunity to revisit current ways of working, to explore what, as an MDT, we could or should do differently and discuss how we evaluate our practice to improve care and inform further service development and research

14:20 – 15:20 Breakout 2

BASP Training Workshop: Decision making in hyper-acute CVST Chair: Dr Louise Shaw, Royal United Hospital Bath , UK & Dr Isuru Induruwa, Clinical Lecturer and Chair of the BASP trainee committee.

Speakers: Dr Richard Perry, University College London, UK

Session Overview: Cerebral venous thrombosis is a rare cause of stroke. Even when patients with this diagnosis have not had a stroke, they are still often discussed with or even managed by stroke services. Any physician working in a stroke service needs to be alert to this potential diagnosis and familiar with its management. This workshop will include discussion of the following questions. When should the condition be suspected and how is it diagnosed? What are the risk factors and, in the current era, what is the relevance of COVID-19 or of vaccination against that condition? What should we do in the most severe cases, where anticoagulation does not seem to be enough? When, if ever, should a patient be referred to an interventional neuroradiologist? Or a neurosurgeon? We will work through the diagnosis and management of challenging cases, considering the evidence along the way.


Closing plenary – What’s Hot and What’s Next? Plus awards 15:50 – 17:35 Main Auditorium Chair: Professor David Werring, University College London, UK

15:50 – 16:00 Stroke JLA PSP: priorities from the “prevention, pre-hospital and acute” Top10 Professor Christine Roffe, Keele University, UK

16:00 – 16:10 Stroke JLA PSP: priorities from the “rehabilitation and long-term care” stroke Top10 Dr Shirley Thomas, University of Nottingham, UK


16:10 – 16:20

Purines for Rapid Identification of Stroke Mimics Professor Chris Price, Newcastle University, UK

16:20 – 16:30 Novel treatments for upper limb weakness - Vagal nerve stimulation Professor Jesse Dawson, University of Glasgow, UK

16:30 – 16:40 Advancing aphasia research and practice – a collaborative approach Professor Marian Brady, Glasgow Caledonian University, UK

16:40 – 16:45 Future directions for stroke prevention Dr Alan Cameron, University of Glasgow, UK

16:45 – 16:50 What's next for acute medical care Dr Jason Appleton, University Hospitals Birmingham NHS Foundation Trust, UK

16:50 – 16:55 What's next for nursing Dr Lisa Kidd, University of Glasgow, UK

16:55 – 17:00 What are the next steps in recovery and rehabilitation studies early post stroke? Professor Gert Kwakkel, VU University Medical Centre, Netherlands

17:00 – 17:05 What's next for community stroke care Dr Katie Gallacher, University of Glasgow, UK

17:05 – 17:30 Closing remarks and awards

17:35 CLOSE

virtual 16th uk stroke forum conference

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