Patients are often discharged without a care plan from the acute stroke unit following a non-disabling stroke or transient ischaemic attack. To address this issue, communication materials were developed alongside other initiatives, to support an increased incidence of exercise.

St George Hospital developed an Allied Health Discharge Care Plan, established an allied health care coordinator role and implemented new administration processes, to support the transition of stroke patients out of hospital and into the community.

This project, led by the Community Stroke Team, delivered a six-week education and exercise program with 12 weeks of telephone health coaching to patients in Hunter New England Local Health District who had experienced a transient ischaemic attack.