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Interested in finding out more about Bridges?

 

PRACTITIONERS click here for detailed FAQ's or click here for the evidence supporting the programme

 

COMMISSIONERS and TRAINING MANAGERS please click here

 

PATIENTS/CARERS click here

 

RESEARCHERS/COLLABORATORS/GENERAL ENQUIRIES please register your interest here...

 

 

Bridges Open Workshops

 

We run open workshops for individual practitioners working in neurological and general rehabilitation, or perhaps you work with stroke survivors in the voluntary or third sector.   

 

Click here for more information about our open workshops

 

 

 

 

Frequently Asked Questions

Download FAQ pdf document

 

What is Bridges?

Bridges aims to provide stroke survivors with the opportunity to develop their self-management skills via an individualised programme delivered by trained practitioners based on self-efficacy research.

Please click here to access the 'About Bridges' page for more information about what Bridges is. 

Why is a self-management programme needed?

Stroke is the most complex and prevalent disability in the UK affecting over 130,000 people in England and Wales alone.  In the UK, stoke costs £4.2 billion in terms of lost productivity, disability and informal care costs.

National Stroke Strategy

The National Stroke Strategy (2007) recommends that a range of programmes to support self-management skills after stroke are needed, to reduce long term care costs. Please click on the link below to access the National Stroke Strategy 2007:

Supporting people with long-term conditions to self-care

The Department of Health, in the document ‘Supporting people with Long-term conditions to self-care: a guide to developing local strategies and good practice’ (2006), underline the need for new approaches based on an increasing body of evidence, to enable people with long-term conditions to self-care , and live as normal life as possible. Please click on the link below to access this publication:

Systematic reviews of the experiences of living with stroke reveal a complexity of problems faced by people in the longer term, including social isolation and mood disorders. It is often reported that many stroke survivors feel abandoned and ill prepared for coping with life after discharge from regular therapy.

Life after stroke commissioning guide

The London  “Life after stroke commissioning guide” and other guidance suggests that stroke survivors should be offered training in self-management, goal-setting and problem solving, and featured the Bridges programme as a case study

How has Bridges been developed?

Please click here to access 'The History' page to find out about how the Bridges programme was developed

Can Bridges be used with all stroke survivors?

Bridges has been tested in research including participants between 4-72 weeks post stroke. But in the research to date Bridges has been tested as a one-to-one programme in a community setting.

However focus groups with practitioners when the programme was first developed, show that Bridges has also been introduced in the acute stroke setting and at different stages of the stroke pathway, but professionals believe this will depend for the most part on the readiness of the individual stroke survivor.

We anticipate that Bridges can be used as early as 2-3 weeks post stroke, and there is no limit to how long post stroke.  Many of the stories/cases in the workbook are from people who are many years post stroke. Participants in both studies had different levels of disability and were at various stages in their recovery and rehabilitation post stroke.

We recognise that more research is required to evaluate some of the barriers and enablers to implementing the programme in different settings and at different time points post stroke.

In 2008 a phase 1 randomised controlled trial commenced in Northern Ireland, with the results of this study providing more information about feasibility, acceptability and timing of Bridges. The study recruited patients who were more than 4 weeks post stroke. Analysis demonstrated a positive reaction to the programme, for using the stroke workbook to support self-management.

To access more details about the trial, including results, please click here.

Where have the workshops been held?

Since the first workshops in London and Dundee in 2008, team workshops have been delivered all over the UK. A total of 55 workshops have been delivered, with more than 900 clinicians (therapists, nurses, doctors, social workers and support workers) receiving the two-stage workshop. For more information about where the workshops have been held, please click here.

We have summaries of all the evaluation forms from workshops available on request. We also have details of teams who have participated in workshops and are able to provide feedback on using the programme.

Case reflections prepared by attendees for the follow up workshops, have been analysed and used to inform the development of the training and redesign of the stroke workbook.

For more information about a recent study analysing participants' case reflections, please click here.

What do stroke survivors think?

To see what stroke survivors think of Bridges, please click here.

What do practitioners think?

To see what practitioners think of Bridges, please click here.

Who are the Bridges training workshops for?

Bridges workshops are aimed at all stroke professionals including, but not limited to:

 


The majority of our workshops will be team workshops, delivered to members of the same stroke team or pathway. However, we do hold open workshops based at St George’s, University of London for individual practitioners who are unable to host their own workshop.

For information about booking a team workshop, or booking a place on the next Bridges open workshop, please click here.

What does the Bridges training programme provide?

Bridges delivers self-management training for practitioners working in stroke rehabilitation to encourage stroke survivors to take control of their daily lives. 

There are 2 main components to the Bridges programme:

1. Workshops and Support for stroke practitioners to enable the learning of effective skills, theory and research relevant to stroke self-management, allowing the use of the Bridges approach via a series of one to one self-management sessions with the stroke survivor.

Please click here for more in depth information about Bridges workshops. 

2. The provision of personalised, interactive, stroke workbooks given to practitioners to work with the stroke survivor to support their self-management.  The stroke workbook includes individual stories and strategies suggested by stroke survivors, together with a diary section to record personal targets and successes.

Please click here for more in depth information about the Bridges stroke workbook.

How much does a Bridges workshop cost?

Team Workshop (excl VAT):

Costs include 5 copies of the Stroke Workbook, 5 copies of the Carers Handbook and one resource pack per participant, access to our web-based interactive discussion forum and email support.

The above costs do not include travel (to/from London) and overnight accommodation (if necessary) for one Bridges trainer, venue hire or catering costs, or postage and packaging of workshop resources. These costs will also need to be met by the workshop host(s). 

All costs are introductory costs for NHS employees.

Individual cost (for open workshops only and Excluding VAT):

Includes the initial workshop and the follow up workshop, as well as an extensive Bridges resource pack, 5 copies of the Stroke Workbook, 5 copies of the Friends and Family Booklet, and support for implementation.

Lunch and refreshments will be provided at both workshops.

Do I need to purchase ongoing supplies of the stroke workbook?  And what would the costs be?

The cost of the Bridges workshops includes 5 copies of the Bridges workbook and friends and family booklet per participant.

 

Stroke workbook and friends and family booklet standard costs (Prices exclude VAT at 0% and delivery costs)

Number of books

Stroke workbook

Carer’s Booklet

Combined

Up to 50

£12.50

£2.50

£14.00

50 or more

£11.50

£2.00

£12.50

100 or more

£10.00

£1.50

£11.00

 

For teams/participants who have been on Bridges training

We anticipate that additional copies will be needed by some teams/practitioners and extra copies can be purchased as required. We are very keen to support teams to sustain the Bridges approach in practice and understand that the cost of purchasing additional workbooks can be a challenge. To support teams with this we are offering significantly discounted prices.

 

Stroke workbook and friends and family booklet costs for teams/practitioners who have attended a Bridges workshop (prices exclude VAT at 0% and delivery costs):

Number of books

Stroke workbook

Carer’s Booklet

Combined

Up to 50

£11.00

£2.00

£12.00

50 or more

£9.50

£1.50

£10.00

100 or more

£7.50

£1.00

£8.00

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