To ask the Scottish Executive what steps it is taking to ensure that patients receive a routine vision assessment following a stroke or traumatic brain injury.
SIGN Guideline 108, on the management of patients with stroke or TIA: assessment, investigation, immediate management and secondary prevention, published on 16 December 2008 deals with the early management of stroke or TIA, and focuses on aspects of immediate management, such as early assessment and imaging, thrombolysis and access to a stroke unit. It includes guidance on vision assessment immediately after stroke. NHS Quality Improvement Scotland is currently consulting on bringing its clinical standards for stroke services into line with SIGN guideline 108.
We are also in the process of revising our CHD and stroke strategy, and received a number of consultation comments dealing with sensory impairments. There has been a particular emphasis on all aspects of rehabilitation following stroke, and the services people need to support them through the process of recovery once they are back in the community. We are considering how best to reflect these concerns in the revised strategy, which is due for publication in early this year.
SIGN Guideline 64, on stroke rehabilitation, prevention and management of complications, and discharge planning, is being updated and is due to be published in November 2009. Guidance on vision rehabilitation is expected to be included and the evidence is currently being considered by the guideline development group.
The revision of SIGN Guideline 46, on the early management of head injury, which is expected to be published in May 2009, does not include guidance on vision rehabilitation. A proposal for a SIGN guideline on rehabilitation after head injury has been accepted, but SIGN has not allocated a start date yet.