Stroke / Tia Pathway
WEXHAM PARK HOSPITAL ONLY

Abbreviations and Contacts

CSRUCardiac and Stroke Receiving Unit at Wycombe Hospital
SCASSouth Central Ambulance Service
SNODStroke Nurse on Duty
Tel: 07795 591295
SPOCStroke Physician On Call, Wycombe Hospital
Tel via Wycombe Switchboard on 01494 526161

Patient self-presents to ED

Triage

Inpatient Stroke or Ambulatory Care

Telephone Wycombe SNOD immediately, Tel: 07795 591295

Telephone guidance on need for one of the options below:

  1. Time critical transfer for Wycombe CSRU if thrombolysis candidate
  2. 2 hour response transfer
  3. Keep in WPH based on predominant clinical features

Additional Information

  • Patients need to be Risk Stratified using the ABCD2 Risk Score.

    • High Risk (score of 4 or more) patients will be referred to and managed by the Stoke Services run from Wycombe Hospital. We aim to see patients within 24 hours with full investigations.

      • Contact SNOD at High Wycombe if out of hours; otherwise, refer via email address on the TIA referral form.
    • Low Risk patients will be referred to and managed by the Stroke Services run from WPH. We aim to see patients within 7 days with full investigations.

      • Complete TIA referral form and email to the appropriate address.

      • Inform patient that the Stroke Team will be in touch.

  • The TIA Referral form, including the ABCD2 Risk Assessment Score and guidance on where to send referral forms, can be found on the Intranet. This includes full details of where and when to refer patients. Simply type “TIA” into the Forms search box on the intranet home page, it will take you to the Referral Form. Please ensure you use the ‘Buckshealthcare/Wexham Park Hospital’ form, and not the Frimley Park Hospital form

  • Services run from Wycombe Hospital are 24 hours a day, 7 days a week. Refer (by email and/or phone) any time.

  • For patients presenting to Wexham Park Hospital and who score as Low Risk, referral is by email (follow instructions on the form).

Version Control

Lead AuthorDr Derek Hilton, Consultant Physician (Stroke)
Latest Update30 May 2023
Review DateMay 2026
ApprovalStroke Clinical Governance, 19 April 2023 (Item 6.4)