Stroke and transient ischaemic attack (TIA) service

We have an 18-bedded stroke unit at Epsom Hospital and a 24-bedded unit at St Helier Hospital, providing acute and rehabilitation stroke care. 

Both units have two stroke physicians, a specialist nurse, dietitian and full therapy team (physiotherapy, occupational therapy and speech and language therapy). We also have access to clinical neuropsychology at both sites.

Patient care

Both stroke units benefit from daily consultant input, Monday to Friday, and weekly multidisciplinary team meetings to discuss each patient's progress and plan of care.

You will be provided with information regarding your type of stroke, risk factors, health and lifestyle advice, and details of any therapy or support that will be provided on discharge from hospital. Families are kept fully involved and informed (with patient consent).

Epsom Hospital

The stroke unit at Epsom Hospital delivers a thrombolysis service (clot busting treatment) for acute stroke 24 hours a day, seven days a week. The out of hours service is supported by a Surrey-wide telemedicine rota.

The acute stroke unit at Epsom Hospital admits all acute strokes and offers patients stroke thrombolysis if indicated. It is one of the top-performing units in the country.

The express transient ischaemic attack (TIA) clinic at Epsom Hospital is open seven days a week, and is hosted in the acute stroke unit.

St Helier Hospital

The stroke unit at St Helier Hospital is part of the London Strategic Clinical Network.

London has chosen to centralise hyperacute stroke services with all suspected stroke patients being taken directly to one of eight hyperacute units (HASU), usually St George's Hospital for our patients. Thrombolysis is available 24 hours a day there.

Patients are repatriated to St Helier within 72 hours of their admission to the HASU for ongoing acute care and rehabilitation.

Neurovascular clinics

Neurovascular clinics are available at both hospitals. Patients with a suspected high risk TIA (transient ischaemic attack or mini-stroke), ie those scoring four or more on the ABCD2 risk score, are investigated, assessed, and a plan of care established within 24 hours of referral. Patients with a lower risk score (scoring below 4) are seen in the TIA clinic within seven days of referral.

Patient forums

We have patient forums at both Epsom and St Helier hospitals and involve previous stroke patients in developing the stroke service further.

Education and training

We have a well-established in-house education programme for all staff working with stroke patients. Study days covering specific topics on the care of stroke patients are held jointly with Epsom and St Helier hospitals twice a year.

Key staff and contact details

St Helier Hospital

  • Dr Sohail Ansari - Stroke Consultant
  • Reena Dhami, Stroke Nurse Practitioner

Tel: 020 8296 2000 and bleep 917 for Reena Dhami, Stroke Clinical Nurse Specialist

Tel: 020 8296 2000 and bleep 440 for stroke registrar 

Epsom Hospital

  • Dr Puneet Kakar, Clinical Lead and Stroke Consultant
  • Dr Ratneshwari Jha, Stroke Consultant
  • Dr Janet Putterill, Stroke Consultant
  • Reena Dhami, Stroke Nurse Practitioner

Tel: 020 8296 2000 and bleep 971 for nurse practitioner
Tel: 01372 735735 and bleep 042 for stroke registrar 


Britten Ward, block L, Epsom Hospital

W Card, 3rd floor, C block, St Helier Hospital

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