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UCL Queen Square Institute of Neurology

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N-ROL: Frequently Asked Questions

** Please note N-ROL@QS has now finished but N-ROL version-2 has moved to East Lancashire! ** Here are answers to some of the questions we were often asked.

Who is N-ROL for?

N-ROL was set up for patients with stroke or other brain injuries who were recently discharged (< 6 months) from hospital in Greater London. Recently discharged patients from other areas were also considered depending on capacity

Making a referral

Our local community services have the referral forms. If you would like us to send you a referral form (they are quite brief!) then please email us on uclh.nhnn.nrol@nhs.net and we will send you one.

What is N-ROL?

Neurorehabilitation Online (N-ROL) is a free NHS online group service delivered by the National Hospital for Neurology and Neurosurgery, Queen Square. It has been set up to provide on line GROUP rehabilitation to stroke survivors and people post brain injury in addition to what they are currently getting in the community. We are currently using Zoom as our online platform with UCLH Trust approval.

What if people are worried about using an online video platform?

At the moment, N-ROL uses the Zoom platform. N-ROL will initially complete a 1:1 test Zoom call when initial outcome measures will be completed. This will enable the team to ensure all participants are happy with using Zoom technology prior to going live with the therapy groups. If the participants require further support a 1:1 tech support session can be booked so the participants can be supported getting online.

What about people with NO computers, smartphones or tablets?

We are very interested in finding out about these people so we have an idea of numbers, as we are developing a strategy for helping these people access hardware.

How long does N-ROL last?

Each group has a different rolling program of content and the physical groups allow participants to stay in longer. Therefore, there is no definitive answer to this question. However, we will be sure to feedback to referrers about participants’ engagement and progress in a timely manner. We will inform referrers when people are being discharged.

Managing risk to participants in their own homes?

We ask referrers to inform us if a patient lives alone and any information in regard to emergency contacts, emergency access arrangements and if a patient uses a pendant alarm. In addition, at our first contact call we will confirm home support and emergency contacts on our electronic notes system. This information will then be available to the hosting therapists. If a single therapist is delivering content alone we ensure a tech support person is available throughout session so if emergency services are required there is support to do this whilst the therapist manages the other participants and ends the sessions

Allocating patients to different groups

Information provided on the referrals will initially be used to allocate patients to groups. In addition, individual groups will have an ongoing screening process to ensure participants are placed in the correct groups for their level of ability and to maximise group interaction and engagement.