Neuroscience at Nottingham
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Rebecca Fisher

Stroke Association Senior Lecturer, Faculty of Medicine & Health Sciences

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Biography

Rebecca is the Stroke Association HRH The Princess Margaret Senior Lecturer at the University of Nottingham. Rebecca's research is focused on the implementation of evidence based stroke care and evaluation of complex interventions in real world settings. Rebecca has a particular interest in community based rehabilitation services and the implementation of evidence based Early Supported Discharge.

Rebecca has a First class Neuroscience BSc degree and completed PhD and post doctoral research in Neurophysiology at the Institute of Neurology, University College London. Rebecca then spent three years working in Industry developing interests in the translation of scientific principles and understanding into real-world applications.

Expertise Summary

Keywords:

stroke rehabilitation, early supported discharge, service development, implementation, health services research

Research Summary

Dr Rebecca Fisher has nationally recognised expertise in the field of community stroke rehabilitation and on the topic of Early Supported Discharge. She has been leading change across the boundary… read more

Recent Publications

Implementation of Early Supported Discharge and Community Stroke Rehabilitation

Aim: To explore and evaluate what makes effective, evidence based community stroke rehabilitation services and facilitate sustained use of this knowledge in practice.

Research Outputs

Our research has provided clarity on the core components of evidence-based services, and has highlighted challenges faced in delivering rehabilitation in practice.

Knowledge Creation: International Early Supported Discharge (ESD) consensus document that defined core components of an evidence based ESD service and national consensus document on implementation of evidence based community stroke services.

Knowledge Use: Explored contextual factors associated with implementation of ESD based on perspectives of patients, carers, service provider and commissioners.

Implementation interventions: Designed and delivered interactive workshops focused on 'Eligibility for ESD' and 'Effective Data handling' to facilitate evidence based practice.

Evaluate outcomes: Demonstrated the effectiveness of evidence based ESD services in practice.

Impacts

By informing NHS England policy and guidelines, influencing national performance monitoring, developing service specifications, and training NHS staff, we have facilitated improvements in stroke care delivery.

Evidence based service specifications

In collaboration with NHS England an Integrated Community Stroke Service Specification has been developed to facilitate implementation of evidence based community stroke services.

https://www.england.nhs.uk/ourwork/clinical-policy/stroke/rehabilitation-pilot-sites/

Regional activities have included developing service specifications for the East Midlands

East Midlands Stroke Early Supported Discharge Service specification

East Midlands Community Stroke Rehabilitation Service specification

Quality Improvement

East Midlands Academic Health Science Network stroke programme (2014-2016) was conducted to drive and sustain evidence based improvements in community stroke care

For more information refer to publications list or email rebecca.fisher@nottingham.ac.uk

Current Research

Dr Rebecca Fisher has nationally recognised expertise in the field of community stroke rehabilitation and on the topic of Early Supported Discharge. She has been leading change across the boundary between research and practice, working strategically within the East Midlands Academic Health Science Network and national NIHR CLAHRC stroke group. Rebecca leads Implementation research designed to find ways to ensure the evidence base informs the procurement, content and delivery of healthcare.

Rebecca's expertise is in the implementation and evaluation of complex interventions in real world settings. Current research studies include a collaboration with the Royal College of Physicians' Sentinel Stroke National Audit Programme to investigate the effectiveness and sustainability of Early Supported Discharge services. It's vital that inequality in community based stroke service provision is addressed and that all stroke survivors receive the best evidence based care.

Rebecca led the Stroke Rehabilitation Programme within the East Midlands Academic Health Science Network (EMAHSN) - a partnership focusing on adoption and spread of innovation and best practice within the NHS. Rebecca works in close collaboration with Clinical Networks and clinical and local authority partners to promote the development and sustainability of evidence based community stroke services.

Rebecca currently supervises five PhD students and research investigating: provision of stroke care in rural settings, rehabilitation for severe stroke survivors, young carers of stroke survivors, commissioning of stroke services and unmet needs of the Malaysian stroke population.

Rebecca is also co-chair of the Nottingham Stroke Research Partnership group, a stroke survivor group that provides guidance and input to research studies at Nottingham.

Current research funding

What is the impact of large scale implementation of stroke Early Supported Discharge? WISE study NIHR HS & DR: £618,548.90 (2017-2020). RJ Fisher, M Walker, P Langhorne, T Robinson, S Lewis, J Waring, C Geue, A Hoffman, A Rudd

Implementation of Stroke Early Supported Discharge in Scotland. Chest, Heart and Stroke Scotland: £36,015 (2017). P Langhorne, RJ Fisher, T Quinn, M Walker, M MacGillivary, K Brennan, H Bryceland, MJ MacLeod.

Stroke Association HRH The Princess Margaret Senior Lectureship Award. Stroke Association: £405,289 (2016-2021). RJ Fisher.

Behavioural intervention for Stroke Carers. NIHR RfPB: £243,557 (2014-2017). MF Walker, RJ Fisher, S Thomas, O Newell, C Greensmith, C Cobley, N Sprigg

Links

Neuroscience at Nottingham

The University of Nottingham
Address line two
Nottingham, postcode


telephone: +44 (0) 115 XXX XXXX
email: research-group-email@nottingham.ac.uk