Table 1 Summary of CSNAT-Stroke intervention

Introduction

Carers identified and assured that support is available

Point of referral to service; ≈ 5 min duration

Telephone or face-to-face (inpatient settings or home), depending on referral

Carers consider needs

CSNAT-Stroke needs assessment tool introduced. Carers encouraged to take independent time to consider and complete, indicating domains in which they need more support

At the point of contact; ≈ 5 min duration

Face-to-face (may be sent by post for follow-ups)

Assessment conversation

Using the CSNAT-Stroke tool as a ‘conversation ramp’, carers supported to prioritise the domains most important to them currently: to identify their individual needs within those domains and the type of supportive input they would find helpful. Support may be directly delivered by practitioner at this time (e.g. reassurance and information) but family support, signposting or referral to other agencies may also be included

During support contact. Duration dictated by time available; ≈ minimum 10 min, with ‘set up’ regarding time available to manage expectations

Typically face-to-face but possible by phone for follow-up contact

Shared action and review plan

Actions to address needs are recorded on a paper tool and, if appropriate, a plan is agreed regarding review / update on actions carried out

Following assessment conversation

Carers given hard copy action plan. Staff records in service database