Reviewed on : 6 Aug 2020

Reviewed by : Gateway Editorial Committee

Expires : 6 Aug 2022

Referrals

Referrals for TIA should only be made by email if appointments are available within 24 hours

Otherwise Coventry & Rugby CCG advises same day urgent assessment via MDU or A&E

Coventry & Rugby CCG: referrals via the E-Referral Service

South Warwickshire CCG GP: email uhcw.appointments@nhs.net

North Warwickshire CCG GP:  email Geh.tia.referrals@nhs.net

Assessment of Stroke & TIA

Stroke

If suspected arrange 999 hospital admission.

The para-medics will alert the Emergency Department at UHCW, then the stroke team will be available to treat the patient on arrival.

F is for Facial weakness (can the person smile? has their mouth or eye drooped?)

A is for Arm weakness (can the person raise both arms?)

S is for Speech problems (can the person speak clearly and understand what you say?)

T is for Time to call 999 (stroke is a medical emergency)

Transient Ischaemic Attack

Refer to Medical Decisions Unit or A&E

It is no longer advised by NICE to use the ABCD2 score

Please make special note of the advice about driving and starting aspirin.

This is good practice and should be recorded in the case notes as well.

If the history is old or symptoms are vague then a referral to Gerontology or Neurology could be made via the Referral Support Service for a second opinion