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Our project will test new methods of decontaminating airway devices onsite so that they can be re-used safely whilst reducing the carbon cost significantly. These new methods will use ultraviolet radiation or a chemical, hydrogen peroxide, to destroy germs which may still be on the device after washing with water. To make sure these methods are safe for patients we will test how well the devices are cleaned using a specialist method to test for the presence of germs in very low numbers.

This new point of care reprocessing method involves a manual cleaning step, using reusable microfibre cloths in combination with hypochlorous acid, followed by an automated cycle in a UV-C decontamination chamber known as ‘Whitebox’. This chamber uses new generation LED technology and is the first of its type to achieve compliance to BS8628:2022. Compliance to this standard was verified in a UKAS accredited laboratory as the first stage of the evidence process.

The National Clinical Guideline for Stroke was recently updated to recommend a minimum of 3 hours of therapy 5 days per week. Last year's national stroke audit found that patients received on average 22.5 minutes of therapy daily. Rewire aims to address this deficit with a dynamic exercise programme, generated following a brief video-guided assessment. The app also tracks mood, fatigue and pain to address the psychological component of stroke.