1000 Lives + Stroke Programme Area

1000 Lives Plus
NHS Wales has been improving the quality of patient care and reducing avoidable harm through its innovative 1000 Lives Plus national programme.
As part of this programme, evidence based patient-level performance targets have been developed for acute, TIA, and early rehabilitation stages of the pathway. These ‘intelligent targets’ are now part of the performance framework for NHS Wales through its Annual Quality Framework, and supported through the central Delivery and Support Unit. In addition to these particular parts of the patient journey, NHS Wales continues to develop intelligent targets for ‘life-after-stroke'. 

Specialist stroke services are being organised and provided in such a way that anyone who has a stroke should receive evidence-based care within the appropriate time frame wherever or whenever they have their stroke.

The programme has adopted a “Care Bundle” approach to facilitate this.
 
You can find more information below:

Improving the Reliability of Acute Stroke Care

There are four main areas in early stroke management that have been demonstrated to reduce mortality and improve functional outcomes following stroke.
They are:
  • Rapid recognition of symptoms and diagnosis
  • Emergency treatment for people with stroke
  • Specialist care for people with acute stroke - early mobilisation
  • Specialist care for people with acute stroke - patient-centred and goal-orientated care
The aim of this programme is to improve the reliability of care provided to people who have had a stroke. Specialist stroke services should be organised and provided in such a way that anyone who has a stroke should receive evidence based care within the appropriate time frame wherever or whenever they have their stroke.
 
You can find out more in:

Improving Early Rehabilitation

The aim of the guide below is to support clinicians and health care professionals make improvements in the reliability of integrated early rehabilitation for patients and carers following stroke.

The Stroke Rehabilitation Evidence-Based Review (SREBR) reviews techniques, therapies, devices, procedures and medications associated with stroke rehabilitation.

 

Improving the Reliability of TIA Services

The aim of the guide below is to support local teams of healthcare professionals make improvements in the reliability of integrated care for the management of individuals who present with a TIA.

The Evidence Base

The Health in Wales Stroke Services Improvement databases contains links to resources including those from the Scottish Intercollegiate Guidelines Network (SIGN), National Institute for Health and Clinical Excellence (NICE), NHS Improvement and the Department of Health.

Organisations Story Boards

The 1000 Lives Plus Programme hosted a National Learning Event on Friday 10 June 2011. Included in the Event page and below are Story Board presentations from NHS Wales organisations detailing progress to date, the challenges and next steps relating to Stroke. 
Scroll down to Pages 46 - 51 for Acute Stroke Care Pathway, compliance with Stroke Care Bundles,and Stroke Length of Stay reports.
Pages 43-46 detail Acute Stroke care data, Acute Stroke Achievements along with those for Transient Ischaemic Attack and Stroke Rehabilitation.
Pages 16 - 18 report compliance with Stroke Care Bundles.
Pages 25 - 26 report progress with Acute Stroke Care and FAST compliance - Patient Care Records