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Maes y Rhaglen: Gofal Strôc

Programme Area: Stroke Care

 
Overview: Improving stroke services will reduce the number of people who have a stroke, reduce the morbidity following a stroke and facilitate quicker functional recovery and discharge home.
 
This programme area is the second year of stroke services improvement work, which builds on the improvements achieved in acute stroke services as part of the All Wales Stroke Services Improvement Collaborative (AWSSIC) in 2008/09.
 
The workstreams of the stroke programme focus on:
  • Better care for patients who have had a stroke,
  • Early rehabilitation following stroke,
  • and improving TIA services
Care bundles are being implemented across these three workstreams.

Improving the Reliability of Acute Stroke Care

To support teams delivering Acute Stroke Services around Wales to implement changes in four areas, that can produce measurable improvement in outcome following stroke.

Improving Early Rehabilitation

To support clinicians and healthcare professionals to make improvements in the reliability of integrated early rehabilitation for patients and carers following stroke.
 

Improving Reliability of TIA Services 

To support local teams of healthcare professionals to make improvements in the reliability of integrated care for the management of individuals who present with a TIA.
 
 
Programme Manager: Michelle Graham
Michelle is a Clinical Nurse Specialist in Stroke and has worked in this field for 15 years across Primary and Secondary care in England and Wales. She has a BSc (1st class Hons) in Specialist nursing and a post graduate diploma in Health Sciences. She completed the Kings Fund Stroke Leadership course in 2008 and currently chairs the Welsh Stroke Nurse Alliance.

Acute Stroke in NHS Wales – the next phase

Acute services for stroke patients in Wales are continuing to improve through the on-going monitoring, and monthly reporting, of the peer-reviewed bundles of clinical interventions. In June 2010 all hospitals providing acute stroke services reported centrally to the Delivery and Support Unit (DSU) for the first time, in preparation for monthly reporting against the AOF requirements from September 2010.
 
Newly appointed Performance Improvement Manager at the DSU, Andrew Jones, said “This is a big step for stroke in Wales. Organisations will be able to learn from each others monthly performance at a national level, and drive up the consistency of stroke care provided. DSU will now be involved in this on-going process as part of the next phase of stroke improvements.”
 
As this new national reporting becomes established in line for September 2010, Anne Freeman, clinical lead for stroke, asks organisations to review their local governance arrangements. “This data is known as ‘intelligent data’ for a reason. It provides LHBs with information at a patient level. It’s data that should be reviewed locally, with decisions made about where and how to improve these clinical interventions.”
 
For more information, please contact: Andrew Jones (andrew.jones@wales.nhs.uk) or Anne Freeman (anne.freeman@wales.nhs.uk)
 
 
1000 Lives Plus resources
Video: Improving Stroke Services (Aneurin Bevan Health Board) - video from Learning Session 1, November 2010
 
Three videos were produced in March 2011 to show the improvements made in stroke care around Wales. These were filmed in locations around Wales:
  Bronglais Hospital, Aberystwyth 
 
 
Other helpful resources
 
NHS Improvement also issues a bi-weekly e-newsletter for anyone working with, or interested in, stroke and TIA issues and services. To receive the bulletin, please email anne.coleman@improvement.nhs.uk to request it.

For further information on Acute stroke: Acute Stroke: How To Guide (NHS Wales) or Going Up a Gear: Practical Steps (NHS England)
 
These external links are provided for information. Please be aware that 1000 Lives Plus is not responsible for the content of websites or resources published by other organisations.
 
Contact
To contact someone about this programme area, email 1000 Lives Plus
 
 
 


Last updated: 22/08/2011