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5 Acute Trusts - 6 Primary Care Trusts – Ambulance Trust – 4 Local Authorities

“ United We Stand, Divided We Fall” Aesop Meeting the Challenge of Improving Stroke Services Sally Chisholm Network Director 5 Acute Trusts - 6 Primary Care Trusts – Ambulance Trust – 4 Local Authorities What is a Network? “A linked group of health and social care staff and

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5 Acute Trusts - 6 Primary Care Trusts – Ambulance Trust – 4 Local Authorities

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  1. “United We Stand, Divided We Fall”AesopMeeting the Challenge of Improving Stroke ServicesSally ChisholmNetwork Director 5 Acute Trusts - 6 Primary Care Trusts – Ambulance Trust – 4 Local Authorities

  2. What is a Network? “A linked group of health and social care staff and organisations from social, primary, secondary and tertiary care working together to make sure that high quality effective services are fairly distributed”.

  3. What does the Stroke Strategy say about Networks? Establish Networks covering populations of 0.5 to 2 million people to review and organise delivery of stroke services across the care pathway Have structures in place which ensure a focus on quality of services and continuous service improvement, across all the organisations in the pathway. Grow a workforce that enables all people with stroke, and at risk of stroke, to receive care from staff with appropriate level of knowledge, skills and experience.

  4. Where Did this Network Come From and Who Belongs to it? Coronary Heart Disease Collaborative (2000) evolved into Cardiac Networks Stroke Strategy suggested capitalising upon experience of Cardiac Networks so in early 2008 became Cardiac and Stroke Networks in Lancashire and Cumbria 5 Acute Trusts (10 sites) 6 PCTs 4 Local Authorities 1 Ambulance Trust Stroke Survivors and Carers You do!

  5. Why have a Network and What Skills Can the Team Offer? “If everyone is moving forward together, then success takes care of itself” Henry Ford Define and develop clinical pathways and guidelines Work across organisations in a non partisan manner Ability to compare and benchmark Experience of audit to measure and inform change Resource available to advise, support and assist

  6. Why have a Network and What Skills Can the Team Offer Cont? Links to the National Stroke Improvement Team Track record of supporting service redesign and improvement Support World Class Commissioning Sharing Good Practice and Innovation when we find it “Don’t Find Fault, find a Remedy”. Henry Ford

  7. Who is Who and How is it all Joined Up? Network Chair – Joe Rafferty Clinical Leads – Paul Davies & Mark O’Donnell Board Membership, 1 per organisation & Stroke Association.

  8. How is this Funded and What is the Money Being Used For? Core Historical Budget directly from the Dept of Health funded Cardiac Network – 50K extra for infrastructure (clinical leads, accommodation, new staff) 2008/09. 130K from the Department of Health through Strategic Health Authority. (Training, practice development post and support for data collection). 17K Small Projects Fund

  9. The First 12 Months – An Update “Before everything else, getting ready is the secret of success” Henry Ford Stroke Advisory Group established and Work Programme written Network Board established and meeting quarterly Network Team recruitment complete Growing links with new organisations – Local Authorities, Stroke Association, Local Stroke Groups Team working across the whole of Lancashire and Cumbria

  10. The First 12 Months – Some Successes! “Nothing is particularly hard if you divide it into small jobs” Henry Ford Thrombolysis Guidelines developed and approved Sharing of ideas and solutions e.g. TIA models event Social Care membership of working groups established Training Programme starting to be delivered Supporting Trusts to redesign care pathways

  11. The Next 12 Months – The Plan “Obstacles are those frightful things you see when you take your eyes off your goal” Henry Ford

  12. The Next 12 Months – The Plan Prevention and awareness Developing links with voluntary groups Acute Stroke Unit development Stroke Ward Managers Group Developing further AHP Network groups Telestroke Rehabilitation Peer Review North West Stroke Register

  13. The Next 12 Months – The Plan for Education and Training • NW Stroke Training Advisory Group • Network Practice Development Nurse • Speech and Language Therapy - video fluoroscopy, swallow assessment • Bobath training for Cumbrian physios • Stroke Association training • Connect training • University courses

  14. NHS Improvement Programme Works with networks and NHS organisations to transform, deliver and sustain improvements across the entire pathway of stroke services. www.improvement.nhs.uk

  15. And When the Going Gets Tough – Remember“Coming together is a beginning, staying together is progress and working together is success” Henry Ford

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