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Bridges through the stroke pathway The Bridges Kingston Project

Bridges through the stroke pathway The Bridges Kingston Project. Nicki Bailey Project Coordinator – Bridges Kingston Project. What is Bridges? A quick reminder…. The Bridges Kingston Project. South-West London Academic Health and Social Care System

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Bridges through the stroke pathway The Bridges Kingston Project

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  1. Bridges through the stroke pathwayThe Bridges Kingston Project Nicki Bailey Project Coordinator – Bridges Kingston Project

  2. What is Bridges? A quick reminder…

  3. The Bridges Kingston Project South-West London Academic Health and Social Care System Pilot: First time social care practitioners included Training members of different teams in mixed workshops Objectives: • Enable greater focus on promoting self-management throughout the stroke pathway • Improve continuity of care for stroke survivors in Kingston • Improve knowledge sharing and cross team working between teams on Kingston stroke pathway Conduct an evaluation of the project

  4. HASU St Georges (20 beds) Community Resources RBK Social work input/ care package/ individual budget STROKE UNIT Kingston Hospital (20 beds) In-patient Rehabeg Cedars Unit, QMH Input from RBK Stroke Co- coordinator Home with Community Rehab: ICT, Richmond CNRT Input from voluntary organisations and/ private organisations Home with no support required Context Mapping & Preparations Project steering group Interviews with teams • Role of service • Current goal-setting practices • Approaches to self-management • Cross-team working within pathway Adaptations to training • Kingston pathway specific • ‘Pathway’ exercise Awareness raising of the project

  5. The Kingston Stroke Pathway

  6. Who participated? 54 participants completed intro & follow up Mix of teams and professions BUT social care restructure Executive session for GPs and managers

  7. Results: Change in Practice Overall change in beliefs and attitude towards self-management 53% thought their practice had changed 28% used workbook • “It’s like a refresher. It reminds us about giving people hope, listening to people’s goals” • “I think it’s ended up this new thing, rather than just chatting to patients about goals, actually putting it down to make it a more visual tool”

  8. Results: Barriers to using Bridges 55% experienced barriers to using Bridges. The top 4 :

  9. Results: Cross team training 99% said workshops enabled meeting people from other teams 19% felt team better connected (49% not sure) • “I think it’s that connection having met them – oh yeah, you were on the training – on the telephone I just feel there is more of a connection there now” • “It’s actually opened my eyes a bit to the pathway and how it all links together” • HOWEVER • “It was interesting to meet people from other teams. But I don’t think there’ll be a lasting link.”

  10. Results: Bridges within the stroke pathway 78% thought could be used successfully throughout pathway Potential to improve continuity of care for patients in 3 ways:

  11. Results: Is Bridges relevant to social work? Bridges seen as “a good fit” with social work practice because:

  12. What’s next? Investigating sustainability ‘Based on Bridges’ – not just stroke Study continuity of care from stroke survivor’s point of view

  13. Any Questions? Visit: http://bridges-stroke.org.uk Email me: n.bailey@sgul.kingston.ac.uk

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