improving quality and efficiency: hyper acute stroke services
TRANSCRIPT
Improving Quality and Efficiency: Hyper Acute Stroke Services
Jaimie Shepherd – Stroke Pathway Clinical Manager DBTH
Gemma Hayden – Team Leader Rotherham Stroke Rehabilitation Team RFT
2014
•Stage 1: Understanding the current state of HASU services
2015 •End of Stage 1 Report: Case for Change
2016
•Stage 2: Yorkshire & the Humber ‘Blueprint’ for Hyper Acute Stroke Services considered by clinical senate
•Stage 3: Options Appraisal – Preferred Option: Option 3c
•Public Consultation commenced
•Stroke Steering Group and Working Group
2017
•Joint Committee of Clinical Commissioning Groups – consideration of plan and results from public
consultation
•Continuation of regional Steering and Working Group s
•Decision Making Business Case November 2017
Quality Resilience
Sustainability Demand
3 Hyper Acute Stroke Units providing the first 72 hours of care:
◦ Sheffield ◦ Doncaster ◦ Chesterfield
Continue to provide ASU care and rehabilitation beyond 72 hours locally: ◦ Sheffield ◦ Doncaster ◦ Chesterfield ◦ Rotherham ◦ Barnsley
Steering
Group
Quality &
Workforce
Mimics and
Repatriation
IT Finance
Rehabilitation
Diverse
Acute, rehabilitation
and community
experience
Range of professionals
Proactive
Positive
Problem solving and
solution focused
Set aside individual and
local agendas
Patient Focused
Best pathway and
approach for patients
Patient and family
engagement
Key priorities
Shared purpose
and patient
involvement
Clear objectives
and outcomes
Learning from
best practice from
outside the region
e.g. Greater
Manchester
pathway
Successful
Outcomes
To develop a seamless, patient centred and time critical stroke rehabilitation pathway for all South Yorkshire Stroke Patients from arrival on the Hyper Acute Stroke Unit to discharge.
To foster a collaborative, regional approach to rehabilitation that transcends organisational and geographical boundaries.
To ensure that patients and their families receive high quality care based on best practice which meets their health and social care needs.
To ensure that care is delivered using a specialist, integrated approach at the right time and in the right place resulting in the achievement of person centred goals.
To ensure that patients and their families are supported to rebuild their lives and adjust to living with stroke as independently as they can.
Transfer of
care
Standardisation
E.g. assessment
tools
Enhanced
understanding
of challenges
ahead
Directory of
Services
Competency
Frameworks
Workforce
Review
Workforce
Strategy
Benchmarking
against RCP
Guidelines
Regional
Patient
Information
Joint posts and
rotation of staff
Regional
Documentation
Regional
Forum for
training and
service
development
Regional policies
Sharing
Collaboration and co
production
Partnership working
Celebrating and
valuing diversity
Standardising
Best Practice and
learning from each
other
Collaboration
Increasing Quality to
benefit patients
Working
Together
Breaking down
barriers
Building relationships
and networking
Sharing Goals and
aspirations
https://www.youtube.com/watch?v=NdIf9s3b2AU
Name Profession / Title Organisation
Jane Barton Clinical Psychologist STH
Sarah Basu –OT, RFT Occupational Therapist RFT
Claire Concannon Physiotherapist & Clinical Service Manager – Neurology STH
Joanne Condon Physiotherapist STH
Jaqui Crossley Head of Clinical Effectiveness YAS
Jane Douthwaite Physiotherapist & Team leader NHFT
Shirley Fearn Ward Sister, HASU DBTH
Jackie Gelder Physiotherapist & Team leader RDASH
Lindsay Haigh Therapy Clinical Lead: Stroke & Neurorehabilitation RFT
Gemma Hayden Speech and Language Therapist & Team Leader RFT
Caroline Haw Speech and Language Therapist STH
Jenny Hides Speech and Language Therapist & Team Leader DBTH
Dr Augustin Iqbal Stroke Consultant SWYT
Amanda Jones Stroke Clinical lead & Stroke Nurse Consultant STH
Angela Keeney Stroke Nurse Consultant SWYT
Jaimie Shepherd Physiotherapist & Stroke Pathway Clinical Manager DBTH
Sophie Smith Dietitian DBTH
Alice Waweru Matron DBTH
Any Questions?