What is the Stroke Improvement Programme?

January 6, 2018 | Author: Anonymous | Category: Science, Health Science, Oncology
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The changing face of stroke care – fast forward

Stroke developments… Ian Golton Director NHS Stroke Improvement Programme

What is the Stroke Improvement Programme? • “To support local networks the Department of Health is establishing a central team within the NHS … The main task of this team will be to ensure that specific support is available to develop stroke networks “ (National Stroke Strategy, p58)

• Part of NHS Improvement, also supporting networks in cardiac and lung care, and working with cancer networks • Based on 8 years experience improving heart disease services • Work closely with the Department of Health and key national organisations • Our job: support the development of Stroke Care Networks and implementation of the Stroke Strategy

Clinical Microsystems

Layers of the onion: the ‘systems within systems’ that work together to provide care for patients Selfcare

National, policy, legislation, evidence

Macroorganisation

Individual care-giver & patient

Clinical Microsystem

National, policy, legislation, evidence

“ …there is uncertainty everywhere, and every meeting includes conversations of ‘no money’ and how can savings be made” “I’ve never experienced so much turmoil - it feels on the coal face that we are waiting for some disaster to happen” Stroke Specialist Nurse with over 20 years NHS experience

http://www.nice.org.uk/aboutnice/cof/ConsultationOnCOFIndicators.jsp

“In stroke, the best care is also the most costeffective care…” Professor Sir Roger Boyle, Former National Director for Heart Disease & Stroke

Performance Data • 1090 bed days saved • Reduction of inpatient stroke beds from 56 to 34 • Maintenance of inpatient performance within reduced bed base • Stroke service LOS reduced – 21 days to 12 days

Macroorganisation

Ossie Newell MBE Founder of @astroke www.atastroke.org.uk

Layers of the onion: the ‘systems within systems’ that work together to provide care for patients

Clinical Microsystem

Run charts & control charts

Ladder of inference

PDSA cycles

Generative relationships

Variable 40 35

Ounces

30

Flow charts & deployment charts

25 20 15 10 5 0

S R

T A

Date

Workforce Development

Data & measures F C

S £

Clinical value compass

Global Aim Template Small groups

Task Force

Meeting skills & disciplines

 Team

Left-hand column

Crew

Fishbone diagrams

More top tips… • Get the wind behind you - alignment with policy, guidelines, strategic goals, organisation priorities etc. • Get (as much as possible) management support, up to and including chief executives • Be clear what you’re trying to do an why - there are only 3 reasons to change • Involve (as much as possible) the whole team • Test, test and test again before anything irrevocable or expensive is done • Gather data - meaningful, good quality, minimal - to show the effects and track progress • Use your patients as your guide and support

http://www.patientopinion.org.uk/

Individual care-giver & patient

Harry Clarke, Counsellor and Stroke Survivor

“Give time to listen. And a much undervalued word is kindness. Be kind…be kind to that person. Kindness doesn’t cost any money. Just be kind”

www.improvement.nhs.uk/stroke

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