Marisa Rose Acute Stroke Lead NEL Cardiac and stroke networkMarisa.rose@bdpct.nhs.uk

Sue Winnall Head Occupational therapist – Rehabilitation Mile End HospitalSue.winnall@thpct.nhs.uk

Key components of organised stroke care: Coordinated multidisciplinary team care;

Staff with special interest & skills in stroke;

Routine involvement of carers and; Continued education and training programs

▪ The Stroke Unit Trialists’ Collaboration (2007)

Imagine again you are the person in the hospital that has just had a stroke..

Key aspects Seamless serviceStaffingEducation & trainingPatient involvement and information Outcome measurement

SpecialismProfessionsLines of reporting RotationsCapacityCollaborative working MDT

InductionStroke specific trainingSpecialist staff Joint sessionsProfession specific trainingRehabilitation philosophy

Family meetingsWeekly information sessions Joint goal settingStroke specific informationKey worker

WhenHow WhatWhy

Unable to catch the bus Cant read a bedtime

story to the kids Cant work the computer Difficulty paying

electricity bills Difficulty using mobile

phone Not back to work

Able to do the shopping at ASDA

Able to take kids to school on the bus once a week

Back at part time employment

Barthel Index score 20

Modified Rankin score 2

Value for money? Quality? Measuring stroke services and outcomes

is challenging! Process and clinical measures Goal achievement is a key indicator of

quality stroke service Patient involvement

Quality stroke services can be achieved

Communication, team working and patient/care involvement are key

Measurement is essential but based on the purpose of the service