Slide 1

All Wales Stroke Services Improvement CollaborativeAll Wales Stroke Services Improvement Collaborative

Dr Tom HughesDr Tom Hughes

Consultant NeurologistConsultant NeurologistCardiff and Vale NHS TrustCardiff and Vale NHS Trust

Update on Stroke in Wales

Slide 2

All Wales Stroke Services Improvement CollaborativeAll Wales Stroke Services Improvement Collaborative

RCP AuditRCP Audit

Remember the stories bit?

Slide 3

All Wales Stroke Services Improvement CollaborativeAll Wales Stroke Services Improvement Collaborative

Five key characteristics chosen from the Five key characteristics chosen from the Stroke Unit Trialists' Collaboration (SUTC) Stroke Unit Trialists' Collaboration (SUTC)

are:are:• Consultant physician with responsibility for stroke

• Formal links with patient and carer organisations

• Multidisciplinary meetings at least weekly to plan patient care

• Provision of information to patients about stroke

• Continuing education programmes for staff

Slide 4

All Wales Stroke Services Improvement CollaborativeAll Wales Stroke Services Improvement Collaborative

5 Acute Criteria of acute and 5 Acute Criteria of acute and combined stroke units:combined stroke units:

These criteria are not all evidence based but were developed using the consensus of an expert working group – the Intercollegiate Stroke Working Party:

• Continuous physiological monitoring (ECG, oximetry, blood pressure)

• Access to scanning within 3 hours of admission

• Direct admission from A&E/front door• Specialist ward rounds at least 5 times a

week• Acute stroke protocols/guidelines

Slide 5

All Wales Stroke Services Improvement CollaborativeAll Wales Stroke Services Improvement Collaborative

Total organisational score 2009

1009080706050403020100

East Midlands

East of England

London

North East

North West

South Central

South East Coast

South West

West Midlands

Yorkshire and The Humber

Wales

Northern Ireland

Slide 6

All Wales Stroke Services Improvement CollaborativeAll Wales Stroke Services Improvement Collaborative

Total organisational score 2008

1009080706050403020100

To

tal o

rga

nis

ati

on

al sc

ore

20

09

100

90

80

70

60

50

40

30

20

10

0

Northern IrelandWalesEngland

Slide 7

All Wales Stroke Services Improvement CollaborativeAll Wales Stroke Services Improvement Collaborative

Numbers are leversNumbers are levers

• Good data is valuable• It tells stories without then need for

many words• It should become part of routine

practice

Thank You