“ United We Stand, Divided We Fall” Aesop Meeting the Challenge of Improving Stroke Services Sally Chisholm Network Director 5 Acute Trusts - 6 Primary Care Trusts – Ambulance Trust – 4 Local Authorities What is a Network? “A linked group of health and social care staff and
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“United We Stand, Divided We Fall”AesopMeeting the Challenge of Improving Stroke ServicesSally ChisholmNetwork Director
5 Acute Trusts - 6 Primary Care Trusts – Ambulance Trust – 4 Local Authorities
“A linked group of health and social care staff and
organisations from social, primary, secondary
and tertiary care working together to make sure that
high quality effective services are fairly distributed”.
say about Networks?
Establish Networks covering populations of
0.5 to 2 million people to review and organise
delivery of stroke services across the care pathway
Have structures in place which ensure a
focus on quality of services and continuous service improvement,
across all the organisations in the pathway.
Grow a workforce that enables all people with stroke,
and at risk of stroke, to receive care from staff with
appropriate level of knowledge, skills and experience.
and Who Belongs to it?
Coronary Heart Disease Collaborative (2000)
evolved into Cardiac Networks
Stroke Strategy suggested capitalising
upon experience of Cardiac Networks so in early 2008 became
Cardiac and Stroke Networks in Lancashire and Cumbria
5 Acute Trusts (10 sites)
4 Local Authorities
1 Ambulance Trust
Stroke Survivors and Carers
What Skills Can the Team Offer?
“If everyone is moving forward together,
then success takes care of itself”
Define and develop clinical pathways and guidelines
Work across organisations in a non partisan manner
Ability to compare and benchmark
Experience of audit to measure and inform change
Resource available to advise, support and assist
What Skills Can the Team Offer Cont?
Links to the National Stroke Improvement Team
Track record of supporting service redesign and improvement
Support World Class Commissioning
Sharing Good Practice and Innovation when we find it
“Don’t Find Fault, find a Remedy”.
Network Chair – Joe Rafferty
Clinical Leads – Paul Davies & Mark O’Donnell
Board Membership, 1 per organisation & Stroke Association.
What is the Money Being Used For?
Core Historical Budget directly from the Dept of Health funded
Cardiac Network – 50K extra for infrastructure (clinical leads,
accommodation, new staff)
2008/09. 130K from the Department of Health through
Strategic Health Authority. (Training, practice development post
and support for data collection).
17K Small Projects Fund
“Before everything else,
getting ready is the secret of success”
Stroke Advisory Group established and Work Programme written
Network Board established and meeting quarterly
Network Team recruitment complete
Growing links with new organisations – Local Authorities,
Stroke Association, Local Stroke Groups
Team working across the whole of Lancashire and Cumbria
“Nothing is particularly hard
if you divide it into small jobs” Henry Ford
Thrombolysis Guidelines developed and approved
Sharing of ideas and solutions e.g. TIA models event
Social Care membership of working groups established
Training Programme starting to be delivered
Supporting Trusts to redesign care pathways
“Obstacles are those frightful things you see
when you take your eyes off your goal”
Prevention and awareness
Developing links with voluntary groups
Acute Stroke Unit development
Stroke Ward Managers Group
Developing further AHP Network groups
North West Stroke Register
The Plan for Education and Training
Works with networks and NHS organisations to
transform, deliver and sustain improvements across the
entire pathway of stroke services.
And When the Going Gets Tough – Remember“Coming together is a beginning, staying together is progress and working together is success” Henry Ford