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United We Stand Divided We Fall - Sally Chisholm - PowerPoint PPT Presentation

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“ 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

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What is a Network?

“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”.

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What does the Stroke Strategy

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.

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Where Did this Network Come From

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)

6 PCTs

4 Local Authorities

1 Ambulance Trust

Stroke Survivors and Carers

You do!

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Why have a Network and

What Skills Can the Team Offer?

“If everyone is moving forward together,

then success takes care of itself”

Henry Ford

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

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Why have a Network and

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”.

Henry Ford

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Who is Who and How is it all Joined Up?

Network Chair – Joe Rafferty

Clinical Leads – Paul Davies & Mark O’Donnell

Board Membership, 1 per organisation & Stroke Association.

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How is this Funded and

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

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The First 12 Months – An Update

“Before everything else,

getting ready is the secret of success”

Henry Ford

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

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The First 12 Months – Some Successes!

“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

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The Next 12 Months – The Plan

“Obstacles are those frightful things you see

when you take your eyes off your goal”

Henry Ford

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The Next 12 Months – The Plan

Prevention and awareness

Developing links with voluntary groups

Acute Stroke Unit development

Stroke Ward Managers Group

Developing further AHP Network groups



Peer Review

North West Stroke Register

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The Next 12 Months –

The Plan for Education and Training

  • NW Stroke Training Advisory Group

  • Network Practice Development Nurse

  • Speech and Language Therapy - video fluoroscopy, swallow assessment

  • Bobath training for Cumbrian physios

  • Stroke Association training

  • Connect training

  • University courses

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NHS Improvement Programme

Works with networks and NHS organisations to

transform, deliver and sustain improvements across the

entire pathway of stroke services.


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And When the Going Gets Tough – Remember“Coming together is a beginning, staying together is progress and working together is success” Henry Ford