Surrey Stroke Network Care Home Project

1. Surrey Stroke Network Care Home Project Frank Foreman RN Stroke Coordinator Surrey Community Health

2. Surrey's Heart and Stroke Network is • committed to enhancing patient care and services through integrating the quality standards set by the National Framework for Coronary Heart Disease and the National Stroke Strategy. • The network's core values are to provide services that are: • patient and carer centred • equitable • reducing inequalities in health • responsive to changes in practice and the needs of the community • co-ordinated and managed through partnership • geographically consistent • value for money • http://www.surreyhealth.nhs.uk/services/HeartStrokeNetwork/Pages/home.aspx

3. Why a care home project? • Up to 50% of people in nursing homes thought to have had a stroke • A large client group for whom a “blind spot” has been created • Not receiving the same level of support as people at home • Hopefully the beginning of doing something about it!

4. Network Care Homes Project (Nursing Homes and Care Homes) • Aim: • to improve the level of care which stroke patients receive in care homes • improve care home staff skills in caring for people affected by a stroke • MDT in NHS how much information gets passed on ? • Massive training and improvement programme in NHS

5. Project Deliverables • A realistic, cost effective and sustainable plan which will facilitate basic level training for care home staff on caring for patients who have had a stroke • TIA recognition and action • Web pages which provide care home staff with easily accessible and relevant information • Possible model of advice line provision - ? pilot option • Identification of key links into care homes across Surrey into the Surrey Heart & Stroke Network to support ongoing interaction and ways of promoting primary prevention initiatives • Specific recommendations of how the requirements of QM14 and the Long term review project in SW Surrey can by informed by this project

6. Initial thoughts… • 1. Poor level of information sent to care homes when pt transferred from NHS. • Propose to link with joint health / social care discharge care plan project • 2. Access to care home residents to 6 week, 6 month and yearly reviews • Propose to work with review project to ensure care home residents do not miss out on review (does it need to be provided in care setting?) • 3. Lack of access to equipment • For example a social care funded resident is not entitled to wheel chair services so even if plan to do so equipment may not be available

7. 4. Access to information • Currently awaiting replies from questionnaire sent to care homes asking if they would access web based information or a potential email /phone information service • 5. Training • Could care home staff access existing 3 level stroke education programmes? 5 homes currently trialling STARS training, questionnaire has options about whether level 2 training would be appropriate to care home staff and how this could be provided (cost ) • http://www.strokecorecompetencies.org/node.asp?id=core

8. Survey (17 replies) • Wide range of stroke pts as % of clients • 57% happy with info received from NHS • 40% happy with ongoing support and information • Training ; 60% would like on site training / 53 % workshops • Training priorities identified • Interest in website (88%) and contact line (94%) high

9. What now? • Target appropriate care homes • Need to discuss with NHS / care homes where they see their responsibilities lying • Look at needs of care home clients in bigger stroke picture – discharge care plans / 6 month review etc • Discuss with care homes how best to make staff available for education /access to web etc • Make recommendations

10. Any questions? • Contact me. • Frank.foreman@surreypct.nhs.uk • 01932 414189