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Bridges through the stroke pathway The Bridges Kingston Project. Nicki Bailey Project Coordinator – Bridges Kingston Project. What is Bridges? A quick reminder…. The Bridges Kingston Project. South-West London Academic Health and Social Care System

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bridges through the stroke pathway the bridges kingston project

Bridges through the stroke pathwayThe Bridges Kingston Project

Nicki Bailey

Project Coordinator – Bridges Kingston Project

the bridges kingston project
The Bridges Kingston Project

South-West London Academic Health and Social Care System

Pilot: First time social care practitioners included

Training members of different teams in mixed workshops


  • Enable greater focus on promoting self-management throughout the stroke pathway
  • Improve continuity of care for stroke survivors in Kingston
  • Improve knowledge sharing and cross team working between teams on Kingston stroke pathway

Conduct an evaluation of the project

context mapping preparations

St Georges (20 beds)

Community Resources

RBK Social work input/ care package/ individual budget


Kingston Hospital

(20 beds)

In-patient Rehabeg Cedars Unit, QMH

Input from RBK Stroke Co- coordinator

Home with Community Rehab:

ICT, Richmond CNRT

Input from voluntary organisations and/ private organisations

Home with no support required

Context Mapping & Preparations

Project steering group

Interviews with teams

  • Role of service
  • Current goal-setting practices
  • Approaches to self-management
  • Cross-team working within pathway

Adaptations to training

  • Kingston pathway specific
  • ‘Pathway’ exercise

Awareness raising of the project

who participated
Who participated?

54 participants completed intro & follow up

Mix of teams and professions BUT social care restructure

Executive session for GPs and managers

results change in practice
Results: Change in Practice

Overall change in beliefs and attitude

towards self-management

53% thought their practice had changed

28% used workbook

  • “It’s like a refresher. It reminds us about giving people hope, listening to people’s goals”
  • “I think it’s ended up this new thing, rather than just chatting to patients about goals, actually putting it down to make it a more visual tool”
results barriers to using bridges
Results: Barriers to using Bridges

55% experienced barriers to using Bridges. The top 4 :

results cross team training
Results: Cross team training

99% said workshops enabled meeting people from other teams

19% felt team better connected (49% not sure)

  • “I think it’s that connection having met them – oh yeah, you were on the training – on the telephone I just feel there is more of a connection there now”
  • “It’s actually opened my eyes a bit to the pathway and how it all links together”
  • “It was interesting to meet people from other teams. But I don’t think there’ll be a lasting link.”
results bridges within the stroke pathway
Results: Bridges within the stroke pathway

78% thought could be used successfully throughout pathway

Potential to improve continuity of care for patients in 3 ways:

results is bridges relevant to social work
Results: Is Bridges relevant to social work?

Bridges seen as “a good fit” with social work practice because:

what s next
What’s next?

Investigating sustainability

‘Based on Bridges’ – not just stroke

Study continuity of care from

stroke survivor’s point of view

any questions

Any Questions?


Email me: [email protected]