National Institute for Health Research

NIHR CLAHRC for South Yorkshire

The National Stroke Strategy: Collaboration, Research & Change Amanda Jones & Tony Ryan

© Copyright, NIHR CLAHRC for South Yorkshire, 2010

NIHR CLAHRC for South Yorkshire

National Drivers for stroke

National Institute for Health Research

• 1st evidence based document; National Clinical Guidelines for Stroke, 1st ed 2000, 2nd ed 2004, 3rd Edition- RCP, 2008 • NSF for Older People, Standard 5, DoH 2001 • National Audit Report 2005 (a damming report about stroke services) which led to:• Reducing Brain Damage- DoH 2006 • Mending Hearts and Brains- DoH, 2006

• National Stroke Strategy- DoH 2007 • Diagnosis and initial management of Acute Stroke and TIA- NICE, July 2008 • Pending NICE guidelines for Stroke Rehabilitation • Pending RCP National Clinical Guidelines 2012 © Copyright, NIHR CLAHRC for South Yorkshire, 2010

NIHR CLAHRC for South Yorkshire

National Stroke Strategy 2007

National Institute for Health Research

NIHR CLAHRC for South Yorkshire

Why develop a strategy for stroke?

National Institute for Health Research

• There have been considerable gains in stroke care in recent years but still a great deal of improvements to make. • The UK spend more than most countries on stroke yet have worse outcomes. • There is a need to modernise and redesign services • The entire care pathway needs to be addressed

NIHR CLAHRC for South Yorkshire

Key areas in the Stroke Strategy

National Institute for Health Research

Stroke Strategy Prevention and Public Awareness Emergency Care TIA and Minor Stroke Hospital Care Post-Hospital Care Workforce

© Copyright, NIHR CLAHRC for South Yorkshire, 2010

NIHR CLAHRC for South Yorkshire

Stroke Theme: Work Streams Project

National Institute for Health Research

NSS Quality Marker

Stroke awareness and deprivation

Awareness raising (QM1)

Evaluating FAST

Awareness raising (QM1)

Secondary prevention

Assessment of TIA (QM5)

KT and improving stroke care

Emergency assessment and care (QM8)

Self management

Workforce (QM19) Information (QM3)

Telemedicine

Emergency assessment and care (QM8)

Computer assisted rehabilitation

High quality rehabilitation (QM10)

Community teams

Skills (QM18) Workforce (QM19)

Clinical supervision

Workforce (QM19)

Long-term participation

Participation in community life (QM15)

Sex after stroke

Information, advice and support (QM3)

© Copyright, NIHR CLAHRC for South Yorkshire, 2010

NIHR CLAHRC for South Yorkshire

The Impact of FAST on Stroke Incidents in South Yorkshire

• Increase in activity: Practitioner and organisational questions • Design: Audit of all calls and ICD-10 outcome • Outcomes: training, protocols and public awareness © Copyright, NIHR CLAHRC for South Yorkshire, 2010

National Institute for Health Research

NIHR CLAHRC for South Yorkshire

Knowledge Transfer and Stroke Care

National Institute for Health Research

Lead Investigator: Amanda Jones Contact: Madeleine Harrison [email protected]

NIHR CLAHRC for South Yorkshire

CLAHRC Stroke Collaborations

National Institute for Health Research

• Collaboration • Research • Change

NIHR CLAHRC for South Yorkshire

Stroke Theme: Further information

National Institute for Health Research

http://clahrc-sy.nihr.ac.uk/theme-strokeintroduction.html [email protected]

© Copyright, NIHR CLAHRC for South Yorkshire, 2010