Rebecca Fisher, Jen Yates, Hazel Sayers EMAHSN Stroke Rehabilitation Theme Suzanne Horobin EMSCN, Andrew Clarke YHSCN January 2015
Overview Who am I? Who are we? Supporting community provider SSNAP participation Workshops Help note creation Working with CCGs
Collaboration Our role: to ensure provision of an evidence based stroke care pathway for all stroke survivors in the East Midlands Focus: Community service development CCG support Measuring effectiveness – Data Multidisciplinary team working – Education
Evidence based specifications Co-produced specifications Review of service provision Gap analysis
This map visually demonstrates the provision of stroke rehabilitation services across the East Midlands. Stroke rehabilitation is a programme supported by the EMAHSN . Blue – stroke early supported discharge service provided, community stroke rehab service provided but no six month reviews Purple – stroke early supported discharge service provided, but no community stroke rehab service or six month reviews Yellow – stroke early supported discharge service, community stroke rehab service and six month reviews all provided
Workshops 3 dedicated half day sessions Review of all community SSNAP questions Discuss interpretation of questions Refer to RCP guidance Agree consistency of data input Support technical issues with data transfer
Issues arising Quantifying therapy time (adapting current methods of data collection, double visits) Difference between ESD & CST What is and isn’t Psychological support (mental health nurse?) What about the rest of the multidisciplinary team? How will commissioners interpret the information?
Paper-based activity log Date Patient Face to Face minutes Clinical / Physio OT SLT Psych* Professional TC
Help Notes Useful for teams new to participation in national audit/ prior to SSNAP registration Teams feel they have some control over how and why data will be entered and interpreted Develop a network of support
Commissioner support Review and refresh performance metrics for ESD and community stroke teams Align with SSNAP Review data use by CCGs for planning purposes Facilitate use of RCP SSNAP reports
EMAHSN Stroke Theme Dr Rebecca Fisher – Operational Lead Prof Marion Walker – Academic Lead Hazel Sayers – Theme Co-ordinator Jennifer Yates – Clinical Theme Fellow Karen Harvey and Chris Bilby – stroke survivors Suzanne Horobin (EMSCN) Prof Tom Robinson (EMSCN)
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