Accelerating stroke improvement
Whilst great achievements have been made in acute care and public awareness, further work is still needed, particularly in stroke prevention and long-term care and support. The Accelerating Stroke Improvement (ASI) programme was a national priority which provided funding to projects that addressed these goals during the 2010/2011 year.
These projects have yielded sustainable and meaningful improvements in stroke care across South London, in alignment with the ASI programme.
Timely access to psychological support
St George's Hospital - Additional resources have enabled the neuropsychology team to establish and evaluate a group-based intervention aimed at enhancing the emotional well being and education of stroke survivors.
Croydon Health Services - The community neuropsychology service has expanded the existing groups in the community focused on psychology and education of stroke survivors.
Southwark Provider Services - A model for sustainable provision of specialist psychological services has been established due to the recruitment of an interim assistant psychologist. A baseline of current service provision was produced and an educational leaflet for patients was developed. Research and assessment of patients three to four months post-stroke assisted with the development of the model.
Planned assessment and review
Lambeth Community Health and Southwark Provider Services - Network support enabled Lambeth and Southwark stroke teams to baseline current stroke reviews, plus research and appraise options for the delivery of the six month review and build a case for funding across both boroughs. From this, a service was commissioned from a third sector provider.
Joint health and social care management
South London Healthcare Trust - Training was organised for multidisciplinary health and social care staff to develop care plans to meet patients’ health and social care needs on discharge from the Princess Royal University Hospital. Key champions were identified and implementation protocols were developed, along with an evaluation plan focusing on process and quality of care planning.
St George's Hospital - Backfill funding provided a stroke unit therapist with the opportunity to develop, implement and evaluate a joint care plan for patients discharged following a stroke.
Croydon University Hospital - A comprehensive stroke database was developed which can track all stroke patients in the borough across the acute and community settings. This captures all ASI data and helps to:
- Ensure all patients are receiving appropriate secondary prevention
- Chart rehabilitation progress
- Monitor achievement of inpatient rehabilitation goals and appropriateness for early supported discharge
- Identification of patients due for six month and one year follow up
Life after stroke
Bromley Healthcare - A Conversation Partners scheme has been established for stroke survivors with aphasia. Local speech and language therapists have been trained in the scheme, which has been localised and developed for Bromley with input from local stroke survivors. Volunteers have been recruited and trained to offer supported conversation to patients with aphasia, offering conversation and companionship.
Community Services Wandsworth - Community neuro rehab team members in Wandsworth have been trained to implement the Bridges stroke self-management programme within the stroke care pathway.
Find out more about Bridges stroke self-management on their website.