4. • NAO report demonstrated poor implementation of life
after stroke services and involving social care
• Public Accounts Committee hearing generated
commitment of NHS to improve on key areas
highlighted
• Final year of DH funding
5. Implementing
Best Practice
in Acute Care
Improving Post
Hospital and
Long Term Care.
Joining Up
Prevention
Domains
• Early Supported
Discharge
• Joint Care
Planning
• 6/12 review
• Psychological
Support
KeyAreasof
Focus
• Direct
Admission to
a Stroke Unit
• Timely Brain
Scan
• AF Detection
and Treatment
• Timely and
effective
management
of TIA
Main Areas of ASI
6. Some things to consider
• What will the review cover?
– Use a standard process
• Who will undertake the reviews?
– Make sure staff have the right competencies and
training
• Where will they take place?
– Home, clinic, over the phone…
7. Lessons from existing projects
What do reviews tell you about your service?
• Prevention of
admissions/crisis
• Secondary prevention
• Better informed and
able to manage
• Reduce adult services
care package & care
home placements
• Involve voluntary
services effectively
• Reduced duplication
of services
• Staff time spent on
reviews and to follow-
up on actions
• Potential to increase
referrals
• Increasing caseloads?
• Reviewers – staff
satisfaction rates
