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Supporting life after stroke – lessons from the CQC review

Supporting life after stroke – lessons from the CQC review. Michael Carpenter mpcarpenter@gmail.com. What did the review look at?. The care and support provided to people who have had a stroke and their carers including health and social services after people have left hospital

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Supporting life after stroke – lessons from the CQC review

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  1. Supporting life after stroke – lessons from the CQC review Michael Carpenter mpcarpenter@gmail.com

  2. What did the review look at? The care and support provided to people who have had a stroke and their carers • including health and social services • after people have left hospital • for as long as they need it …using the Quality Markers from the National Strategy

  3. How did it work? Secondary data QoF, HES, CQC NI set, PSS surveys PCT Main form Transfer home information analysis Case File Tracking Local Assessment Report National Report Adult Social Services Main form National engagement work +support for improvement

  4. What did the review find?

  5. What did the review find? • Early supported discharge is available across only 37% of areas • In 48% of areas average waits for community based speech and language therapy exceed two weeks • Only 37% of areas provided rehabilitation services to people based in their community, focusing on helping them return to work. • In around a third of areas not all carers could access peer support, such as carer support groups or befriending schemes. • Most people are given a pack of information when they leave hospital but only 40% of these packs contained good information on local services. • While 68% of areas provided a named contact to help people plan and organise their care after transfer home, but in only half of areas did these contacts look across health, social and community services

  6. What did the review find? The best services… • listen to people with stroke, their families and carers • support people to make choices • adapt to people’s different needs – such as those of younger people with stroke or people in care homes • are well organised – so things happen smoothly and people don’t experience gaps between services.

  7. Barriers (1) Good news: agreed vision, good data, active users But: • Focus on acute end of the pathway • Problems engaging social care • Practical barriers to ESD • Failure to engage stroke survivors and carers

  8. Barriers (2) Tensions: Central v local Acute v community Clinical v Social Change

  9. Driving further improvement …across whole pathway Consolidate national systems: Standards, data, ‘outcome measures’, tariff/£ Local coordination and sustainability: PCT, GP consortia & Council Better information to support person-centred care and accountability Harness user voice National, local & individual

  10. Getting the best from the review

  11. What did we produce?

  12. Getting the best from the data

  13. Getting the best from the data

  14. Organisational data

  15. Information on transfer home

  16. % contacted within two days of return home Case File Tracking % given named contact on transfer home

  17. Getting the best from the data

  18. Getting the best from the data Data released in Excel and on CD with supporting software which can be used to • Build your own comparative sets • Print customised reports and charts • Access the underlying data • Investigate specific issues

  19. Discussion & Questions • How can we help you get the best from the data?

  20. Supporting life after stroke – lessons from the CQC review Michael Carpenter mpcarpenter@gmail.com

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