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Skills for Health Transforming Community Services Specialist Stroke Rehabilitation Service North Somerset

Skills for Health Transforming Community Services Specialist Stroke Rehabilitation Service North Somerset. Introduction. Initial project scope was a shared approach to the management of Long term Conditions with Weston Area Health Early identification of Stroke Pathway as requiring focus

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Skills for Health Transforming Community Services Specialist Stroke Rehabilitation Service North Somerset

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  1. Skills for Health Transforming Community Services Specialist Stroke Rehabilitation Service North Somerset

  2. Introduction • Initial project scope was a shared approach to the management of Long term Conditions with Weston Area Health • Early identification of Stroke Pathway as requiring focus • Commissioner engagement • Final project plan- development of a specialist stroke rehabilitation service

  3. Aspirational Stroke Survivor Pathway Flows Following Acute Care Acute Stroke care MDT Interface Specialist Stroke Community Rehabilitation Team Care Home Home Community Hosp Annual Stroke Reviews Community Wards X 7 Life After Stroke Support

  4. Skills for Health’s role • Facilitation of stakeholder events • Options appraisal for post discharge pathway • Training and support to Managers and Clinicians- learning from other projects • Skills for health online resources- Competency Databases • Skills for health methodology for service and workforce redesign

  5. Key Metrics • Activity based measures • Stroke Activity North Somerset Service users perspectives • Focus group feedback • Targeted health survey • Patient survey • Staff views and perspectives • Percentage of time focused on stroke rehab (Acute and Community) • Training received in Specialist Stoke Rehab

  6. Link to QIPP –focused on Stroke Rehab • Quality • Standardised approach to Care • ‘Gold standard’ used for pathway planning • A dedicated specialist stroke provision in the community • Innovation • Embedding of ‘stroke passport’ into pathway • ‘Clean sheet’ approach to service redesign • Productivity • Decrease Length of Stay • Reduction in Excess Bed Days • Improved Access to specialist services

  7. Benefits • Enabled a ‘Fresh Approach’ to service design • Allowed expertise from other areas to help local stakeholders • Challenged existing practices • Provided a platform for commissioners to develop a new service model • Provided a methodology for providers to design a high quality cost effective service

  8. Next Steps • Finalising new specification with commissioners • Embedding metrics into new service specification • Clarifying links to emerging community teams regarding core competencies in the generic teams. • Develop workforce model and implement in Community

  9. Future Applications of methodology • Pathway remodelling opportunities with local services • Development of Social Enterprise • Workforce redesign to meet fiscal challenge and maintain quality

  10. Thank YouAny Questions?

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