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Lothian Stroke MCN

Agenda. ApologiesMinutes of 29th February 2008 / 4th July 2008Actions from last meetingIncluded in agenda. Performance monitoring. 3.1 ICIC stroke model of careKatie McWilliam. Improving Care, Investing in Change. Model of Care ReviewStroke ServicesKatie McWilliamStrategic Programme Manager, Older People, NHS Lothian.

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Lothian Stroke MCN

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    1. Lothian Stroke MCN Steering Group Friday 28th November 2008 2.00 – 4.00pm, Cardiac Rehabilitation Conference Room, AAH

    3. Performance monitoring 3.1 ICIC stroke model of care Katie McWilliam

    10. Questions

    23. Performance monitoring 3.3 CHD & Stroke Strategy Consultation Published (spring 2009) Preview of new targets??

    24. Possible new standards Hospitals with a stroke unit and brain scanner should have a system for delivering thrombolysis to appropriate patients 80% of patients have CT/MRI imaging immediately on presentation, unless there is a documented contraindication.

    25. Possible new standards 50% of patients should be admitted to a stroke unit within a day of admission and 80% by following day All patients are screened to identify any difficulty in swallowing safely due to low conscious level and /or the presence of signs of dysphagia. This is carried out on the day of admission and before giving food/drink and oral medications and is clearly documented changed from swallow screen? 80% of patients undergoing carotid endarterectomy for symptomatic carotid stenosis have the operation within 14 days of the stroke event.

    26. Still arguing over some Access within 7 days to a neurovascular clinic Early supported discharge Be able to demonstrate staff have received training in core competencies

    27. How are we addressing ways to meet these updated standards? Stroke vision 2020 South Edinburgh rehabilitation review – inpatient sites at Liberton and AAH Telemedicine links Core competencies

    28. How are we addressing ways to meet these updated standards? South Edinburgh rehabilitation review – inpatient sites at Liberton and AAH Robert Aitken

    30. Overview Remit of group Group representatives Meetings SESRS vision statement Summary of actions Next steps Questions / comments

    31. Remit for SESRS – from MCN Three core elements Identify best practice Profile current service Define future service criteria

    32. Representation Clinicians Consultants Nursing / Therapies staff Union reps Managers Patient involvement (via MCN)

    33. Meetings Two sets of meetings 1st set – information gathering Quality Patient information Processes

    34. Meetings 2nd set – Organisational Development Agreeing a vision for the service Agreeing actions

    35. SESRS vision statement “A seamless, accessible, efficient, equitable, comprehensive patient-centred service that is evidence-based and in the right environment”

    36. OD meeting – actions Developing the team of staff Joint approach Sharing and supporting Pulling together

    37. Next steps More OD group meetings to look at: Single processes? Single management? Single site? Lots of work to do!!!

    38. Any Questions? Robert Aitken/Jamie Hetherington November 2008

    48. DCN reprovision Clinical neurosciences: vision 2012 project Proposed future patient pathways and service model Any comments to papers?

    49. Stroke services 2012

    50. Preferred model at Stroke centre

    51. Subgroups & Projects Any queries ? Subgroups update Patient & Carer Forum Members available for any PFPI (patient focus, public involvement) work you may be undertaking. Projects update Final report from project leads, as all projects are now part of stroke services.

    52. Any other business User satisfaction survey – of clinical services via CHSS liaison nurses (Mark) Workplan – still being finalised Date of future meeting Spring 2009

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