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Bridges through the stroke pathway The Bridges Kingston Project. Nicki Bailey Project Coordinator – Bridges Kingston Project. What is Bridges? A quick reminder…. The Bridges Kingston Project. South-West London Academic Health and Social Care System
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Bridges through the stroke pathwayThe Bridges Kingston Project Nicki Bailey Project Coordinator – Bridges Kingston Project
The Bridges Kingston Project South-West London Academic Health and Social Care System Pilot: First time social care practitioners included Training members of different teams in mixed workshops Objectives: • Enable greater focus on promoting self-management throughout the stroke pathway • Improve continuity of care for stroke survivors in Kingston • Improve knowledge sharing and cross team working between teams on Kingston stroke pathway Conduct an evaluation of the project
HASU St Georges (20 beds) Community Resources RBK Social work input/ care package/ individual budget STROKE UNIT Kingston Hospital (20 beds) In-patient Rehabeg Cedars Unit, QMH Input from RBK Stroke Co- coordinator Home with Community Rehab: ICT, Richmond CNRT Input from voluntary organisations and/ private organisations Home with no support required Context Mapping & Preparations Project steering group Interviews with teams • Role of service • Current goal-setting practices • Approaches to self-management • Cross-team working within pathway Adaptations to training • Kingston pathway specific • ‘Pathway’ exercise Awareness raising of the project
Who participated? 54 participants completed intro & follow up Mix of teams and professions BUT social care restructure Executive session for GPs and managers
Results: Change in Practice Overall change in beliefs and attitude towards self-management 53% thought their practice had changed 28% used workbook • “It’s like a refresher. It reminds us about giving people hope, listening to people’s goals” • “I think it’s ended up this new thing, rather than just chatting to patients about goals, actually putting it down to make it a more visual tool”
Results: Barriers to using Bridges 55% experienced barriers to using Bridges. The top 4 :
Results: Cross team training 99% said workshops enabled meeting people from other teams 19% felt team better connected (49% not sure) • “I think it’s that connection having met them – oh yeah, you were on the training – on the telephone I just feel there is more of a connection there now” • “It’s actually opened my eyes a bit to the pathway and how it all links together” • HOWEVER • “It was interesting to meet people from other teams. But I don’t think there’ll be a lasting link.”
Results: Bridges within the stroke pathway 78% thought could be used successfully throughout pathway Potential to improve continuity of care for patients in 3 ways:
Results: Is Bridges relevant to social work? Bridges seen as “a good fit” with social work practice because:
What’s next? Investigating sustainability ‘Based on Bridges’ – not just stroke Study continuity of care from stroke survivor’s point of view
Any Questions? Visit: http://bridges-stroke.org.uk Email me: n.bailey@sgul.kingston.ac.uk