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Peter Mercer

Introduction? . Network background (history, geography, structure, who's who) Stakeholder breakdown Role of the networkRole of the SIMCurrent work projects and prioritiesCurrent

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Peter Mercer

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    1. Peter Mercer Network Director North of England Cardiovascular Network 15th October 2008

    2. Introduction? Network background (history, geography, structure, who’s who) Stakeholder breakdown Role of the network Role of the SIM Current work – projects and priorities Current & future challenges Questions

    3. History CHD Collaborative – 2000 CHD Networks – NNCC & C2C Merger of NE Cancer Networks - Jan 2007 Continuity of Heart Improvement Programme Creation of Stroke Improvement Programme Creation of NECVN – Nov 2007 Publication of Stroke Strategy – Dec 2007

    4. Geography

    5. Network Stats 3 SHAs 14 PCTs 9 Acute or Foundation Trusts 3 Ambulance Trusts 3.2 million population

    6. Who's Who Network Chair – Ian Renwick Lead Director of Commissioning - Cameron Ward Network Director – Peter Mercer Service Improvement Lead x 2 Service Improvement Managers x 9 Information Manager Admin team x 3 Clinical Leads, (CHD x 2, Stroke x 2) Primary care x 2

    7. Network Structure

    8. The Stakeholders Dept of Health and NHS Improvement Strategic Health Authorities PCTs (commissioners & providers) Primary care – GP practices, PBC clusters Acute NHS Trusts (DGHs, Foundation Trusts,) Community / intermediate care Private providers Ambulance services Patients (CHD & Stroke support groups, The Stroke Association, BHF ) Local authority partners Voluntary sector Universities and other education institutions

    9. NHS Improvement programme Works with clinical networks and NHS organisations to transform, deliver and sustain improvements across the entire pathway of cardiac care and stroke services. www.improvement.nhs.uk

    10. Role of the Network core team Support delivery of CHD NSF / Stroke Strategy across organisations Clinical forums Service Improvement support Commissioning, advice, evidence, recommendations for Operating Plans Patient and Public Involvement

    11. Role of the Network con’td Information and Performance Monitoring Workforce Development NICE Implementation Healthcare Commission (Heart Failure Audit) Engage stakeholders as a ‘virtual organisation’. To have an oversight of the whole patient journey across organisational boundaries

    12. What skills can the ‘Network core team’ offer Work across organisations in a non partisan (impartial) manner Raise awareness of the CHD / Stroke agenda Quality and Service Improvement Develop guidelines and protocols Support World Class Commissioning and post Darzi work streams Develop Network wide standards Assist evidence gathering Be a source of advice and guidance

    13. Benefits Define and develop clinical pathways Identify and seek to manage inequity Benchmarking Audit activity to inform change Strategic planning / WCC Clinical engagement Clear recommendations to commissioners Sharing good practice and innovation

    14. Network wide projects Primary PCI Primary prevention toolkit Atrial fibrillation guidelines Clopidogrel cards TIA review Hyper acute stroke service model

    15. Network priority work areas CHD - Primary PCI - Myocardial Infarction - Standard definition - Arrhythmias – equity of service provision - Adult Congenital Heart Disease (ACHD) and Sudden Cardiac Death – genetics nurses - Primary Prevention - Cardiac Rehabilitation - Percutaneous Aortic Valve Replacement (PAVR)

    16. Network priority work areas Stroke - Support implementation of the Stroke Strategy - Transient Ischemic Attack (TIA) - Stroke Rehabilitation - TIA & Stroke inpatient and outpatient information flows - Training & Education - Hyper acute stroke services - Awareness raising - National Priority Projects - SHA Finance/Expenditure, Ł2.4 million

    17. What's happening now? National funding confirmed Network Executive / Network Board established Development of stroke ‘network’ structure Redistribution of network team/resources Network CVD Strategies Network Workplan Training / Education Strategy North East Transformation System ( NETS) National activity/priority projects (Heart Failure, 18wk pathway & cardiac rehab).

    18. The new world – what are the challenges ? World class commissioning PCT Commissioner / provider split Payment by Results (Tariffs) Practice Based Commissioning Darzi – Better Health, Fairer Health Local and national targets Effectively engaging the public Communication

    19. Communication / New Website www.necvn.nhs.uk

    22. Coming together is a beginning, staying together is progress and working together is success Henry Ford

    23. Thanks go to……. Colin Morris Stephen Singleton Lynsey Dovey Margaret Rowe Dr Phil Adams Carol Marley NECVN team

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