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GM-SAT The Greater Manchester Stroke Assessment Tool

GM-SAT The Greater Manchester Stroke Assessment Tool. April 2012. Background. All stroke survivors should be offered regular reviews of their health and social care needs Ensures that people feel supported and provides a clear pathway

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GM-SAT The Greater Manchester Stroke Assessment Tool

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  1. GM-SAT The Greater Manchester Stroke Assessment Tool April 2012

  2. Background • All stroke survivors should be offered regular reviews of their • health and social care needs • Ensures that people feel supported and provides a clear pathway • back to specialist review, advice, information, support and • rehabilitation where required. • Many stroke survivors currently report a sense of ‘abandonment’ • and have difficulty accessing the services they need.

  3. Background

  4. GM-SAT • Evidence based assessment tool • Developed in collaboration with patients, • carers and professionals from across the • stroke pathway. • Covers 36 common post-stroke problems: • Physical • Emotional • Social • Secondary prevention

  5. GM-SAT • For each problem area there is a an algorithm • These provide: • 1. Questions to ask • 2. Guidance on actions to take • Act as a reference guide

  6. GM-SAT: example Trigger Question Simple close ended question. Helps to quickly filter out the areas in which there are no problems/unmet needs and you to focus time on areas of concern. Actions The action to be taken depends on the answers received to the questions.

  7. GM-SAT • Each algorithm represents best practice. • Teams are encouraged to ‘localise’ or • ‘personalise’ GM-SAT to represent local • service provision. • GM-SAT also includes a proforma and a • summary report template

  8. Measurement of outcome • 6m modified Rankin score: will feed into SSNAP • Potential for rich data from detailed assessments

  9. Secondary prevention: • Blood pressure • Pulse regular/irregular • Medications

  10. Easy Access GM-SAT • Used to effectively identify and address the • post-stroke needs of stroke survivors who • have aphasia. • Developed in collaboration with stroke • survivors from Speakeasy. • 2 components

  11. Easy Access GM-SAT • Trigger Question Resource (TQR)

  12. Easy Access GM-SAT • Conversation Support Resource (CSR)

  13. GM-SAT Free to use and available to download from: http://clahrc-gm.nihr.ac.uk/resources/gm-sat/

  14. Delivering GM-SAT • Models of service delivery need to be decided locally. • Service users tell us that they ‘don’t mind who does the review, • just as long as they know about stroke. • GM-SAT now being used at multiple sites across the country by: • Practice nurses • Stroke specialist nurses • Assistant practitioners • Key workers (from across the MDT) • Stroke Association IAS coordinators

  15. Results of Stroke Association pilot • 137 reviews completed during pilot phase • Total of 464 unmet needs identified • Average 3 per service user

  16. Results of Stroke Association pilot

  17. Importance of psychosocial needs GM-SAT pilot CQC Little or no access to community rehab in some areas <40% PCTs provide psychologists or counsellors • 34% fatigue • 26% memory, concentration, attention difficulties • 9% communication • 9% continence

  18. Results of Stroke Association pilot

  19. Results of Stroke Association pilot

  20. COF: 6 month post stroke assessment will be mandatory How do we ensure the assessment is relevant to stroke survivors? How do we feed back results and to whom?

  21. GM SAT • Developed with service users • Takes a pragmatic approach to problems • Designed to be aphasia friendly • Provides COF and SSNAP requirements • Yours to download!

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