Healthcare london stroke pathway pdf

Reconfiguring stroke care in north central london improvement. Pathways for patients with an acute stroke whose local hospital does not have a hasu. The nhs outcomes framework 2012 2011 department of health. The london stroke pathway expects that all patients with suspected stroke. No 10248311 sw245 rosier score recognition of stroke in emergency room if the patient has had acute onset of symptoms, calculate the following score. Transient ischaemic attack tia stroke clinical pathway isw245i v5.

Professor of stroke medicine, kings college london. Everything nice has said on preventing, diagnosing and managing stroke and transient ischaemic attack tia in people over 16 in an interactive flowchart. The pathway defines the key interlocking components for an. Health and social care professionals should work collaboratively to ensure a social care assessment is carried out promptly, where needed, before the person with stroke is transferred from hospital to the community. Care pathways for acute stroke care and stroke rehabilitation.

Cd002924 february 2004 with 95 reads how we measure reads. Hospitals without acute stroke units south east clinical senate. Health economies to concentrate their improvement efforts where there is greatest. Stroke strategy for london with implementation guide for urban hyperacute. What may happen to you after you have had a stroke and the help and support available in hospital and at home. Cost outcomes of a centralized approach to acute stroke care in london. Londons stroke care success healthcare professionals. In july 2007 lord ara darzi published his report healthcare for london. Stroke was a major medical problem in the uk and other countries, with high morbidity and mortality. The whole pathway must be reformed at the same time.

National and london clinical director for stroke nhs england. Patient experience of centralized acute stroke care pathways. Transient ischaemic attack tia stroke clinical pathway. Stroke acute commissioning and tariff guidance, 2009. Stroke strategy for london with implementation guide for urban hyperacute stroke unit helen cutting doc nice guidance nice clinical guideline cg68 stroke and transient ischaemic attack in over. Healthcare for london the shape of things to come haringey council. Pathway of care the london stroke pathway expects that all patients with suspected stroke including those who present at a nonhasu accident and emergency department within 48 hours of stroke onset and inhospital strokes will be managed through admission to a hyperacute stroke unit with ongoing care as appropriate in a local stroke unit. Case for change 25 25 24 21 21 19 19 14 12 12 9 9 8 6 6 5 4 4 2 1 0 34 457912 91 90 89 88 88 86 84 83 80 80 77 76 76 75 72 71 71 71 70 70 68 68 66 65 62 61 60 55 51 49 45 90 below target above tar get london stroke providers against sentinel audit 12 key indicators 2006 change in london stroke. The stroke pathway has been developed in collaboration with the national clinical director for stroke services, tony rudd, public members of the intercollegiate stroke working party icswp, the stroke association and a range of other stakeholders from across the health and care system. The next steps agreed were to produce this final report and an action plan. The local healthwatch stroke project approach and draft report met with the health scrutiny committees approval at their meeting on 143. Professor of health care organisation and management2. London stroke acute commissioning and tariff guidance. The recommendations are made to raise the quality of stroke care, and to audit monitor progress and performance.