Commissioning Quality Stroke Rehabilitation Event

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Commissioning Quality Stroke Rehabilitation Event
North East London Cardiovascular and
Stroke Network

• New Connaught Rooms
• Friday 20th March, 2009

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Introduction
North East London Cardiovascular and
Stroke Network

• Welcome!
• Purpose of the day
• Further the understanding of stroke
  rehabilitation needs
• Discuss commissioning quality stroke rehab
  services
• Get us thinking of ways to achieve higher quality
  stroke rehab

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Introduction
North East London Cardiovascular and
Stroke Network

• Stroke rehabilitation is the only evidence based
  treatment for stroke recovery once the initial
  (72hr or so) medical intervention has ended
• For those who survive a stroke, the recovery of
  neurological impairment takes place over a
  variable time span. About 30 of survivors will
  be fully independent within 3 weeks, rising to
  nearly 50 by 6 months

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Introduction
North East London Cardiovascular and
Stroke Network

• London has the opportunity to commission world
  class stroke rehabilitation and community
  services
• The key outcome of stroke rehab is to improve
  patients quality of life, reduce disability and
  improve ability to participate in social
  engagement roles such as being a mum or being a
  worker

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Introduction
North East London Cardiovascular and
Stroke Network

• Rehabilitation needs to be stroke specialised,
  seamless and accessible
• The National Stroke Strategy (particularly life
  after stroke) provides some key quality markers
  and the London stroke strategy operationalises
  these into specific services standards

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Introduction
North East London Cardiovascular and
Stroke Network

• Commissioning quality rehabilitation services are
  likely to be cost saving to the health economy as
  care packages will be reduced, reduced secondary
  complications, increased quality of life and
  social engagement etc.

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Introduction
North East London Cardiovascular and
Stroke Network

• Rehabilitation Headlines from 2008 National
• Sentinel Audit of Stroke Clinical Audit Report
• 66 of appropriate patients to see an
  occupational therapist within 4 working days
• 78 of patients have a cognitive assessment
  during their admission
• 60 of incontinent patients have a plan for
  management of continence
• 51 of appropriate patients have evidence that
  driving has been discussed