STROKE DELIVERY PLAN 2014/15

Size: px
Start display at page:

Download "STROKE DELIVERY PLAN 2014/15"

Transcription

1 STROKE DELIVERY PLAN 2014/15 1. BACKGROUND AND CONTEXT Together for Health was published in December 2012 and provides a framework for action by Local Health Boards and NHS Trusts working together with their partners. It sets out the Welsh Government s expectations of the NHS in Wales to tackle Stroke in people of all ages, wherever they live in Wales and whatever their circumstances. This Plan is designed to enable Cardiff and Vale University Health Board to meet the needs of people at risk of a Stroke or affected by a Stroke. It sets out: Current areas of service delivery, what we do well and where the constraints are; The outcomes from treatment and support to return to health and independence we expect; How we will ensure that we deliver the level of performance we expect; How we will continue to develop the service across the whole patient pathway, working in partnership. 2. DRIVERS FOR SERVICE IMPROVEMENT There are clear reasons why stroke remains a top priority for the Cardiff and Vale University Health Board (UHB); It is one of the top three causes of death It is estimated that there are around 11,000 stroke events, including 6,000 new strokes, per year in Wales per cent of strokes occur in people who are under the age of 65 It is a leading cause of adult disability 2 It has a higher risk for certain ethnic minorities per cent of people who have a stroke die within a month What do we want to achieve? s Delivery Plan sets out actions to improve outcomes in the following key areas between now and 2016: 1 Estimated figures based on the Welsh population and incident rate. 2 National Audit Office, 2005, Reducing Brain Damage: Faster access to better stroke care, London, NAO Figures relate to England and Wales. 1

2 Preventing stroke Encouraging people living a healthy lifestyle, make healthy choices to minimise risk of stroke. Detecting stroke quickly - Stroke is detected quickly where it does occur or recur. Delivering fast, effective care - People receive fast, effective treatment and care, so they have the best chance of living a long and healthy life. Supporting life after stroke - People are placed at the centre of stroke care with their individual needs identified and met so they feel well supported and informed, able to manage the effects of stroke. Improving Information collecting the right information, ensuring it is reliable and valid, using it to improve performance Targeting research engaging in the most relevant projects/trial Engaging with key stakeholders and support services - early in the patient's journey Early engagement with the Patient's Families and Carers - from admission to support the pathway until discharge. Patient outcome and recovery milestones will be realistic and achievable 3. ORGANISATIONAL PROFILE Delivery of clinically effective and evidence based care to stroke patients is a key organisational priority. There is Board level Executive leadership for the Stroke Plan. There are 18 beds at the Acute Stroke Unit at the University Hospital of Wales (ward A6S), four of which are designated hyper-acute, and 35 Beds at the Stroke Rehabilitation Centre at University Hospital, Llandough. The patient pathway aims for timely transfer from acute to rehabilitation care, and the first phase of an early supported discharge team has been established to identify patients suitable for intensive targeted rehabilitation at the earliest possible stage There are two full time, and two contributing (total of eight sessions) specialist Stroke Physicians, one full time Stroke Specialty Registrar and two nursing Stroke Service Co-ordinators. Overview of Local Health Need and Stroke Challenge A recent internal review of the current Cardiff and Vale Stroke Services against the expectations set out for 2016 has been undertaken and has been used to inform this Delivery Plan. In addition to this, the Stroke multidisciplinary team are identifying options for working differently to improve current services and to set more short term priorities for 2014/2015 within this Plan. The main area of constraint to optimal delivery of the current service has been the UHB s performance against Bundle 2 of the Intelligent Targets. This includes issues relating to: 2

3 Acute Stroke Physician being off site out of hours CT Radiographer being off site out of hours Impact of patients not being able to access a bed on the Acute Stroke Unit from the emergency stream at times of emergency pressures Delays in Social Work allocation following referral Delays in transfers from the Acute Stroke Unit to the Stroke Rehabilitation Centre Delays in discharging patients from the Acute Stroke Unit and from the Stroke Rehabilitation Centre to the Community Resource Team within the three days target Delays in repatriation of patients to other Health Boards Limited capacity of the current early supported discharge service 4. OUR VISION - WHAT CARDIFF AND VALE UHB WANT TO ACHIEVE For our population want: To develop a service whereby people of all ages have a minimised risk of having a stroke and, where it does occur, they have an excellent chance of surviving and returning to independence as quickly as possible. People who access stroke care in to have stroke incidence and mortality rates comparable with the best in Europe. The key deliverables in this Plan will support the recommendations made by the Sentinel Stroke National Audit Programme (SSNAP) November 2012; o Quality and care will be audited against national standards o An annual report of patient experience will be completed o Aspire to work towards seven day a week therapy service o Early supported discharge will be available to all appropriate patients o Rehabilitation will end only when the patient no longer benefits significantly from it o All confirmed new acute stroke patients will be admitted to UHW where thrombolysis and other hyper-acute care is available, unless this is considered not to be in the patient s best clinical interests. o All patients will be admitted from EU to the Acute Stroke Unit in a timely manner o The Acute Stroke Unit will deliver the key standards for the SSNAP report o All staff involved in the Stroke Patient Pathway will be trained and have the skills to deliver expert care, and will also prepare the UHB for complying with the requirements of the data collection for SSNAP The will focus significantly on the areas recently highlighted by a small working group which looked at constraints in the 3

4 pathway. This resulted in the development of the Cardiff and Vale UHB Operational Policy for the Flow of Acute Stroke Patients from Admission to Discharge (March 2013.) How will we achieve this: Timely and prompt assessment for acute stroke patients within the Emergency Unit (EU) and other inpatient areas across the UHB Prompt identification of appropriate acute stroke patients for admission to priority beds on the Acute Stroke Unit within four hours of arrival in EU Early initiation of the rehabilitation process measured by the Orpington Predictor Tool within 48 hours of arrival in EU Early identification of patient outcome to ensure all stroke patients enter the correct stream on the stroke pathway, to support discharge and facilitate early multidisciplinary support Timely transfer of patients from the acute stroke unit to the stroke rehabilitation centre, with the aim of ensuring effective flow seven days a week. Improved integrated team working across clinical specialities and the multi-disciplinary teams to inform stroke treatment/care plans and support patient flow to the right bed first time Improved quality of care by ensuring the appropriate patient is cared for in the appropriate environment to support the rehabilitation process to maximise the potential and outcomes for patients Timely and proactive communication between key stakeholders to improve the patient journey supporting early discharge of the stroke patient 5. SUMMARY OF THE PLAN - THE PRIORITIES FOR 2014/15 Highlights from 2012/13 and 2013/14 Improvement in the thrombolysis pathway Delivery and operation of mechanical clot retraction service at Regional level Dedicated and functioning multi-disciplinary Acute Stroke Unit Appointment of Stroke Specialist Registrar (rotational post) Save time, save brain initiative launched to raise awareness All Wales Stroke forum established Specialist Stroke training programme for multidisciplinary staff Educational programs undertaken for Primary Care Physicians 4

5 Other Challenges Identified Through Local Improvement Work Introduction of seven day working for specialist stroke team Lack of available therapy staff during week days & at week ends Lack of Social Worker at the MDT meeting Dedicated funding for educational programs Shortage of junior Medical Staff due to commitment to on call Inability to accommodate stroke patients to be admitted directly to the acute stroke unit Access to Acute and Rehabilitative Stroke care for outlying stroke patients Degree of dependence on office hours staff for 24 hour service delivery The priorities for 2014/15 are: General Actions to Address above Challenges Innovative ways to reorganise Stroke Consultants Direct Clinical Care sessions to enable seven day working Explore how the UHB can dedicate more therapy staff to Stroke Service to provide seven day service Reorganisation of junior Medical Staff working pattern Work with Local Authority/Integrated Discharge Service to provide social worker attendance at multidisciplinary team meeting & provide better continuity cover absences due to annual leave etc. Better coordination of repatriation of out of area patients Engage with Social Services to facilitate timely care home placements Preventing stroke To be able to assess all high risk TIAs within 24 hours by Stroke Specialists seven days of the week To be able to assess all low risk TIAs within a week To implement All Wales Anticoagulation guidelines for atrial fibrillation effectively To promote early referral of symptomatic carotid stenosis patients for carotid endarterectomy within 2 weeks of symptom onset. Ensure faster access to echocardiogram & cardiac monitoring in appropriately selected TIA patients with suspected cardiogenic embolism Ensure that all patients with TIAs receive appropriate evidence based treatment Develop plans with the Welsh Stroke delivery group to develop screening services for atrial fibrillation. Detecting stroke quickly Ensure that primary and secondary care and the public treat stroke as a medical emergency Work with GPs to raise their awareness of symptoms 5

6 Audit the pathway for people diagnosed with a stroke and act on findings to improve services for early detection. Delivering fast, effective treatment and care Work with the Welsh stroke delivery group to explore the reconfiguration of stroke services in Wales including the development of hyper-acute Services in Wales All stroke patients will have prompt assessment, diagnosis and early treatment in EU to achieve relevant performance targets and ensure optimal patient outcome, Code Stroke All confirmed stroke patients will be transferred to the Acute Stroke Unit within four hours of arrival in EU, initially aiming for an interim 12 hour maximum in 100% of cases. All stroke patients will be cared for in the appropriate clinical area to support their needs until discharge Early engagement with families and all stakeholders is key to service delivery Identify and develop a process to ensure a prompt and timely response to deliver the same care 24/7 Provide timely access 24/7 to thrombolysis. Deliver thrombolysis within 30 minutes of admission Deliver regional interventional neuroradiology and neurosurgery for appropriately selected stroke patients. Supporting life after stroke Work with the Welsh Stroke delivery group to benchmark community rehabilitation services for stroke Further development of the early supported discharge team, to increase capacity and ensure optimal patient flow through the stroke pathway. Through Goal Planning meetings, develop appropriate care plans to agree care and support, based on the needs of individuals, following a diagnosis of stroke Ensure review of stroke survivors, as needed, with residual impairment Ensure stroke survivors are screened for visual impairment and psychological needs Involve stroke patients and their carers in the development of future services including creative ways of supporting them, listening to what they have to say about decisions that affect them and to provide Provide accessible and meaningful information and training when needed Plan and deliver palliative and end of life care services as locally as possible Improving Information 6

7 Work with stroke survivors, their carers and the Third Sector to ensure effective signposting to sources of information and support. Assess, record and meet the information needs of people through the use of joint care plans. Publish regular and easy to understand information about the effectiveness of their local stroke services. Record and use clinical information in planning and service provision Monitor performance against stroke clinical indicators and use the results to inform and improve service planning and delivery. Survey the views of stroke patients and their carers in respect of their experience and outcome of treatment. Targeting Research Offer all appropriate patients access to relevant clinical trials. Participate in the the Pragmatic Ischaemic Stroke Thrombectomy Evaluation (PISTE) trial a UK research studycomparing IV rtpa alone with IV rtpa and adjunctive mechanical thrombectomy in patients, eligible for treatment with IV rtpa, that have a large vessel carotid territory arterial occlusion (as confirmed on angiographic imaging) Maximise the use of Welsh Government funding for NHS research. Ensure that the UHB provides effective and efficient research governance processes to enable a speedy start and delivery of clinical trials. Support and encourage protected research time for clinically-active staff. Collaborate effectively with other Local Health Boards and NHS Trusts, Universities and industry in Wales to enable a speedier application of research, and introduction of new technology into the NHS. 6.0 PERFORMANCE MEASURES / MANAGEMENT produced their first annual report in September 2013, which reviewed the progress against the to date. The next annual report will be completed in September To measure success the following indicators will be used as a guide:- 80% of all new Stroke patients will be admitted to the Acute Stroke Unit within four hours of attendance, working towards 90% to comply with SSNAP guidance later this year 100% of all new stroke patients will be admitted to the Acute Stroke Unit within 12 hours of attendance 90% of all Stroke patients will have an Orpington Predictor Tool completed within 48 hours of admission to support the rehabilitation pathway Two clinically appropriate patients are discharged or transferred from the Acute Stroke Unit by noon daily 1-2 clinically appropriate patients are discharged or transferred from 7

8 the Stroke Rehabilitation Centre by noon daily Where a patient with an uncertain stroke diagnosis is admitted to the Acute Stroke Unit and subsequently confirmed as non-stroke, they should be transferred from the unit within 48 hours Any instance of a stroke patient having to be admitted to a ward other than the Acute Stroke Unit should be treated as an untoward incident Length of Stay on both the acute and rehabilitation units will be performance managed in line with national benchmarks 8

9 Delivery of SSNAP Audit standards Cardiff and Vale University Health Board Summary Action Plan to Support Objective Actions in 2014/15 Actions by 2016/17 Lead Initial target of 100% of patients transferred Achieve steady progress towards 100% of to acute stroke unit within 12 hours of transfers to acute stroke unit within 4 hours. admission, and 75% transferred within 4 hours. Lead Consultant Participate in national discussions regarding hyperacute Services in Wales Achievement of thrombolysis delivery times Implement further development of full Early Supported Discharge (ESD) model Progress plans for seven day working across acute stroke services Participation in Welsh Stroke delivery group to determine appropriate model of care Implementation of Code Stroke with initial target of >50% achievement of 30 minute door to needle time. Participate in Welsh benchmarking of community rehabilitation services for stroke Refine detail of original ESD business case against the learning from Proof of concept, performance data and evidence base. Review of medical staffing resource and required changes. Initial report and recommendations for implementation within current resources. Progress to implement nationally agreed model >90% achievement of 30 minute door to needle time. Further development of the ESD model and steady improvement in performance/ outcome data Consider resource plan to implement full seven day consultant working across acute stroke and TIA service. Medicine HOD Directorate Manager, Gerontology Lead consultant Nation stroke clinical lead Director Therapies and Health Science Medicine HOD Medicine HOD Directorate Manager, Gerontology Lead Consultant Directorate Manager, Gerontology Stroke Consultants Director and Asst Director of Therapies and Health Science Clinical Board Directors (Medicine and Specialist Services) Stroke Consultants Review of therapy staffing resource and required changes. Initial report and recommendations for implementation within Consider resource plan to implement full seven day therapy working across acute stroke service. Stroke Executive Lead Asst Director of 9

10 Objective Actions in 2014/15 Actions by 2016/17 Lead current resources. Therapies Local Authority to confirm arrangements to Consistent timely provision of social work provide seamless social worker cover to support, with no resultant discharge delays acute and rehabilitation Units Ensure best practice in respect of bed management and timely discharge Chief Operations Officer Clinical Board Nurses Directorate Lead Nurses Ensure compliance with All Wales Repatriation Policy Ensure timely facilitation of care home placements within the Choice Policy Implement regional interventional neuroradiology and neurosurgery for appropriately selected stroke patients Promote and monitor primary and secondary prevention for stroke, including raising awareness of atrial fibrillation Ensure maximum public awareness of stroke and required pre-hospital responses Progress and implement arrangements in respect of Life After Stroke initiative Sign up to the processes in place by respective UHBs. Work with Local Authority to agree enforceable timescales. Formal review of pilot service, activity levels, clinical outcomes and parallel financial arrangements. Confirm continued commitment to service across South Wales. Participate in all Wales work on AF Gather primary care data and identify areas for future focus Further programme of public awareness e.g. FAST, Save Time Save Brain. Further GP education programme Review all programme requirements. Implement robust six month follow arrangements. Consistent application of policy, with no lost bed days as a result of delayed out of area repatriation. Consistent operation of policy, with no subsequent lost bed days as result of delays. Agree formal guidelines for future clinical management of cases, and long term financial arrangements as required. Measure, monitor and where identified improve primary and secondary prevention in primary care Consistent high recognition levels from public surveys. Ongoing education and training programmes for public and professionals, and demonstrate evidence of more timely emergency calls being received from public. Consistent application of all LAS principles across Cardiff and Vale Chief Operations Officer Clinical Board Nurses Directorate Lead Nurses Chief Operations Officer Clinical Board Nurses Medical Director Clinical Board Directors, Medicine and CD&T Lead Clinicians Stroke Clinical lead Primary community Intermediate care Clinical Board and lead GP Public Health Director Communications Team PCIC HOD Community Directors Stroke Consultants Stroke Consultants Asst Director of Therapies 10

11 Ensure maximum benefit achieved from Stroke Association service level agreement. Participate in PISTE Trial Recruit according to plan Continue recruiting until trial complete Consultant Interventional Radiologist Ensure strong ongoing links with third sector to develop stroke services Agree and finalise service level agreement for services provided by Stroke Association. Agree strategy for meetings / partnership based on future patient / service need. Continuing close relationship with Stroke Association and regular review of services provide in light of patient need. Directorate Manager, Gerontology Lead Consultant 11

Stroke Delivery Plan. March 2015 Refresh. Cardiff and Vale University Health Board

Stroke Delivery Plan. March 2015 Refresh. Cardiff and Vale University Health Board Stroke Delivery Plan 2015 16 March 2015 Refresh Cardiff and Vale University Health Board 1 This delivery plan sets out the high level strategy for stroke care. The implementation of the plan will be progressed

More information

Aneurin Bevan University Health Board Stroke Services Redesign Programme

Aneurin Bevan University Health Board Stroke Services Redesign Programme Aneurin Bevan University Health Board Services Redesign Programme 1 Introduction This report aims to update the Health Board on progress with the Services Redesign Programme of work which commenced in

More information

Sentinel Stroke National Audit Programme (SSNAP)

Sentinel Stroke National Audit Programme (SSNAP) Sentinel Stroke National Audit Programme (SSNAP) Help notes for acute organisational audit 2016 Clinical Standards, Royal College of Physicians, London. On behalf of the Intercollegiate Stroke Working

More information

Stroke and TIA Service and Quality Core Standards 2016

Stroke and TIA Service and Quality Core Standards 2016 Stroke and TIA Service and Quality Core Standards 2016 Authors: Jackie Hudleston and Dr David Hargroves with Stroke Clinical Advisory Group Email: england.secn@nhs.net www.secn.nhs.uk Table of Contents

More information

ANEURIN BEVAN HEALTH BOARD Stroke Delivery Plan Template for 2009/2010

ANEURIN BEVAN HEALTH BOARD Stroke Delivery Plan Template for 2009/2010 ANEURIN BEVAN HEALTH BOARD Stroke Delivery Plan Template for 2009/2010 Objective Action Desired Output / Monitor and manage all those at risk of stroke and, refer as appropriate to smoking cessation services,

More information

Sentinel Stroke National Audit Programme (SSNAP)

Sentinel Stroke National Audit Programme (SSNAP) Sentinel Stroke National Audit Programme (SSNAP) Acute organisational audit report This report is for stroke survivors and their families November 2016 2016 1 Contents Contents... 2 Useful Contacts and

More information

Review of Stroke (Acute Phase) and TIA Services

Review of Stroke (Acute Phase) and TIA Services Review of Stroke (Acute Phase) and TIA Services Mid Staffordshire Health Economy Visit Date: 6 th December, 2011 Report Date: February 2012 WMQRS Mid Staffs Stroke Final Report V1 20120214.Doc 1 IDEX Introduction...

More information

Sentinel Stroke National Audit Programme (SSNAP)

Sentinel Stroke National Audit Programme (SSNAP) Sentinel Stroke National Audit Programme (SSNAP) Acute organisational audit proforma 2016 Clinical Standards, Royal College of Physicians, London. On behalf of the Intercollegiate Stroke Working Party.

More information

Stroke care in Wales. This report is for stroke survivors and their families

Stroke care in Wales. This report is for stroke survivors and their families Stroke care in Wales This report is for stroke survivors and their families Based on patients treated between April June 2014 1 2 Table of Contents Introduction to the SSNAP Easy Access Version Report...

More information

Review of Stroke (Acute Phase) & TIA Services

Review of Stroke (Acute Phase) & TIA Services West Midlands Partnership of Cardiac and Stroke Networks Review of Stroke (Acute Phase) & TIA Services Report Date: June 2011 Visit Dates: May to November 2010 Images courtesy of The Stroke Association,

More information

PARTICULARS, SCHEDULE 2 THE SERVICES, A Service Specification. 12 months

PARTICULARS, SCHEDULE 2 THE SERVICES, A Service Specification. 12 months E09/S(HSS)/b 2013/14 NHS STANDARD CONTRACT FOR VEIN OF GALEN MALFORMATION SERVICE (ALL AGES) PARTICULARS, SCHEDULE 2 THE SERVICES, A Service Specification Service Specification No. Service Commissioner

More information

TOGETHER FOR HEALTH DELIVERING END OF LIFE CARE PLAN A Delivery Plan up to 2016 for NHS Wales and its Partners

TOGETHER FOR HEALTH DELIVERING END OF LIFE CARE PLAN A Delivery Plan up to 2016 for NHS Wales and its Partners AGENDA ITEM 3.1 5 th November 2013 TOGETHER FOR HEALTH DELIVERING END OF LIFE CARE PLAN A Delivery Plan up to 2016 for NHS Wales and its Partners Executive Lead: Director of Therapies and Health Science

More information

Improving Stroke Care in West Surrey

Improving Stroke Care in West Surrey Improving Stroke Care in West Surrey Public Consultation 6 February to 30 April 2017 Please share your views with us 4 Stroke is the 4th single largest cause of death in the UK 700+ People diagnosed with

More information

In this edition we will showcase the work of the development of a model for GP- Paediatric Hubs

In this edition we will showcase the work of the development of a model for GP- Paediatric Hubs Focusing on the principle of home first and designing the Perfect Locality from the lens of the community Issue 7 June 2017 Welcome to the seventh issue of Our Future Wellbeing, a regular update on the

More information

SSNAP Core Dataset 4.0.0

SSNAP Core Dataset 4.0.0 For queries, please contact ssnap@rcplondon.ac.uk Webtool for data entry: www.strokeaudit.org SSNAP Core Dataset 4.0.0 NB. There is a stand-alone intra-arterial proforma available in the support section

More information

DRAFT Optimal Care Pathway

DRAFT Optimal Care Pathway DRAFT Optimal Care Pathway 1. Introduction... 3 1.1 Background... 3 1.2 Intent of the Optimal Care Pathways... 3 1.3 Key principles of care... 3 2. Steps in the care of patients with x cancer... 4 Step

More information

Hospitals without acute stroke units: A review of the clinical implications, and recommendations for stroke networks. January 2016

Hospitals without acute stroke units: A review of the clinical implications, and recommendations for stroke networks. January 2016 Hospitals without acute stroke units: A review of the clinical implications, and recommendations for stroke networks January 2016 Email: england.clinicalsenatesec@nhs.net Web: www.secsenate.nhs.uk Request

More information

ANEURIN BEVAN HEALTH BOARD DELIVERING END OF LIFE CARE

ANEURIN BEVAN HEALTH BOARD DELIVERING END OF LIFE CARE ANEURIN BEVAN HEALTH BOARD DELIVERING END OF LIFE CARE 2013-2016 1. INTRODUCTION The 5 Year NHS Plan, Together for Health, sets out the programme for health & healthcare in Wales and Together for Health

More information

Sentinel Stroke National Audit Programme (SSNAP)

Sentinel Stroke National Audit Programme (SSNAP) Sentinel Stroke National Audit Programme (SSNAP) Clinical audit report Stroke care in Wales This report is for stroke survivors and their families Based on patients treated between July - September 2015

More information

JOB DESCRIPTION. The post holder will take a key role in leading and developing the Stroke specialist nursing service across the organisation.

JOB DESCRIPTION. The post holder will take a key role in leading and developing the Stroke specialist nursing service across the organisation. JOB DESCRIPTION Job Title Advanced Nurse Practitioner for Stroke Salary Scale BAND 7 DIRECTORATE Elderly PROFESSIONALLY RESPONSIBLE TO: Matron MANAGERIALLY ACCOUNTABLE TO: Matron JOB SUMMARY The post holder

More information

Meeting people s needs A Wales Cancer Alliance Policy Paper Summer 2017

Meeting people s needs A Wales Cancer Alliance Policy Paper Summer 2017 Meeting people s needs A Wales Cancer Alliance Policy Paper Summer 2017 Meeting people s needs: overview More work needs to be done to meet the needs of patients, both as they undergo treatment for cancer

More information

SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN

SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Appendix-2016-59 Borders NHS Board SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Aim To bring to the Board s attention the Scottish

More information

Coordinated cancer care: better for patients, more efficient. Background

Coordinated cancer care: better for patients, more efficient. Background the voice of NHS leadership briefing June 2010 Issue 203 Coordinated cancer care: Key points There are two million people with cancer in the UK. It is suggested that by 2030 there will be over four million

More information

Changing for the Better 5 Year Strategic Plan

Changing for the Better 5 Year Strategic Plan Quality Care - for you, with you 5 Year Strategic Plan Contents: Section 1: Vision and Priorities for Change 3 Section 2: About the Trust 5 Section 3: Promoting Health & Wellbeing and Primary Care 6 Section

More information

Powys Teaching Health Board. Respiratory Delivery Plan

Powys Teaching Health Board. Respiratory Delivery Plan Powys Teaching Health Board Respiratory Delivery Plan 2016-17 CONTENTS 1. BACKGROUD AND CONTEXT 1.1 The Vision 1.2 The Drivers 1.3 What do we want to achieve? 2. ORGANISATIONAL PROFILE 2.1 Overview 3.

More information

Aneurin Bevan University Health Board

Aneurin Bevan University Health Board Aneurin Bevan University Health Board Together for Health Stroke Delivery Plan Update July 2015 1 Version History Version Date issued Amendment History Owner s Name V0_1 (First Draft) 23.04.15 ML V0_2

More information

Tele Stroke ( Telemedicine in Practice)

Tele Stroke ( Telemedicine in Practice) Tele Stroke ( Telemedicine in Practice) Site Royal Surrey County Hospital East Surrey Hospital Frimley Park Hospital NHS Foundation Trust Ashford and St Peter's Hospital NHS Trust Epsom Hospital Surrey

More information

Services for People with Stroke (Acute Phase) & TIA

Services for People with Stroke (Acute Phase) & TIA West Midlands Partnership of Cardiac and Stroke Networks Services for People with Stroke (Acute Phase) & TIA West Midlands Overview Report Report Date: March 2011 Visit Dates: May to November 2010 Images

More information

Seven Day Services Clinical Standards September 2017

Seven Day Services Clinical Standards September 2017 Seven Day Services Clinical Standards September 2017 11 September 2017 Gateway reference: 06408 Patient Experience 1. Patients, and where appropriate families and carers, must be actively involved in shared

More information

Integrated heart failure service working across the hospital and the community

Integrated heart failure service working across the hospital and the community Integrated heart failure service working across the hospital and the community Lynne Ruddick Professional Lead (South) British Heart Foundation 31st October 2017 Heart Failure is an epidemic. NICE has

More information

Specialised Services Commissioning Policy: CP160 Specialised Paediatric Neurological Rehabilitation

Specialised Services Commissioning Policy: CP160 Specialised Paediatric Neurological Rehabilitation Specialised Services Commissioning Policy: CP160 Specialised Paediatric Neurological Rehabilitation April 2018 Version 4.0 Document information Document purpose Document name Author Policy Specialised

More information

Transforming Cancer Services In South East Wales

Transforming Cancer Services In South East Wales Transforming Cancer Services In South East Wales Clinical Service Model January 2016 Cancer survival rates are increasing. But the number of people getting cancer is increasing too. At Velindre NHS Trust

More information

AMP Health and Social Care Professional Implementation Group Update

AMP Health and Social Care Professional Implementation Group Update AMP Health and Social Care Professional Implementation Group Update November 2016 Welcome to another update from the National Acute Medicine Programme s Health and Social Care Professionals Implementation

More information

Main body of report Integrating health and care services in Norfolk and Waveney

Main body of report Integrating health and care services in Norfolk and Waveney Item 18.73a ii Norfolk and Waveney Sustainability and Transformation Plan Update for governing bodies and trust boards September 2018 Purpose of report The purpose of this paper is to update members of

More information

Cardiff and Vale University Health Board. Stroke Delivery Plan / Progress Report September 2017

Cardiff and Vale University Health Board. Stroke Delivery Plan / Progress Report September 2017 Stroke Delivery Plan / Progress Report September 2017 1. Overview (CaV UHB) has made progress during the past year in the following areas: - Thrombolysis improvement both in the number of eligible patients

More information

Bristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019

Bristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019 Bristol CCG North Somerset CGG South Gloucestershire CCG Draft Commissioning Intentions for 2017/2018 and 2018/2019 Programme Area Key intention Primary and community care Sustainable primary care Implement

More information

Agenda for the next Government

Agenda for the next Government Agenda for the next Government General election 2017 The Richmond Group of Charities We are the Richmond Group of Charities and we help people of all ages who have serious long term physical and mental

More information

CWM TAF LOCAL HEALTH BOARD

CWM TAF LOCAL HEALTH BOARD CWM TAF LOCAL HEALTH BOARD TOGETHER FOR HEALTH - A HEART DISEASE DELIVERY PLAN A DELIVERY PLAN UP TO 2016 FOR CWM TAF LHB AND ITS PARTNERS DECEMBER 2013 Page 1 of 24 1. BACKGROUND AND CONTEXT Together

More information

NHS Grampian. Intensive Psychiatric Care Units

NHS Grampian. Intensive Psychiatric Care Units NHS Grampian Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We have assessed the performance

More information

Delivering Local Health Care

Delivering Local Health Care Delivering Local Health Care Accelerating the pace of change Contents Joint foreword by the Minister for Health and Social Services and the Deputy Minister for Children and Social Services Foreword by

More information

Adult Therapy Services. Community Services. Roundshaw Health Centre. Team Lead / Service Manager. Service Manager / Clinical Director

Adult Therapy Services. Community Services. Roundshaw Health Centre. Team Lead / Service Manager. Service Manager / Clinical Director THE ROYAL MARSDEN NHS FOUNDATION TRUST Job Description Job Title Specialist Neuro Physiotherapist - Community Neuro Therapy Service Area of Specialty Adult Therapy Services Directorate Community Services

More information

THE SERVICES. A. Service Specifications (B1) Ian Diley (Suffolk County Council)

THE SERVICES. A. Service Specifications (B1) Ian Diley (Suffolk County Council) THE SERVICES A. Service Specifications (B1) Service Specification No. Service Early Supported Discharge for Stroke Patients v5.0 Commissioner Lead Dr Mark Lim, T Woor (Suffolk Stroke Review Project Board)

More information

Intensive Psychiatric Care Units

Intensive Psychiatric Care Units NHS Lothian St John s Hospital, Livingston Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We

More information

End of Life Care. LONDON: The Stationery Office Ordered by the House of Commons to be printed on 24 November 2008

End of Life Care. LONDON: The Stationery Office Ordered by the House of Commons to be printed on 24 November 2008 End of Life Care LONDON: The Stationery Office 14.35 Ordered by the House of Commons to be printed on 24 November 2008 REPORT BY THE COMPTROLLER AND AUDITOR GENERAL HC 1043 Session 2007-2008 26 November

More information

Marginal Rate Emergency Threshold. Executive Summary

Marginal Rate Emergency Threshold. Executive Summary Part 1 meeting of the Castle Point and Rochford CCG Governing Body held on 29 th September 2016 Agenda item 16 Marginal Rate Emergency Threshold Submitted by: Prepared by: Status: Robert Shaw, Joint Director

More information

Delivering the QIPP programme: making existing services improve patient outcomes

Delivering the QIPP programme: making existing services improve patient outcomes Delivering the QIPP programme: making existing services improve patient outcomes Produced by Glyn Davies MP, Chair All-Party Parliamentary Group on AF in association with the Atrial Fibrillation Association

More information

Job Description. Job title: Gynae-Oncology Clinical Nurse Specialist Band: 7. Department: Cancer Services Hours: 30

Job Description. Job title: Gynae-Oncology Clinical Nurse Specialist Band: 7. Department: Cancer Services Hours: 30 Job Description Job title: Gynae-Oncology Clinical Nurse Specialist Band: 7 Department: Cancer Services Hours: 30 Reports to: Lead Nurse for Cancer We are a pioneering research active organisation and

More information

25 June 2018 Conference Programme

25 June 2018 Conference Programme North West Stroke Conference 2018 25 June 2018 Conference Programme North West Stroke Conference 2018 Sponsored by Conference Chairs Dr Liz Lightbody Liz is a Reader in Health Services Research in the

More information

Wales Critical Care & Trauma Network (North)

Wales Critical Care & Trauma Network (North) Wales Critical Care & Trauma Network (North) CRITICAL CARE ADMISSION & DISCHARGE GUIDELINES Revised 2016 1 CONTENTS: 1.0 Introduction 1.1 Scope of the Guideline 1.2 Levels of Care 2.0 Admission Guidance

More information

Mind the Gap! The Third SSNAP Annual Report. Care received between April 2015 to March 2016

Mind the Gap! The Third SSNAP Annual Report. Care received between April 2015 to March 2016 Mind the Gap! The Third SSNAP Annual Report Care received between April 2015 to March 2016 2 A description of the front cover of this report The three paintings Morning, Noon and Night on the front cover

More information

National Primary Care Cluster Event ABMU Health Board 13 th October 2016

National Primary Care Cluster Event ABMU Health Board 13 th October 2016 National Primary Care Cluster Event ABMU Health Board 13 th October 2016 1 National Primary Care Cluster Event - ABMU Health Board Introduction The development of primary and community services is a fundamental

More information

Wolverhampton CCG Commissioning Intentions

Wolverhampton CCG Commissioning Intentions Wolverhampton CCG Commissioning Intentions 2015-16 * Areas of particular focus and priority CI Ref Contract Provider Brief CI001 CI002 CI003 Child Protection Information Sharing Implement the new Child

More information

Shaping the best mental health care in Manchester

Shaping the best mental health care in Manchester Clinical Transformation Plans Manchester Shaping the best mental health care in Manchester Meeting the needs of our communities Improving Lives OUR SHARED WAY AHEAD... Clinical Service Transformation in

More information

Hospital Discharge and Transfer Guidance. Choice, Responsiveness, Integration & Shared Care

Hospital Discharge and Transfer Guidance. Choice, Responsiveness, Integration & Shared Care Hospital Discharge and Transfer Guidance Choice, Responsiveness, Integration & Shared Care Worcestershire Mental Health Partnership NHS Trust Information Reader Box Document Type: Document Purpose: Unique

More information

Plans for urgent care in west Kent:

Plans for urgent care in west Kent: Plans for urgent care in west Kent: Introduction and background A summary of our draft strategy NHS West Kent Clinical Commissioning Group (CCG) is working to improve urgent care services and we would

More information

How are we doing? Adult Local Services at the heart of our community. Leisure Centre F RUIT & VEG

How are we doing? Adult Local Services at the heart of our community. Leisure Centre F RUIT & VEG Leisure Centre How are we doing? 2016-17 F RUIT & VEG Adult Local Services at the heart of our community Our performance Angela Dawe and Sue Bowler Joint Directors for Operations and Strategic Development,

More information

Hyperacute and Acute Stroke Care: What s New? Martin James Consultant Stroke Physician Royal Devon & Exeter Hospital, Exeter

Hyperacute and Acute Stroke Care: What s New? Martin James Consultant Stroke Physician Royal Devon & Exeter Hospital, Exeter Hyperacute and Acute Stroke Care: What s New? Martin James Consultant Stroke Physician Royal Devon & Exeter Hospital, Exeter What s new in hyperacute and acute care Mechanical thrombectomy (MT) IV Thrombolysis

More information

Core Community Rookwood Lodge. YES - we provide a domiciliary physiotherapy service for these groups of patients.

Core Community Rookwood Lodge. YES - we provide a domiciliary physiotherapy service for these groups of patients. HBPR* CBPR** Community COPD team (CRRU) 1) Please whether there is a community rehabilitation service in your area for treating the following conditions: - Hip fracture - Stroke - COPD ES ES ES Core Community

More information

Job Description. Job title: Uro-Oncology Clinical Nurse Specialist Band: 7

Job Description. Job title: Uro-Oncology Clinical Nurse Specialist Band: 7 Job Description Job title: Uro-Oncology Clinical Nurse Specialist Band: 7 Department: Cancer Services Hours: 37.5 (min 22.5 hrs) Reports to: Lead Nurse for Cancer We are a pioneering research active organisation

More information

OPERATIONAL PERFORMANCE REPORT: March Swindon Community Health Services Overview

OPERATIONAL PERFORMANCE REPORT: March Swindon Community Health Services Overview OPERATIONAL PERFORMANCE REPORT: March 2018 Swindon Community Health Services Overview 1.0 Introduction This overview brings to the attention of committee members the key areas of Community Health Service

More information

Aneurin Bevan Health Board. Neighbourhood Care Network. Strategic Plan

Aneurin Bevan Health Board. Neighbourhood Care Network. Strategic Plan Agenda Item: 3.8 Appendix Two Aneurin Bevan Health Board Neighbourhood Care Network Strategic Plan 2013-2018 1 CONTENTS 1 Purpose & Scope 3 2 National and Local Context 6 3 The Vision 10 4 Strategic Themes

More information

Sentinel Stroke National Audit Programme (SSNAP)

Sentinel Stroke National Audit Programme (SSNAP) Sentinel Stroke National Audit Programme (SSNAP) Acute organisational audit report November 2016 National Report England, Wales and Northern Ireland Prepared by Royal College of Physicians, Care Quality

More information

Care Coordination and Care Programme Approach Practice Guidance Note Learning Disability Admissions Urgent Care Only V02

Care Coordination and Care Programme Approach Practice Guidance Note Learning Disability Admissions Urgent Care Only V02 Care Coordination and Care Programme Approach Practice Guidance Note Learning Disability Admissions Urgent Care Only V02 Date issued Issue 2 Dec 15 Issue 3 Dec 17 Author/Designation Responsible Officer

More information

Guideline scope Intermediate care - including reablement

Guideline scope Intermediate care - including reablement NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Guideline scope Intermediate care - including reablement Topic The Department of Health in England has asked NICE to produce a guideline on intermediate

More information

Utilisation Management

Utilisation Management Utilisation Management The Utilisation Management team has developed a reputation over a number of years as an authentic and clinically credible support team assisting providers and commissioners in generating

More information

Business Case Authorisation Cover Sheet

Business Case Authorisation Cover Sheet Business Case Authorisation Cover Sheet Section A Business Case Details Business Case Title: Directorate: Division: Sponsor Name Consultant in Anaesthesia and Pain Medicine Medicine and Rehabilitation

More information

Agenda Item 3.3 IMPLEMENTATION OF SETTING THE DIRECTION - WHOLE SYSTEMS CHANGE PROGRESS UPDATE

Agenda Item 3.3 IMPLEMENTATION OF SETTING THE DIRECTION - WHOLE SYSTEMS CHANGE PROGRESS UPDATE FOR INFORMATION UHB Board Meeting: 17 January 2012 IMPLEMENTATION OF SETTING THE DIRECTION - WHOLE SYSTEMS CHANGE PROGRESS UPDATE Report of Paper prepared by Executive Summary Director of Public Health

More information

Stroke Services Cheshire & Merseyside

Stroke Services Cheshire & Merseyside PRESENTATION TITLE Stroke Services Cheshire & Merseyside Dr Deborah Lowe Consultant Stroke Physician SCN Clinical Lead for Stroke Why are we here? We all want to deliver high quality stroke care to our

More information

Mental Health Crisis Care: The Five Year Forward View. Steven Reid Consultant Psychiatrist, Psychological Medicine CNWL NHS Foundation Trust

Mental Health Crisis Care: The Five Year Forward View. Steven Reid Consultant Psychiatrist, Psychological Medicine CNWL NHS Foundation Trust Mental Health Crisis Care: The Five Year Forward View Steven Reid Consultant Psychiatrist, Psychological Medicine CNWL NHS Foundation Trust Overview Parity of esteem What are the challenges for people

More information

Quality Assurance Framework. Powys thb provided and commissioned services Quality and Safety Committee November 2013

Quality Assurance Framework. Powys thb provided and commissioned services Quality and Safety Committee November 2013 Quality Assurance Framework Powys thb provided and commissioned services Quality and Safety Committee November 2013 1 Background Together for Health vision for NHS Wales 6 domains of quality Effectiveness

More information

POSITION STATEMENT ON THE FUTURE MODEL OF NEUROSCIENCES IN MID AND SOUTH WALES. Chief Executive

POSITION STATEMENT ON THE FUTURE MODEL OF NEUROSCIENCES IN MID AND SOUTH WALES. Chief Executive AGENDA ITEM 5.2 23 October 2009 POSITION STATEMENT ON THE FUTURE MODEL OF NEUROSCIENCES IN MID AND SOUTH WALES Report of Chief Executive Paper prepared by Purpose of Paper Action/Decision required Link

More information

Greater Manchester Neuro-Rehabilitation Services information for patients and carers

Greater Manchester Neuro-Rehabilitation Services information for patients and carers THIS BOOKLET IS BEING TRIALLED Greater Manchester Neuro-Rehabilitation Services information for patients and carers Greater Manchester Neuro-Rehabilitation Services gmnrodn@srft.nhs.uk All Rights Reserved

More information

SSNAP data: What are the benefits? Tony Rudd

SSNAP data: What are the benefits? Tony Rudd SSNAP data: What are the benefits? Tony Rudd Without the audit data services would not have improved 2001 2005 2007 2010 2013 What does SSNAP measure? Organisation of care (measures structure) Clinical

More information

1 Introduction 2 2 Definitions of levels of care 3 3 Common principles 4 4 Admission criteria 5 5 Referral procedure

1 Introduction 2 2 Definitions of levels of care 3 3 Common principles 4 4 Admission criteria 5 5 Referral procedure ADMISSION & DISCHARGE POLICY FOR ADULT CRITICAL CARE SERVICES CONTENTS Page 1 Introduction 2 2 Definitions of levels of care 3 3 Common principles 4 4 Admission criteria 5 5 Referral procedure 5-7 5.1

More information

What is this Guide for?

What is this Guide for? Continuing NHS Healthcare (CHC) is a package of services that is arranged and funded solely by the NHS, for those people who have been assessed as having a primary health need. The issue is one of need.

More information

NHS Lanarkshire. Local Report ~ November Stroke Services: Care of the Patient in the Acute Setting

NHS Lanarkshire. Local Report ~ November Stroke Services: Care of the Patient in the Acute Setting NHS Lanarkshire Local Report ~ November 2005 Stroke Services: Care of the Patient in the Acute Setting NHSScotland Regional Breakdown 13 12 15 1 NHS Argyll & Clyde 2 NHS Ayrshire & Arran 3 NHS Borders

More information

Specialised Services Service Specification. Adult Congenital Heart Disease

Specialised Services Service Specification. Adult Congenital Heart Disease Specialised Services Service Specification Adult Congenital Heart Disease Document Author: Executive Lead: Approved by: Issue Date: Review Date: Document No: Specialised Planner Director of Planning Insert

More information

#NeuroDis

#NeuroDis Each and Every Need A review of the quality of care provided to patients aged 0-25 years old with chronic neurodisability, using the cerebral palsies as examples of chronic neurodisabling conditions Recommendations

More information

The Community Crisis House model

The Community Crisis House model An evaluation of Wales first crisis house If it had not been for the Crisis House staff I honestly don t think I would still be here. I can t thank you enough for all your help. I now feel that I actually

More information

Briefing on the first stage of the Acute Services Review the clinical recommendations

Briefing on the first stage of the Acute Services Review the clinical recommendations Briefing on the first stage of the Acute Services Review the clinical recommendations Introduction Over 100 clinicians from our four main hospitals, GPs, NHS managers and patient representatives have been

More information

Evaluation Tool* Clinical Standards ~ March 2010 Chronic Obstructive Pulmonary Disease** Services

Evaluation Tool* Clinical Standards ~ March 2010 Chronic Obstructive Pulmonary Disease** Services Evaluation Tool* Clinical Standards ~ March 2010 Chronic Obstructive Pulmonary Disease** Services *Formerly known as Self-Assessment Framework ** Chronic Obstructive Pulmonary Disease (COPD) Standard 1:

More information

Specialised Services Service Specification: Inherited Bleeding Disorders

Specialised Services Service Specification: Inherited Bleeding Disorders Specialised Services Service Specification: Inherited Bleeding Disorders Document Author: Assistant Specialised Services Planner Cardiac and Cancer Specialised Services Planner Cancer and Blood Executive

More information

Minor Oral Surgery Service Reconfiguration

Minor Oral Surgery Service Reconfiguration Minor Oral Surgery Service Reconfiguration 1 Introduction The purpose of this report is to inform the Board on the status of the Minor Oral Surgery Service Reconfiguration programme and request approval

More information

My Discharge a proactive case management for discharging patients with dementia

My Discharge a proactive case management for discharging patients with dementia Shine 2013 final report Project title My Discharge a proactive case management for discharging patients with dementia Organisation name Royal Free London NHS foundation rust Project completion: March 2014

More information

PATIENT RIGHTS ACT (SCOTLAND) 2011 ACCESS POLICY FOR TREATMENT TIME GUARANTEE

PATIENT RIGHTS ACT (SCOTLAND) 2011 ACCESS POLICY FOR TREATMENT TIME GUARANTEE NHS Board Meeting Tuesday 16 October 2012 Chief Operating Officer (Acute Services Division) Board Paper No. 12/45 PATIENT RIGHTS ACT (SCOTLAND) 2011 ACCESS POLICY FOR TREATMENT TIME GUARANTEE Recommendation:

More information

CHILD AND ADOLESCENT MENTAL HEALTH SERVICES

CHILD AND ADOLESCENT MENTAL HEALTH SERVICES AGENDA ITEM 7.5 CHILD AND ADOLESCENT MENTAL HEALTH SERVICES Executive Lead: Director of Public Health Author: Rose Whittle CAMHS Commissioning Lead Contact Details for further information: Rose Whittle

More information

Together for Health A Respiratory Health Delivery Plan. A Delivery Plan up to 2017 for the NHS and its partners

Together for Health A Respiratory Health Delivery Plan. A Delivery Plan up to 2017 for the NHS and its partners Together for Health A Respiratory Health Delivery Plan A Delivery Plan up to 2017 for the NHS and its partners Date of Issue: 29 April 2014 Digital ISBN 978 1 4734 1110 4 Crown copyright 2014 WG21465 CONTENTS

More information

SWLCC Update. Update December 2015

SWLCC Update. Update December 2015 SWLCC Update Update December 2015 Croydon, Kingston, Merton, Richmond, Sutton and Wandsworth NHS Clinical Commissioning Groups and NHS England Working together to improve the quality of care in South West

More information

JOB DESCRIPTION. The hospital has been consistently growing over the past few years, almost doubling since 2008.

JOB DESCRIPTION. The hospital has been consistently growing over the past few years, almost doubling since 2008. JOB DESCRIPTION JOB TITLE: Senior II Paediatric Physiotherapist CLINICAL UNIT: Therapy Services BASE: The Portland Hospital for Women and Children MANAGED BY: Therapy Services Manager/ Senior staff ACCOUNTABLE

More information

Efficiency in mental health services

Efficiency in mental health services the voice of NHS leadership briefing February 211 Issue 214 Efficiency in mental health services Supporting improvements in the acute care pathway Key points As part of the current focus on improving quality,

More information

Report to the Board of Directors 2015/16

Report to the Board of Directors 2015/16 Attachment 9 Report to the Board of Directors 2015/16 Date of meeting 18 Subject Report of Prepared by Seven Day Services Medical Director Ashling Rivá, Project Manager Previously considered by Transformation

More information

Allied Health Review Background Paper 19 June 2014

Allied Health Review Background Paper 19 June 2014 Allied Health Review Background Paper 19 June 2014 Background Mater Health Services (Mater) is experiencing significant change with the move of publicly funded paediatric services from Mater Children s

More information

The Role of the Arrhythmia Nurse

The Role of the Arrhythmia Nurse The Role of the Arrhythmia Nurse RACHEAL JAMES BHF SUPPORTED ARRHYTHMIA NURSE SPECIALIST UHW The Role of the Arrhythmia Nurse Specialist It is now widely recognised that the skills and expertise that nurses

More information

NHS Wales Delivery Framework 2011/12 1

NHS Wales Delivery Framework 2011/12 1 1. Introduction NHS Wales Delivery Framework for 2011/12 NHS Wales has made significant improvements in targeted performance areas over recent years. This must continue and be associated with a greater

More information

Together for Health A Delivery Plan for the Critically Ill

Together for Health A Delivery Plan for the Critically Ill Together for Health A Delivery Plan for the Critically Ill 2013-2016 March 2015 Approved at CPG Board 25 th March 2015 1. BACKGROUND AND CONTEXT Together for Health a Delivery Plan for the Critically Ill

More information

21 March NHS Providers ON THE DAY BRIEFING Page 1

21 March NHS Providers ON THE DAY BRIEFING Page 1 21 March 2018 NHS Providers ON THE DAY BRIEFING Page 1 2016-17 (Revised) 2017-18 (Revised) 2018-19 2019-20 (Indicative budget) 2020-21 (Indicative budget) Total revenue budget ( m) 106,528 110,002 114,269

More information

Same day emergency care: clinical definition, patient selection and metrics

Same day emergency care: clinical definition, patient selection and metrics Ambulatory emergency care guide Same day emergency care: clinical definition, patient selection and metrics Published by NHS Improvement and the Ambulatory Emergency Care Network June 2018 Contents 1.

More information

Hooper Psychiatric Ward Intensive Care and Acute services

Hooper Psychiatric Ward Intensive Care and Acute services Cygnet PICU and Hospital Acute Beckton Services Hooper Psychiatric Ward Intensive Care and Acute services Hooper Ward is a locked-door service, allowing stability and security for service users to maximise

More information

Date of publication:june Date of inspection visit:18 March 2014

Date of publication:june Date of inspection visit:18 March 2014 Jubilee House Quality Report Medina Road, Portsmouth PO63NH Tel: 02392324034 Date of publication:june 2014 www.solent.nhs.uk Date of inspection visit:18 March 2014 This report describes our judgement of

More information

Intensive Psychiatric Care Units

Intensive Psychiatric Care Units NHS Greater Glasgow and Clyde Stobhill Hospital, Glasgow Intensive Psychiatric Care Units Service Profile Exercise ~ November 009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and

More information