All Wales Stroke Services Improvement Collaborative
Update on Stroke in Wales
Dr Tom Hughes
Consultant Neurologist
Cardiff and Vale NHS Trust
Slide 1
All Wales Stroke Services Improvement Collaborative
RCP Audit
Remember the stories bit?
Slide 2
All Wales Stroke Services Improvement Collaborative
Five key characteristics chosen from the
Stroke Unit Trialists' Collaboration (SUTC) are:
• Consultant physician with responsibility for
stroke
• Formal links with patient and carer
organisations
• Multidisciplinary meetings at least weekly to
plan patient care
• Provision of information to patients about
stroke
• Continuing education programmes for staff
Slide 3
All Wales Stroke Services Improvement Collaborative
5 Acute Criteria of acute and combined
stroke units:
These criteria are not all evidence based but were
developed using the consensus of an expert working
group – the Intercollegiate Stroke Working Party:
• Continuous physiological monitoring (ECG,
oximetry, blood pressure)
• Access to scanning within 3 hours of
admission
• Direct admission from A&E/front door
• Specialist ward rounds at least 5 times a
week
• Acute stroke protocols/guidelines
Slide 4
All Wales Stroke Services Improvement Collaborative
East Midlands
East of England
London
North East
North West
South Central
South East Coast
South West
West Midlands
Yorkshire and The Humber
Wales
Northern Ireland
0
10
Slide 5
20
30
40
50
60
70
80
Total organisational score 2009
90
100
All Wales Stroke Services Improvement Collaborative
Slide 6
All Wales Stroke Services Improvement Collaborative
Numbers are levers
• Good data is valuable
• It tells stories without then need for
many words
• It should become part of routine practice
Thank You
Slide 7