Slough CCG, Bracknell & Ascot CCG and Windsor, Ascot & Maidenhead CCG are currently reviewing stroke services in the area, with the intention to improve outcomes for patients following a stroke.
The evidence is very clear that patients have a better chance of surviving and recovering from a stroke if they are treated with the right quality care at a specialist stroke unit as soon as possible after the stroke has taken place.
The type of care and treatment received at this crucial time can affect the extent and speed of recovery of each stroke survivor.
What are the key challenges with the current provision?
There are a number of challenges in the way that current stroke services are delivered and we know that needs to change. Commissioning a stroke service that adheres to the British Association of Stroke Physicians (BASP) guidelines is in the best interest of our patients, and will support enhanced and improved recovery. For further background, please take a look at the National Stroke Strategy and/or download Briefing Note 1 below:
- All stroke patients to be transported initially to a Hyper Acute Stroke Unit (HASU), at High Wycombe, Royal Berkshire or Frimley Park hospitals – not Wexham Park Hospital;
- 24/7 screening, consultant and other specialist support will be available on HASU sites;
- Rehabilitation services to include high-quality Physiotherapy; Speech and Language Therapy; Psychological support and Occupational Therapy;
- All patients to have access to appropriate multi-disciplinary team skills and have a comprehensive health and social care plan upon discharge, with a named person to contact;
- Patients to remain at the HASU for the duration of the acute stage of their care – 7-10 days
- Patients would then return to an in-patient or neuro rehab unit closer to where they live;
- All patients to be supported post-discharge from hospital with high-quality Early Supported Discharge (ESD) services, including psychological support and other further rehabilitation if needed.
- Wexham Park Hospital would no longer provide an acute stroke unit. Once Slough patients have completed the acute stage of their care, they will complete in-patient rehab at a local centre.
- We want to ensure we have the highest quality stroke services available for all patients across east Berkshire area.
- There needs to be a seamless service from an acute hospital to rehabilitation unit.
- We want to ensure we have the right kind of support at each stage.
The clinical evidence shows that if we are able to achieve the above objectives, our patients would have fast diagnosis, assessment and treatment and they would have the best possible chances of recovery. While some patients may need to travel further to get to a specialist stroke unit, they will benefit from being in the right place at the right time, having access to the right specialist staff and equipment, thereby improving their chances of survival and giving them a speedier recovery with less long term disability.
Thank you for attending our engagement event
Thank you to all who attended our engagement event on the 17th March 2016. We had approximately 40 people from across east Berkshire participate, including members of the public, representatives from the voluntary sector, Stroke Association, local authority and from within various parts of the NHS, including Frimley Park NHS Foundation Trust.
We had a lively Question and Answer session which we have documented here. If you were unable to attend the event, please see the two presentations that were made below:
Summary of the stroke service review to date: focuses on where patients will be treated, rehab and ESD.
The Clinical Evidence: why are Hyper Acute Stroke Units so important?
Stroke Reconfiguration Q&A's.
Please have a look at the two presentations above which explain the process to date and why we are proposing this change to the way stroke services are provided. We hope that the above presentations and Q&A are helpful. We are working hard to make sure everyone has a voice in this work and that we are listening as much as talking. We have already been reporting to public Governing Body meetings, spoken to patient groups at Patient Participation Forum meetings and given an update at the last Community Partnership Forum.
The Stroke Association are currently requesting people who have survived a stroke, or cared for a stroke survivor to complete their online questionnaire. The survey asks about care, treatment and support in hospital and at home, and the long term impacts of stroke. They will use the data, quotes and stories from the survey to call for improvements to stroke care and support.