Rehabilitation
Quality marker 10 of the National Stroke Strategy is about access to rehabilitation for all, at the right time, in the right place, of the right amount, for as long as is required, and delivered by appropriately skilled people. The National Stroke Strategy advocates high quality specialist rehabilitation for all stroke patients, describing desired levels of access, quality and duration.
Supporting resources
Increasing access to therapy
This web resource includes the learning from work with therapy project teams that is directly related to the application of demand and capacity for stroke therapy services, with some additional useful information around the evidence base, data collection and other approaches being adopted to improve access to therapy and rehabilitation (December 2011).
Mind the gap: ways to enhance therapy provision in stroke rehabilitation
This publication, launched at the UK Stroke Forum 2011, explores some of the different models adopted by therapy services to deliver more rehabilitation. The publication provides some useful learning to inform the debate with further detail about 45 minutes, process and outcomes (November 2011).
Going up a gear: practical steps to improve stroke care
The Stroke Improvement Programme's publication draws together the key themes and learning from the 2009/10 projects and includes ‘top tips’ that have emerged from the projects to help others as they make improvements in stroke care (published June 2010)
Improving post hospital and long term care: case studies from the transfer of care and rehabilitation national projects (published June 2010)
Rehabilitation national projects 2009/10
Includes links to the case studies from the projects and the presentations and posters from the Accelerating Progress in Stroke Care event, 22 June 2010.
Early Supported Discharge (ESD)
The Early Supported Discharge (ESD) webpage aims to bring together and share the learning and information gathered so far on ESD into a resource for staff working with stroke survivors and their carers in the community, those involved in commissioning such services, and people looking to develop new services or improve existing community stroke services.
Community Stroke Resource
The Community Stroke Resource is designed to support innovative practice and the sharing of knowledge across rehabilitation. It brings together and shares the learning and information the Stroke Improvement Programme has gathered so far about community stroke services. It comprises a collection of material including evidence from literature and research, business cases, inspirational presentations and documentation related to community stroke services.
Unbundling the stroke tariff
The Unbundling the stroke tariff online resource includes information that may assist organisations working towards quality marker 10 of the National Stroke Strategy.
Rehabilitation and Beyond; Progressing along the stroke pathway event presentations, 13 October 2009
Procurement
An effective procurement process can help to improve quality and ensure value for money. In the current climate where there is need to deliver savings simultaneous to delivering improvements and productivity, it can assist commissioners with that challenge. A new strategy for NHS procurement is being developed and will be published at the end of March 2012.
KPIs (Key Performance Indicators) and C-QUIN
An effective system for capturing and analysing information about a service is essential to understand how well the service is functioning and to establish the impact of changes and proposed improvements. Establishing systems, and then analysing the information, can be challenging in a busy clinical environment. Some strategic level indicators currently determined by Strategic Health Authorities, will subsequently be determined by clinical commissioning groups (CCGs) and will potentially be based on the commissioning outcomes framework. These indicators tend to be more locally defined and can include Key performance indicators used to incentivise provider performance when used in association with incentive payments, such as the Commissioning for Quality and Innovation (CQUIN) scheme.
Bed modelling tool
In Essex, a Stroke bed capacity and ESD impact evaluation model has been used by commissioners to understand to support their work around commissioning ESD services. It can be applied to community rehabilitation models and includes impact evaluation.
Contact
Jill Lockhart
National Improvement Lead
NHS Improvement - Stroke
Email: jill.lockhart@improvement.nhs.uk