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STROKE PATHWAY HARINGEY

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					  Roles & Pathways: The
Stroke Network in Haringey
        (An integrated Approach)

                                         Tristan Brice
                            Stroke Care Co-ordinator
                      NHS Haringey / Haringey Council
         Overview


• Briefly outline the integrated patient pathway for
  stroke in Haringey
• Discuss how re-integration back into the
  community is facilitated within Haringey
• Discuss the challenges of integrating different
  providers within the pathway
                         STROKE PATHWAY HARINGEY
                                             (April 2011)




                              Hyper          Acute          (Early Supported
                                                                Discharge                     Active
                  FAST        Acute          Stroke
                                                              / Community                   Citizenship
                              Stroke          Unit
Prevention




                  Face         Unit                             Rehab /
                                                                Specialist                  •Life Roles
                  Arms                       NMH
                                              (60%)             Services)                    •Hobbies
                  Speech       UCLH
                  Time
                                           Royal Free             Location:
                               Royal          (30%)                Home/
                              London                          Residential Home/
                                           Homerton            Nursing Home
                                              (10%)



                                            In-Patient /
                                             Specialist                                   Reviews
                                           Rehabilitation                         (6 weeks / 6 months / annual)


                                                      End of Life Pathway (30%)

             Stroke User Group / Stroke Information Committee / Support Worker / Life Role
              GOVERNANCE ARRANGEMENTS



       Joint Leadership Team (Heath and Well-Being Board)


                  Stroke Implementation Team



  Stroke           Integrated             Re-               Transfer of
awareness             care            integration           care / end
   and            pathway LIT           into the             of life LIT
prevention                            community
   LIT                                    LIT


               Stroke survivor and carer user group


                  Stroke Information Committee
Re-integration back into the
        Community
        Social Exclusion


• “Social exclusion is about more than income
  poverty. It is a short-hand term for what can
  happen when people or areas face a combination
  of linked problems, such as unemployment,
  discrimination, poor skills, low incomes, poor
  housing, high crime and family breakdown. These
  problems are linked and mutually reinforcing”
  (SEU, 2004).
           Services: Active Citizenship


•   Stroke support worker
•   Family support worker
•   Life roles facilitator
•   Stroke specific exercise group/ Tai Chi / Aphasia
    Group
•   Stroke specific social clubs
•   Stroke user panel
•   Stroke information drop-in
•   Reading / acting
            Stroke Team

•   Stroke Association
•   BME Carers
•   Attend
•   Healthy Communities incl. Health Trainers
•   Manor Gardens
•   Interact Reading
•   Different Strokes
•   ARNO
•   Disability First Consortium
•   Age UK
•   LINk
                         STROKE PATHWAY HARINGEY
                                             (April 2011)




                              Hyper          Acute          (Early Supported
                                                                Discharge                     Active
                  FAST        Acute          Stroke
                                                              / Community                   Citizenship
                              Stroke          Unit
Prevention




                  Face         Unit                             Rehab /
                                                                Specialist                  •Life Roles
                  Arms                       NMH
                                              (60%)             Services)                    •Hobbies
                  Speech       UCLH
                  Time
                                           Royal Free             Location:
                               Royal          (30%)                Home/
                              London                          Residential Home/
                                           Homerton            Nursing Home
                                              (10%)



                                            In-Patient /
                                             Specialist                                   Reviews
                                           Rehabilitation                         (6 weeks / 6 months / annual)


                                                      End of Life Pathway (30%)

             Stroke User Group / Stroke Information Committee / Support Worker / Life Role
Challenges
Professional acceptance
Existing services may feel
threatened
Working together
Training
Potential for Ghettoisation
        Current projects



• Prepare for joint budgets
  • Personal health budgets
Thank you

				
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