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Two Stroke Pathways
Number 1: Where do Life After
Stroke services sit on the Stroke
Care Pathway?
Orange area illustrates the importance
of clinical issues for stroke survivor and
family
Blue area illustrates the importance of
personal, social and community issues
for stroke survivor and family
Carer’s Support
Carer’s Support
Stroke
Navigator
Pathway One!
Two Stroke Pathways
Number 2: Value For Money,
Prevention and Wellbeing
Stroke Navigator
Life After Stroke Services
Community Integration, Lifestyle and Fitness
LAS
HASU
SU
Inpatient Rehab
Clini...
Stroke Navigator
Life After Stroke Services
Community Integration, Lifestyle and Fitness
LAS
HASU
SU
Inpatient Rehab
Psych...
Everyday Life £0/day
Sedentary lifestyle
results in worse
mobilisation
Sedentary lifestyle
results in worse
mobilisation
F...
Stroke Navigator
Life After Stroke Services
Community Integration, Lifestyle and Fitness
LAS
HASU
SU
Inpatient Rehab
Clini...
Healthy Lifestyle/Stroke Prevention £ 1/day
Stroke Navigator £ 10/day
Life After Stroke Services £ 2/day
Community Integra...
Comparison of Costs
• Generic Third Sector Support £7903
• Specialist Third Sector Support £4990
• Saving £2913
Two Pathways: Two Messages
1. Life After Stroke Services are not a pick
and mix counter
They’re a coherent response to ran...
Route 1 Route 2 Cost/unit
LAS 1 200 2 1000 200
HASU 3 2100 6 4200 700
SU 10 5000 10 2000 500
Inpatient
Rehab
2 300 8 1200 ...
03 tom greenwood seeing the whole of the stroke pathway.ppt
03 tom greenwood seeing the whole of the stroke pathway.ppt
03 tom greenwood seeing the whole of the stroke pathway.ppt
03 tom greenwood seeing the whole of the stroke pathway.ppt
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03 tom greenwood seeing the whole of the stroke pathway.ppt

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Transcript of "03 tom greenwood seeing the whole of the stroke pathway.ppt"

  1. 1. Two Stroke Pathways Number 1: Where do Life After Stroke services sit on the Stroke Care Pathway?
  2. 2. Orange area illustrates the importance of clinical issues for stroke survivor and family
  3. 3. Blue area illustrates the importance of personal, social and community issues for stroke survivor and family
  4. 4. Carer’s Support
  5. 5. Carer’s Support Stroke Navigator Pathway One!
  6. 6. Two Stroke Pathways Number 2: Value For Money, Prevention and Wellbeing
  7. 7. Stroke Navigator Life After Stroke Services Community Integration, Lifestyle and Fitness LAS HASU SU Inpatient Rehab Clinical Services Active Citizenship Re-ablement & Community Rehabilitation Specialist Care Hi cost Low cost No cost The inverted triangle of care Value for Money, Prevention and Wellbeing Community Support Source: All our tomorrows, - ADSS, LGA Dependency Restoring Independence Preventing Deterioration Independence and Choice
  8. 8. Stroke Navigator Life After Stroke Services Community Integration, Lifestyle and Fitness LAS HASU SU Inpatient Rehab Psych/Clinical Services Active Citizenship Re-ablement & Community Rehabilitation Specialist Care The inverted triangle of care Value for Money, Prevention and Wellbeing Community Support Source: All our tomorrows, - ADSS, LGA
  9. 9. Everyday Life £0/day Sedentary lifestyle results in worse mobilisation Sedentary lifestyle results in worse mobilisation Family breakdown leading to depression Family breakdown leading to depression LAS £ 200/transfer HASU £ 500/day SU £ 200/day Inpatient Rehab £ 150/day Psych/Clinical Services £ 200/day Generic Community Services £ 1/day Days since stroke Single patient pathway without specialist Third Sector Support Additional Stroke as a result of poor diet & exercise Additional Stroke as a result of poor diet & exercise Cost: £7903 TIA resulting from continued smoking TIA resulting from continued smoking
  10. 10. Stroke Navigator Life After Stroke Services Community Integration, Lifestyle and Fitness LAS HASU SU Inpatient Rehab Clinical Services Active Citizenship ESD & Community Rehabilitation Hi cost Low cost No cost Generic Stroke Services The inverted triangle of care Value for Money Prevention and Wellbeing
  11. 11. Healthy Lifestyle/Stroke Prevention £ 1/day Stroke Navigator £ 10/day Life After Stroke Services £ 2/day Community Integration with Stroke Knowledge £ 1/day LAS £ 200/transfer HASU £ 700/day SU £ 500/day Inpatient Rehab £ 300/day Psychological Services £ 200/day Everyday Life £ 0/day Re-ablement & Community Rehabilitation £ 50/day Adaptations made to the home environment Adaptations made to the home environment Peer support and social activities expand horizons and confidence Peer support and social activities expand horizons and confidence Single patient pathway with specialist Third Sector Support Days since stroke Fitness and Lifestyle prevent further stroke Fitness and Lifestyle prevent further stroke Cost: £4990 Communication group improves relationships. Communication group improves relationships. Lifestyle Advice & smoking cessation Lifestyle Advice & smoking cessation
  12. 12. Comparison of Costs • Generic Third Sector Support £7903 • Specialist Third Sector Support £4990 • Saving £2913
  13. 13. Two Pathways: Two Messages 1. Life After Stroke Services are not a pick and mix counter They’re a coherent response to range of real needs, and an integral part to a stroke recovery pathway 2. Life After Stroke Services aren’t the icing on the cake They save you money by helping people become and stay independent
  14. 14. Route 1 Route 2 Cost/unit LAS 1 200 2 1000 200 HASU 3 2100 6 4200 700 SU 10 5000 10 2000 500 Inpatient Rehab 2 300 8 1200 300 Clinical Services 6 1200 300 Reablement 15 750 50 Stroke Navigator 10 100 10 LAS Services 50 100 2 Generic Community Services 103 103 1 Comm Integration 40 40 1 131 5440 6503
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