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

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  • 1.  
  • 2. Two Stroke Pathways Number 1: Where do Life After Stroke services sit on the Stroke Care Pathway?
  • 3.  
  • 4.  
  • 5. Orange area illustrates the importance of clinical issues for stroke survivor and family
  • 6. Blue area illustrates the importance of personal, social and community issues for stroke survivor and family
  • 7.  
  • 8. Carer’s Support
  • 9. Carer’s Support Stroke Navigator Pathway One!
  • 10. Two Stroke Pathways Number 2: Value For Money, Prevention and Wellbeing
  • 11. 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 Source: All our tomorrows, - ADSS, LGA Dependency Restoring Independence Preventing Deterioration Independence and Choice Community Support
  • 12. 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 Source: All our tomorrows, - ADSS, LGA Community Support
  • 13. Everyday Life £0/day Sedentary lifestyle results in worse mobilisation Family breakdown leading to depression Days since stroke Single patient pathway without specialist Third Sector Support Additional Stroke as a result of poor diet & exercise Cost: £7903 TIA resulting from continued smoking LAS £ 200/transfer HASU £ 500/day SU £ 200/day Inpatient Rehab £ 150/day Psych/Clinical Services £ 200/day Generic Community Services £ 1/day
  • 14. 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 The inverted triangle of care Value for Money Prevention and Wellbeing Generic Stroke Services
  • 15. 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 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 Cost: £4990 Communication group improves relationships. Lifestyle Advice & smoking cessation
  • 16. Comparison of Costs
    • Generic Third Sector Support £7903
    • Specialist Third Sector Support £4990
    • Saving £2913
  • 17. Two Pathways: Two Messages
    • 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
  • 18. 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