STROKE MCNs



A DISTINCTIVELY SCOTTISH
       APPROACH
CONTRIBUTING FACTORS TO
 QUALITY IMPROVEMENT

              STROKE
              ACTION
      SSCA     PLAN


             MCNs




     IMPROVE QUALITY OF
        STROKE CARE
CREATING A SHARED VISION
                               SCOTTISH
                             GOVERNMENT
                             NACS/MCN SUB
                                GROUPS



                                                         LOCAL
ISD/STROKE AUDIT                                      MCNs/BOARDS
                                                    CREATION OF MCN
                                                    MANAGERS FORUM




                                            SCOTTISH STROKE
          STROKE CHARITIES                    NURSE/AHP
                                                FORUM
JOURNEY FROM 2009

• LAUNCH OF BETTER HEART DISEASE AND STROKE
  CARE ACTION PLAN
• DEVELOPMENT OF NATIONAL ACTION PLAN
  COORDINATOR ROLE
• RECOGNITION OF BRINGING TOGETHER OUTPUTS
  FROM SSCA AND PERFORMANCE AGAINST
  PRIORITY ACTIONS AS QUALITY INDICATORS
• ENGAGEMENTS OF MCNs TO USE THESE QUALITY
  MEASURES TO DRIVE IMPROVEMENT AGENDA
ACTION PLAN CO-ORDINATOR



               SSCA


      STROKE
      ACTION
       PLAN

                      MCNs
INTRODUCTION OF QUALITY VISITS TO MCNs AT
             EVERY BOARD
• VARIATION IN ENGAGEMENT AND STRATEGIC VALUE
  OF MCN AS VEHICLE FOR IMPROVEMENT
• FACILITATE DEVELOPMENT OF ACTION PLAN
  INCORPORATING STROKE PRIORITIES INTO THE
  BOARD COORPORATE OBJECTIVES
• DEMONSTRATING TO BOARDS THE VALUE OF THE
  MCN APPROACH TO SERVICE DELIVERY AND
  IMPROVEMENT
April 2012
                  Carotid   Access to   Workbook
                  Surgery   imaging                          Staff/           Stroke   Public Ex post
NHS BOARD                                          Thrombo            STARS                              ESD
                                                             FAST              Unit     FAST Stroke

                   5.54       5.29        5.46
                                                    5.17 &
Health Board                                                  5.6      5.61    5.1      5.4    5.40      5.34
                                                     5.20

Ayrshire and
                  GREEN      GREEN       GREEN     GREEN     AMBER AMBER      GREEN    BLUE GREEN GREEN
Arran
                                                                                               AMBE
Borders           GREEN      GREEN       GREEN      BLUE     GREEN    AMBER   GREEN    GREEN        AMBE
                                                                                                R
Dumfries and
                  AMBER      GREEN         RED     GREEN     GREEN    AMBER   GREEN    BLUE GREEN GREEN
Galloway
Fife              AMBER      GREEN       GREEN      BLUE     GREEN    GREEN   GREEN    BLUE GREEN GREEN
                                                                                               AMBE
Forth Valley      AMBER     AMBER         BLACK    GREEN     AMBER AMBER      GREEN    BLUE         AMBE
                                                                                                R
                                                                                               AMBE
Grampian          AMBER      GREEN       AMBER     GREEN     BLUE     BLUE    GREEN    BLUE         AMBE
                                                                                                R
Greater Glasgow
                  AMBER      GREEN       AMBER     GREEN     AMBER AMBER      BLUE     GREEN GREEN      BLUE
and Clyde
Highland           RED        RED         BLACK      RED     BLUE     BLUE    GREEN    BLUE    RED      AMBE
Lanarkshire       AMBER      GREEN       GREEN      BLUE     BLUE     BLUE    BLUE     BLUE GREEN       BLUE
Lothian           GREEN      GREEN       GREEN      BLUE     AMBER AMBER      GREEN    BLUE GREEN AMBE

Orkney            BLACK      BLACK       AMBER     AMBER     AMBER    GREEN   AMBER AMBER      RED      AMBE

Shetland           RED        RED        GREEN       RED     GREEN    BLUE    AMBER GREEN GREEN AMBE

Tayside           AMBER      GREEN       GREEN     AMBER     GREEN    GREEN   GREEN    GREEN GREEN GREEN
HEAT REPORT
STROKE HEAT-ADMISSION TO STROKE UNIT
THROUGH MCN FORUM:
EXPLORE STROKE PATHWAYS- BEST FIT, SAFE AND
EFFECTIVE
SHARE BEST PRACTICE
ENCOURAGE FULL TEAM PARTICIPATION INCLUDING
WELL INFORMED PATIENT REPRESENTATION WHO
HAVE UTILISED STROKE VOICES PROGRAMME
DRIVE ASSOCIATED IMPROVEMENTS IN PARTICULAR
IN RELATION TO EDUCATION
BENEFIT OF THE SHARED VISION
• COMPLETING THE QUALITY LOOP- IDENTIFY GAPS AND
  PRIORITISE DEVELOPMENT
• LINKAGE WITH THE NURSING/AHP FORUM TO
  INFLUENCE THEIR AGENDA
• CONTRIBUTE TO RESEARCH AGENDA BY WORKING
  WITH ACADEMIC PARTNERS
• INFLUENCING PRIORITIES FOR FUNDING PROVIDING
  NACS WITH INTELLIGENCE IN RELATION TO ?GAPS
• UTILISING RELATIONSHIPS WITH CHSS/SA TO ENSURE
  THEY ARE PARTNERS IN DELIVERING ON PRIORITY
  ACTIONS
CREATING A QUALITY SERVICE
                               SCOTTISH
                             GOVERNMENT
                             NACS/MCN SUB
                                GROUPS



                                                         LOCAL
ISD/STROKE AUDIT                                      MCNs/BOARDS
                                                    CREATION OF MCN
                                                    MANAGERS FORUM




                                            SCOTTISH STROKE
          STROKE CHARITIES                    NURSE/AHP
                                                FORUM
THANK YOU




Katrina.brennan@lanarkshire.scot.nhs.uk

Parallel Session 1.6.2 Managed Clinical Networks and Quality Improvement: A Distinctively Scottish Approach

  • 1.
    STROKE MCNs A DISTINCTIVELYSCOTTISH APPROACH
  • 2.
    CONTRIBUTING FACTORS TO QUALITY IMPROVEMENT STROKE ACTION SSCA PLAN MCNs IMPROVE QUALITY OF STROKE CARE
  • 3.
    CREATING A SHAREDVISION SCOTTISH GOVERNMENT NACS/MCN SUB GROUPS LOCAL ISD/STROKE AUDIT MCNs/BOARDS CREATION OF MCN MANAGERS FORUM SCOTTISH STROKE STROKE CHARITIES NURSE/AHP FORUM
  • 4.
    JOURNEY FROM 2009 •LAUNCH OF BETTER HEART DISEASE AND STROKE CARE ACTION PLAN • DEVELOPMENT OF NATIONAL ACTION PLAN COORDINATOR ROLE • RECOGNITION OF BRINGING TOGETHER OUTPUTS FROM SSCA AND PERFORMANCE AGAINST PRIORITY ACTIONS AS QUALITY INDICATORS • ENGAGEMENTS OF MCNs TO USE THESE QUALITY MEASURES TO DRIVE IMPROVEMENT AGENDA
  • 5.
    ACTION PLAN CO-ORDINATOR SSCA STROKE ACTION PLAN MCNs
  • 6.
    INTRODUCTION OF QUALITYVISITS TO MCNs AT EVERY BOARD • VARIATION IN ENGAGEMENT AND STRATEGIC VALUE OF MCN AS VEHICLE FOR IMPROVEMENT • FACILITATE DEVELOPMENT OF ACTION PLAN INCORPORATING STROKE PRIORITIES INTO THE BOARD COORPORATE OBJECTIVES • DEMONSTRATING TO BOARDS THE VALUE OF THE MCN APPROACH TO SERVICE DELIVERY AND IMPROVEMENT
  • 7.
    April 2012 Carotid Access to Workbook Surgery imaging Staff/ Stroke Public Ex post NHS BOARD Thrombo STARS ESD FAST Unit FAST Stroke 5.54 5.29 5.46 5.17 & Health Board 5.6 5.61 5.1 5.4 5.40 5.34 5.20 Ayrshire and GREEN GREEN GREEN GREEN AMBER AMBER GREEN BLUE GREEN GREEN Arran AMBE Borders GREEN GREEN GREEN BLUE GREEN AMBER GREEN GREEN AMBE R Dumfries and AMBER GREEN RED GREEN GREEN AMBER GREEN BLUE GREEN GREEN Galloway Fife AMBER GREEN GREEN BLUE GREEN GREEN GREEN BLUE GREEN GREEN AMBE Forth Valley AMBER AMBER BLACK GREEN AMBER AMBER GREEN BLUE AMBE R AMBE Grampian AMBER GREEN AMBER GREEN BLUE BLUE GREEN BLUE AMBE R Greater Glasgow AMBER GREEN AMBER GREEN AMBER AMBER BLUE GREEN GREEN BLUE and Clyde Highland RED RED BLACK RED BLUE BLUE GREEN BLUE RED AMBE Lanarkshire AMBER GREEN GREEN BLUE BLUE BLUE BLUE BLUE GREEN BLUE Lothian GREEN GREEN GREEN BLUE AMBER AMBER GREEN BLUE GREEN AMBE Orkney BLACK BLACK AMBER AMBER AMBER GREEN AMBER AMBER RED AMBE Shetland RED RED GREEN RED GREEN BLUE AMBER GREEN GREEN AMBE Tayside AMBER GREEN GREEN AMBER GREEN GREEN GREEN GREEN GREEN GREEN
  • 8.
  • 9.
    STROKE HEAT-ADMISSION TOSTROKE UNIT THROUGH MCN FORUM: EXPLORE STROKE PATHWAYS- BEST FIT, SAFE AND EFFECTIVE SHARE BEST PRACTICE ENCOURAGE FULL TEAM PARTICIPATION INCLUDING WELL INFORMED PATIENT REPRESENTATION WHO HAVE UTILISED STROKE VOICES PROGRAMME DRIVE ASSOCIATED IMPROVEMENTS IN PARTICULAR IN RELATION TO EDUCATION
  • 10.
    BENEFIT OF THESHARED VISION • COMPLETING THE QUALITY LOOP- IDENTIFY GAPS AND PRIORITISE DEVELOPMENT • LINKAGE WITH THE NURSING/AHP FORUM TO INFLUENCE THEIR AGENDA • CONTRIBUTE TO RESEARCH AGENDA BY WORKING WITH ACADEMIC PARTNERS • INFLUENCING PRIORITIES FOR FUNDING PROVIDING NACS WITH INTELLIGENCE IN RELATION TO ?GAPS • UTILISING RELATIONSHIPS WITH CHSS/SA TO ENSURE THEY ARE PARTNERS IN DELIVERING ON PRIORITY ACTIONS
  • 11.
    CREATING A QUALITYSERVICE SCOTTISH GOVERNMENT NACS/MCN SUB GROUPS LOCAL ISD/STROKE AUDIT MCNs/BOARDS CREATION OF MCN MANAGERS FORUM SCOTTISH STROKE STROKE CHARITIES NURSE/AHP FORUM
  • 12.