This document discusses the use of Stroke Managed Clinical Networks (MCNs) in Scotland to improve stroke care quality. It outlines how MCNs were established and have contributed to implementing the national Stroke Action Plan. Key activities of MCNs include using quality measures to drive local improvement, facilitating information sharing between boards, and engaging boards to prioritize stroke. The ultimate goals are creating a shared vision for high quality stroke services and demonstrating the value of MCNs in coordinating care and improvements.

1. STROKE MCNs
A DISTINCTIVELY SCOTTISH
APPROACH

2. CONTRIBUTING FACTORS TO
QUALITY IMPROVEMENT
STROKE
ACTION
SSCA PLAN
MCNs
IMPROVE QUALITY OF
STROKE CARE

3. 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

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 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

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. HEAT REPORT

9. 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

10. 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

11. 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

12. THANK YOU
Katrina.brennan@lanarkshire.scot.nhs.uk