1. STROKE SERVICES Sam Crane Head of Pathway Development Gwent Healthcare NHS Trust

2. CONTEXT STROKE SERVICES IMPROVEMENT PROJECTSTROKE SERVICES IMPROVEMENT PROJECT -All wales structured Project with clear PID REGIONAL PLANNINGREGIONAL PLANNING -3 x Trusts, 9 LHBs, Primary Care, NPHS, LAs, Voluntary sector, patients & users LOCAL PLANNINGLOCAL PLANNING -Trusts, LHBs, Primary Care, NPHS, LAs, Voluntary Sector, patients & users

3. REGIONAL PLANNING FUNCTIONS Links stakeholders in region across primary secondary and tertiary care;Links stakeholders in region across primary secondary and tertiary care; Develops clinical consensus across health care system and pathway development;Develops clinical consensus across health care system and pathway development; Advise Trusts, LHBs and HCW on planning & commissioning;Advise Trusts, LHBs and HCW on planning & commissioning; Monitor progress against national & local standards;Monitor progress against national & local standards; Ensure streamlined care for the whole patient pathwayEnsure streamlined care for the whole patient pathway Ensure adequate patient & public involvementEnsure adequate patient & public involvement

4. REGIONAL CONTD AccountabilityAccountability South East CE’s Group, linked to the South East Regional Commissioning Exec Board via LHB CE’s; Work ProgrammeWork Programme - Develop & implement model of care for acute stroke across SE Wales; - Agree model of care for TIA – infrastructure, workforce, training, standards;

5. REGIONAL CONTD Rehabilitation & DischargeRehabilitation & Discharge Public & professional awareness & educationPublic & professional awareness & education - Coordinated approach to public and health awareness in association with National Stroke Partnership and vol sector; - Identify training needs and education programmes for professionals;

6. LOCAL PLANNING FUNCTIONS Collaborative of professionals working across local organisations – Trusts, LHBs, Primary Care, NPHS, LAs, voluntary sector;Collaborative of professionals working across local organisations – Trusts, LHBs, Primary Care, NPHS, LAs, voluntary sector; Agree & develop local Stroke Care Improvement plans and priorities;Agree & develop local Stroke Care Improvement plans and priorities; Develop clinical consensus across health system and patient journey;Develop clinical consensus across health system and patient journey; Monitor progress against agreed national & local standards;Monitor progress against agreed national & local standards; Ensure streamlined care for whole patient journey;Ensure streamlined care for whole patient journey; Ensure adequate patient & public involvement;Ensure adequate patient & public involvement;

7. LOCAL PLANNING FUNCTIONS AccountabilityAccountability Corporate planning functions within Trusts, LHBs and LAs; Work ProgrammeWork Programme As Regional but localised though local Stroke Improvement Plans;

8. QUESTIONS Links between SSIP, Regional & Local work programmes?Links between SSIP, Regional & Local work programmes? -Who leads who? Structure & membership of Regional Planning Board?Structure & membership of Regional Planning Board? -Who should be involved?