2. Bedfordshire and Hertfordshire Heart & Stroke Network Welcome

3. Bedfordshire and Hertfordshire Heart & Stroke Network Housekeeping

4. Bedfordshire and Hertfordshire Heart & Stroke Network FAST CAMPAIGN

5. Bedfordshire and Hertfordshire Heart & Stroke Network TIA Campaign OCT ‘11 Take Immediate Action! Transient Ischaemic Attack A STROKE waiting to happen If the symptoms are still there→ 999 If within last 24 hours→ A&E urgently If within last 7 days→ make urgent GP appointment

6. Bedfordshire and Hertfordshire Heart & Stroke Network STROKE COMPETENCIES FOR CARE HOME WORKERS Aims for the morning: 1.What is a stroke? 2.National/local drivers for quality of stroke care 3.Stroke Association and SA training 4.Why, how and when of stroke training 5.Plan until April 2012 6.Long term sustainability applicable to care homes – what are the barriers and how are we going to overcome them? 7.Questions and answers

7. Bedfordshire and Hertfordshire Heart & Stroke Network Card game True/false

8. Bedfordshire and Hertfordshire Heart & Stroke Network Care Home Training A guide to stroke

9. Bedfordshire and Hertfordshire Heart & Stroke Network What is a stroke? A stroke is a brain attack. A stroke is what happens when the blood supply to part of the brain is cut off. Blood carries essential nutrients and oxygen to the brain. Without a blood supply, brain cells can be damaged or destroyed.

10. Bedfordshire and Hertfordshire Heart & Stroke Network How does this happen? Ischaemic (69% - 80%) Death of tissue (infarction) because of blockage by: Thrombosis – a solid clot of blood in artery supplying brain or Embolism – a clot or other substance (fat, cholesterol, blood platelets) carried from elsewhere in circulation

11. Bedfordshire and Hertfordshire Heart & Stroke Network How does this happen? Haemorrhage (15% - 20%) Bleeding in the brain Burst blood vessel e.g. artery High blood pressure can weaken artery Bursts and damages tissue Brain damage is the result

12. Bedfordshire and Hertfordshire Heart & Stroke Network ORAL CONTRACEPTION & HRT RISK FACTORS AGE FAMILY HISTORY & ETHNICITY HIGH BLOOD PRESSURE HEART DISEASE BINGE DRINKING & SUBSTANCE ABUSE OBESITY: UNHEALTHY EATING SMOKING INACTIVITY DIABETES PREVIOUS STROKES & TIAs

13. Bedfordshire and Hertfordshire Heart & Stroke Network Stroke facts In the UK Every five minutes someone is having a stroke Stroke is the third largest cause of death Approximately a third of people will die within the first 10 days At any one time there are over a quarter of a million people disabled by stroke

14. Bedfordshire and Hertfordshire Heart & Stroke Network National and local drivers for stroke improvement in care home provision

15. Bedfordshire and Hertfordshire Heart & Stroke Network Local drivers for stroke care home improvement CQC Review Herts NHS and Herts CC Consequent re-design of stroke care pathway in Herts ‘The times they are a changing’, CCG’s and all the things we love…. ASI program implementation Herts County council savings/commissioning JSNA Hertfordshire

16. Bedfordshire and Hertfordshire Heart & Stroke Network The Stroke Association What do they already do in Herts and who are they?

17. Bedfordshire and Hertfordshire Heart & Stroke Network Stroke Association Services in Hertfordshire Communication Support Pat Storey (West Herts) Rebecca Byrne (Hertsmere) Information, Advice and Support Alan Kerby (West Herts) Judy Smyth (North & East Herts) Joanna Clark (North & East Herts)

18. Bedfordshire and Hertfordshire Heart & Stroke Network The Stroke Association Professional training tailored to your needs Web site – www.stroke.org.ukwww.stroke.org.uk National Stroke Helpline – 0303 30 33 100 Free quarterly Stroke News magazine Information leaflets and factsheets Life After Stroke Services Welfare Support Stroke Clubs Research Fundraising Campaigning

19. Bedfordshire and Hertfordshire Heart & Stroke Network Why Have Stroke Training? More efficient practice would save £20 million annually, avoid 550 deaths and over 1,700 patients would fully recover from their strokes, who would not have done so otherwise

20. Bedfordshire and Hertfordshire Heart & Stroke Network What you get… A dedicated trainer delivering the course Well produced course materials – no need for notes! ‘Practice Card’ for QCF, NVQ and PREP reflective learning Up-to-the-minute information about stroke and stroke care Training which involves participants and uses their skills and experience

21. Bedfordshire and Hertfordshire Heart & Stroke Network ‘Caring for people affected by stroke’ mapped against knowledge relevant to QCF Level 2 and 3 in Health and Social Care Programmes mapped against Skills for Health National Occupational Standards for Stroke Flexible in delivery according to levels of knowledge and expertise Informative to all staff; meeting, supporting and communicating with people with disability

22. Bedfordshire and Hertfordshire Heart & Stroke Network Who should attend? A wide range of staff caring for those affected by stroke at home and in the community: Nursing staff Care workers Social Care staff Informal Carers Primary Care teams First aid providers and trainers Commercial service providers …

23. Bedfordshire and Hertfordshire Heart & Stroke Network Training Programmes Include: Caring for People Affected by Stroke – Day 1 Caring for People Affected by Stroke – “What next” – Day 2 Stroke is a Medical Emergency – Face to face training and e-learning Informal Carers’ Training Active Listening Active Communication Stroke - The sight effects Blood Pressure Training

24. Bedfordshire and Hertfordshire Heart & Stroke Network Caring for people affected by stroke ‘Hard to Swallow’ swallowing and nutrition ‘All About Strokes’ a general introduction and overview ‘ Family and Friends’ the needs of those closest ‘It’s Good to Talk?’ stroke and communication ‘Thoughts and Feelings’ psychological effects Physical needs- movement, mobility, and continence

25. Bedfordshire and Hertfordshire Heart & Stroke Network Unit Statistics From April 2010 – March 2011 we delivered: A total of 501 courses To over 6,084 people across the UK

26. Bedfordshire and Hertfordshire Heart & Stroke Network Plan until April 2012 Start with short form course of 3 hours specifically for home care workers to increase stroke awareness. Support this with educational materials available on-line, DVD, competency framework and possibly learning portal. Delivery in clusters of care homes in Hertfordshire which have registered interest by SA funded by Herts CC/BHHSN

27. Bedfordshire and Hertfordshire Heart & Stroke Network Long term sustainability applicable to care homes What are the barriers and how are we going to overcome them? What are your homes’ specific need? How can we make things more accessible to you? What has worked in the past eg dementia? What didn’t work in the past?

28. Bedfordshire and Hertfordshire Heart & Stroke Network Many thanks to: Hertfordshire County Council training department HCPA (Hertfordshire Care Providers Association) The Stroke Association Training department Beds and Herts Heart and Stroke Network