Issue - meetings

To receive a presentation from Adrian Hosken, Senior Commissioning Manager, Haringey Teaching Primary Care Trust.

The Panel received a briefing from Adrian Hosken, Senior Commissioning Manager, Haringey TPCT.

Haringey has high mortality rates for strokes at the same time there is only 2218 patients on the Stroke Register.  With an expected prevalence of 8-9% it would be anticpated that this number would be higher.

Main target for Haringey is VSA14 – Quality Stroke Care (outcome: reduction in stroke related mortality and disability).  Haringey is currently rated as red on this target and therefore needs to improve.

Noted that VSA14:06 (proportion of people with TIA who are scanned and treated within 24rs) has a target of 25%.  Query as to what the current performance is given that the target appears quite low.

Vascular Risk Assessments (VRA)

The TPCT is currently working on plans for the roll out of the Vascular Risk Assessments with a local implementation group currently being pulled together.

How will people know about them?  There needs to be an awareness raising campaign which tells people what exactly they need to do in order to get a VRA.

What is the timetable for the roll out?

Noted that an article in Haringey People would be beneficial and that it should be in at least three key community languages.

Need to carefully consider how to market the VRAs.

Agreed that regular updates would be receievd by the Panel from Adrian.

Points of discussion

To improve outcomes for people who have had a stroke it is anticipated that the acute spend for the NHS would need to increase from £65 million per annum to £85 million per annum.  Therefore prevention is important to keep overall costs down in the first place.

Mapping of QOF data may enable people to see whether there are geographical areas with problems.

Noted the difficulties with getting men to attend primary care.  Men generally want to be able to access health care ‘then and there’ when they need it.