Issue - meetings

(Report of Cllr Winskill, Chair of the Stroke Prevention Review Panel) To approve the recommendations of the Scrutiny Review of Stroke Prevention report.

The Committee received the report of the Stroke Prevention Review Panel.

Councillor Alexander introduced the report on behalf of Cllr Winskill and suggested rewording recommendation 7a (detailed below):

7a.       A co-ordinated approach and accompanying action plan should be developed across the partnership to develop the voluntary and community sector.

This should:

·        Link volunteering initiatives across the borough

·        Link up with the Expert Patient Programme

·        Ensure that skills learnt are passed onto the community

·        Support steps to employment where possible"

RESOLVED

That the following recommendations be agreed:

1. Workforce Development Plan to be jointly developed between Haringey Council and Haringey Teaching Primary Care Trust

a.      Risk, symptom and ‘what to do’ training for staff (TPCT and ACCS) who come into regular contact with those who are at risk of stroke – to include Teachers, Meals on Wheels staff, Home Care staff, Residential Care staff, Health Trainers, Community Development workers etc.

b.      To be provided by the voluntary and community sector e.g. Different Strokes, Stroke Association.

c.      ‘Stroke Training’ should be embedded as part of the overall training on ‘Assessment and Care Management’ for people working with Adults who have disabilities.

2. Targeted awareness raising for members of the public

a.      Particularly in areas where there is a population at high risk of stroke, including;

·        Asian, black, mixed ethnic groups (particularly men)[1], carers, manual workers, workers aged 40 years and over with a hereditary risk of stroke, people experiencing high levels of stress or high blood pressure.

·        Staff and residents in residential nursing homes, day centres and other settings where staff and residents need to know the symptoms in case of a stroke.

b.      Stroke refresher seminars involving all Haringey GPs

c.      FAST[2] posters to be sent to all Haringey GP Surgeries, community centres, religious centres, sports clubs and other appropriate locations.

d.      FAST All-Users email with link to DoH web-site at both the Council and NHS Haringey – message to be consistent across both organisations.

e.      FAST information to be placed on the internal and external website of both the Council and NHS Haringey – message to be consistent across both organisations.

f.        Consideration to be given to a social marketing campaign including the possible use of ‘hard hitting’ images, for example those shown by Ricability to the Scrutiny Panel.

g.      An article in Haringey People providing information on stroke prevention, including information from Different Strokes, the national campaign, risk factors and preventative measures.

3. Annual Review/Patient Toolkit

a.      Best Practice requirement for GPs (or practice nurse/nurse practitioner) to conduct annual reviews of stroke and TIA patients which goes beyond the current blood pressure and cholesterol check. 

b.      The annual review template on EMIS (primary health care software) should be edited to include active referral and a personal prevention plan covering health, social and emotional needs.  This could lead to active referral and uptake of stroke clubs, counselling, volunteering, getting back into work, reducing salt intake, personal exercise plan etc.

4. Active identification

a.      Of people at risk  ...  view the full minutes text for item 38