Agenda item

(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 of stroke by GP practices (including people experiencing high levels of stress) e.g. Asian, Black, Mixed ethnic groups, family carers, manual workers, and adults aged 40, over with a hereditary risk of stroke and people experiencing high levels of stress or high blood pressure.

·        These should be invited for an annual personal plan consultation.

 

Greater obligation for GPs to identify potential stroke patients through the exploration of options for developing a Stroke Local Enhanced Service (LES)[3].

 

5. Vascular Checks

 

a.      NHS Haringey to ensure that all agencies are aware of the forthcoming Vascular Check programme and NHS Haringey’s roll out plans to ensure that there is sufficient infrastructure to support people being identified as being at risk and given appropriate advice and/or referral.

 

b.      NHS Haringey should consider the inclusion of a waist measurement in the local vascular check tool.

 

c.      Haringey Leisure Services to support Vascular Risk Assessments with provision of affordable referral options (for example through Active for Life scheme)

 

6. Reinforce link between health and lifestyle

 

a.      All practices to be actively encouraged to sign up to the GP referral scheme on roll-out to West of the Borough.

·        Reminder of criteria and benefits to be sent to all GP’s currently signed up.

 

b.      Leisure Services to actively encourage those coming to the end of the GP referral scheme to sign up for continued Membership.

 

7. Community Involvement

 

a.      A co-ordinated strategy should be developed to link the Expert Patient Programme with the wider voluntary and community sector.

·        This should also link into other strategies which are being developed across the partnership

 

b.      Greater collaboration between the voluntary and community sectors, NHS Haringey and Adult Services to enable low level prevention work to be led by people in the community with support from professional services for example the Health Trainers Programme.

·        Consideration to be given to the use of the health centres for this.

 

8. Information Provision

 

a.      Exploration of the possibilities of joint working with other boroughs and the voluntary and community sector for information provision as well as specific Haringey information where relevant.

 

b.      Stroke Prevention booklet to be commissioned with specific focus messages particularly relevant to Haringey’s demographics ensuring consultation with both services users and the voluntary sector.

 

9. Lead GPs

 

a.      With responsibility for stroke in Haringey to be identified - one per collaborative

 

10. Set up a multi agency steering group that takes forward the action points and Quality Markers from the National Stroke Strategy.

 

·        To hold quarterly stroke steering group meetings

·        To oversee the development and performance management of a local stroke care action plan.

·        To provide a forum for clinical pathway development.

·        To horizon scan for new Stroke Care guidance/guidelines with potential implications for commissioning or performance.

·        To investigate the current situation with regards to Oberoi and take a co-ordinated overview of what improvements could be made to maximise the benefit of this system.