Update on the Stroke Network across North Central London What's happening now Whats about to happen

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Update on the Stroke Network across North Central
London What's happening now? Whats about to
happen?What needs to happen? Dr Charlie
DavieNeurologist Clinical Stroke
Lead  University College London Partners
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Whats happening now?

• Established clinical networks includes
• Barnet and Chase Farm Hospitals NHS Trust
• Finchley Memorial Hospital (rehab)
• St Pancras Hospital (rehab)
• The Whittington Hospital NHS Trust
• North Middlesex Hospital
• The Royal Free NHS Trust
• University College London Hospital/
• NHNN
• Camden PCT, Islington PCT, Haringey PCT, Barnet
  PCT, Enfield PCT

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Whats happening now?

• Currently acute stroke, rehabilitation and TIA
  services being run at all hospitals within the
  sector.
• However provision of thrombolysis treatment is
  variable and not always on a 24/7 basis
• Variable rehabilitation services across the
  sector to support early supported discharge
• Insufficient support for primary and secondary
  prevention

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Whats happening now?

• Recent developments that will create change in
  service provision
• Healthcare for London
• The shape of things to come. Developing new,
  high quality stroke services for London
• Creation of UCL Partners as an accredited
  Academic Health Science Centre

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UCL
UCLH
UCLH
Royal Free
GOSH
Moorfields
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UCLP COLLABORATIVE STROKE INITIATIVE
Brings together the largest critical mass of
stroke neurologists in the UK in a comprehensive
stroke service
UCLP Hyperacute Stroke Unit (HASU) will open in
February 2010 and will disseminate good practice
in London and to other large global cities     
 The clinical program will drive a major academic
development bringing translational stroke
researchers in an "Institute of Stroke Research
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Whats about to happen?
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Eight designated HASUs London 2010
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Whats about to happen?

• Acute stroke 8 HASUS across London
• From February 1st 2010 all thrombolysis eligible
  patients in North Central London will be assessed
  and treated at UCLH HASU. All patients who are
  not eligible continue to go to their existing
  acute provider
• From 6th April 2010 all stroke patients in the
  sector will be taken to UCLH HASU

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HASU, Stroke and TIA Units
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Whats about to happen?

• From October 2009 Stroke Units (SUs) at
• National Hospital for neurology and Neurosurgery
• The Royal Free Hospital
• The North Middlesex Hospital
• Barnet Hospital
• SUs to be fully operational by end of January 2010

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Whats about to happen?

• From October 2009 TIA services at
• University College London Hospital
• The Royal Free Hospital
• The North Middlesex Hospital
• Barnet Hospital

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What needs to happen?

• Networking of services to share resources and
  expertise
• Staff rotations across HASU and SUs
• Network solution for provision of rapid TIA
  assessment and treatment of high risk TIAs within
  24 hours including weekends
• Robust protocols for transfer of patients between
  hospitals and to rehab and home

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What needs to happen?

• Further support and development of primary and
  secondary preventive services
• Uniform standards of quality and care provision
  across the services including rehabilitation and
  early supported discharge
• Education and support

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What might happen?

• Health Innovation Education Clusters (HIECs)
• DOH funded 10m
• Likely that each AHSC will be linked to a HIEC
• ?North Central London, North East London, Essex
  6 million catchment
• Expressions of interest September 2009
• Full submission October 2009

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What might happen?

• Potential for North Central London stroke network
  and UCLP to support education and improve quality
  of care for a much larger patient population
• Improve working partnerships between all stroke
  care providers across the sector