Simulating the impact of change: implementing best practice in stroke care

Source: London Journal of Primary Care March 2011

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Date of publication: March 2011

Publication type: Journal Article

In a nutshell: This article presents the experience of healthcare decision-makers who used simulation to better understand the impact of adopting best practice in stroke care, as outlined in the National Stroke Strategy. It describes the process of developing a simulation model and how stakeholders were involved in testing the key questions, which they needed to answer in order to adopt a new commissioning strategy for stroke care.

Length of publication: 6 page article

The National Stroke Strategy – is it achievable?

Source: Ann R Coll Surg Engl 2009 Nov; 91 (8): 641-644

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Date of publication: November 2009

Publication type: Journal Article

In a nutshell: Timing of intervention in symptomatic carotid disease is critical. The Department of Health’s National Stroke Strategy recommends urgent intervention within 48 hours for appropriate patients. This study discusses public responses to the symptoms of TIA, the response of primary care to symptomatic patients and considers if the 48-hour treatment recommendation is actually achievable.

Length of publication: 4 page article

Progress in improving stroke care

Source: National Audit Office

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Date of publication: February 2010

Publication type: Report

In a nutshell: This report by the Audit Office states that the Department of Health’s strategy for stroke care has increased awareness of the condition and started to improve care and outcomes. However, improvements have not been universal, health and social care services are not working together as they should, a third of patients do not receive a follow up appointment within six weeks, and half of all stroke survivors say that they are offered no advice on stroke prevention when leaving hospital.

Length of publication: 46 page report

Acknowledgement: HSJ