January 2012 - Sandwell & West Birmingham Hospitals

SWBTB (1/12) 286 (a)
The Trust will
deliver services
for TIA according
to national and
WMQRS
standards
There will be better
definition of high and low
risk pathways. High risk
patients will be seen as
out-patients within 24hrs
of onset symptoms. All low
risk patients will be seen
within 7 days of onset of
symptoms. Specialist
neurovascular clinic for
rapid assessment of TIA
for all phigh risk patients
and surgery within 2/52
weeks of onset of
symptoms for those at
risk.
60% of high risk
patients will be seen
as out-patients and
undergo carotid
imaging if their
ABCD score is
greater than or equal
to 4 within 24hrs
The Trust will admit
fewer TIA patients to
hospital in-patient
beds
The Trust will
deliver consistent
high quality
stroke & TIA
diagnostic
services
50% of stroke patients to
undergo CT within 1hr.
90% of other stroke
patients will have CT
within 24hrs.
There will be
continuous
improvement in care
outcomes with
reduction in morbidity
and mortality. 90% of
all stroke patients will
undergo imaging
within 24hrs
admission to
imaging times
The Trust will
have a
recognised
centre of
excellence for
Stroke
Acute Stroke Specialist
Care delivered in one
place achieving critical
mass and concentration of
clinical expertise, enabling
high quality traning ,
teaching, and research.
All of stroke patients
assessed by a stroke
specialist in a
hyperacute stroke
unit
Recruitment and
retention figures for
staff. Service can be
maintained and
developed to a high
standard maximising
opportunity for
research and
development
Improved patient
experience
In addition to high quality
timely care all patients will
have a positive experience
with timely appropriate
nursing and medical
interventions. Efficient use
of clinical expertise.
Continuous
improvement in care
outcomes with
reduced mortality and
morbidity. All stroke
patients will spend
90% of their hospital
stay on a stroke
ward.
mortality and
morbidity data
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