January 2012 - Sandwell & West Birmingham Hospitals
January 2012 - Sandwell & West Birmingham Hospitals
January 2012 - Sandwell & West Birmingham Hospitals
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SWBTB (1/12) 286 (a)<br />
Provide a two site model with Hyper-acute services and early supportive discharge at one site<br />
and OPD at both sites. Provide long stay rehabilitation at both sites and identify dedicated<br />
stroke step down beds in both <strong>Sandwell</strong> and <strong>West</strong> <strong>Birmingham</strong> community locations<br />
potentially as part of an ESD service. All high risk TIA patients would be seen and treated at<br />
the first site with hyper acute unit or between Mon and Fri 9-5 at second site. All Low risk TIA<br />
patients would be seen and treated at the second site.<br />
For some patients cross site travel may occur more than once.<br />
Option 5<br />
Provide a two site model with hyper-acute services, which takes direct admissions and has<br />
direct GP rapid access at one site only. Develop a centralised booking system for all TIA to<br />
include next available appointment and ‘one stop’ clinic at the same site as the hyper-acute<br />
unit. Provide rehabilitation at both sites run by therapists only and provide all follow up OPD<br />
at the second site. In addition Nurse Outreach teams based within the hyper-acute unit would<br />
visit assess patients transferred to rehab wards to undertake on-going nursing assessment<br />
and advice/support.<br />
Option 6<br />
Provide a two site model with one hyper-acute unit located at one site. Initially patient would<br />
access the unit from ED but the plan would be for the unit to take direct admissions within 12-<br />
24 months (allowing a two stage approach for the implementation of this model). Neurology<br />
would remain a separate service incorporated within the general medical bed configuration at<br />
City Hospital. Rehabilitation units which provide both short and long stay to include dedicated<br />
stroke palliative care as part of continuing care would be provided on both sites as would<br />
early supportive discharge services. TIA 9-5 service would be provided 7 days per week at<br />
the site with the hyper acute unit. This service would see both high and low risks patients<br />
depending on daily capacity. In addition there would be dedicated low risks TIA slots within<br />
general OPD to ensure capacity at all times to enable the appropriate timeframes within the<br />
care pathway to be met. There would be telemedicine links between the hyper-acute unit, ED<br />
and OPD.<br />
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