Stroke prevention, care and treatment in England – next steps for National Stroke Delivery Networks, training, and local delivery : 17 Nov 2020

Westminster Health Forum policy conference
Stroke prevention, care and treatment in England – next steps for National Stroke Delivery Networks, training, and local delivery
17 November 2020 – Central London

with
Juliet Bouverie, Chief Executive Officer, Stroke Association
Professor Stephen Powis, National Medical Director, NHS England and NHS Improvement
and
Faye Edwards, Academic Health Science Network; Jackie Huddleston, NHS England and NHS Improvement and Dr Sanjeev Nayak, University Hospitals of North Midlands NHS Trust

Chaired by:
Baroness Wheeler, Opposition Deputy Chief Whip and Member, Shadow Health and Social Care Team

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Note: fees apply for most delegates, but concessionary and complimentary places are available (subject to terms and conditions – see below).
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There will be keynote contributions from: Juliet Bouverie, Chief Executive Officer, Stroke Association and Professor Stephen Powis, National Medical Director, NHS England and NHS Improvement.

Further confirmed speakers include: Faye Edwards, Academic Health Science Network; Jackie Huddleston, NHS England and NHS Improvement and Dr Sanjeev Nayak, University Hospitals of North Midlands NHS Trust.

Chairing is Baroness Wheeler, Opposition Deputy Chief Whip and Shadow Spokesperson, Health and Social Care.

Sessions will focus on the priorities for implementing the National Stroke Programme, which has been developed by NHS England and the Stroke Association to support and meet the delivery of ambitions within the NHS Long Term Plan.

Areas for discussion include:

• The role of Integrated Stroke Delivery Networks and service redesign;
• Delivering prevention and personalised care;
• Progress in rehabilitation and developing pilots;
• Effective rolling out of mechanical thrombectomy; and
• Reducing variation and improving training for the stroke workforce.

Further sessions look at achieving national targets through local delivery, with discussion on:

• The role of pharmacy;
• Innovative stroke care and prevention to reduce hospital admissions;
• Local approaches to rehabilitation;
• Community stroke care services; and
• Priorities for patients.

The conference takes place with government commitments in the Queen’s Speech to publish an NHS Funding Bill, which will enshrine in law the multi-year funding settlement for the NHS, agreed earlier this year, and legislation supporting the implementation of the NHS Long Term Plan.

It will be an opportunity to discuss the next steps for achieving goals for stroke within the NHS Long Term Plan, which makes stroke a national clinical priority and sets targets around prevention, care, and treatment – including:

• Centralising stroke care through Integrated Stroke Delivery Units;
• Expanding mechanical thrombectomy to 10% of patients and, by 2025, having the best European performance for thrombolysis;
• Modernising the stroke workforce; and
• Improving stroke rehabilitation for patients post-hospital to help reduce hospital admissions.

The agenda
• Priorities for implementing the National Stroke Programme – rehabilitation pilots, local systems, and service improvement;
• Prevention, personalised care, the role of National Stroke Delivery Networks, and the NHS Long Term Plan;
• Training, reducing variation, and rolling out mechanical thrombectomy;
• Achieving national targets through local delivery – next steps for improving stroke care in England; and
• Implementing progress and priorities – immediate treatment, reducing hospital admissions, and the new approaches to rehabilitation.

The details: areas for discussion at this conference

Integrated Stroke Delivery Networks and service redesign
Delegates will discuss the development of Integrated Stroke Delivery Networks, which are being put into place for April 2020 so that the 7-day standards for stroke care and the National Clinical Guidelines for Stroke can be met over the next five years across stroke units.

Sessions look at how the networks can support integrated care systems in redesigning and improving stroke services – from before going to hospital through to life after recovery – as well as what has been learned so far from their development.

Further areas for discussion include strategies for local systems to:
• Improve stroke training for emergency services;
• Increase rates of thrombectomy and thrombolysis interventions;
• Advance prevention across primary care, including atrial fibrillation detection and blood pressure; and
• Develop the role of community services in providing therapies.

Rehabilitation pilots and personalised care
As part of the National Stroke Programme, rehabilitation pilots are being established and launched in early 2020 to look at patient-centred stroke rehabilitation and collect evidence of the opportunities this presents for both patients and local systems.

Attendees will discuss what can be learned from:
• The early stages and development of these pilots;
• The use of technology in rehabilitation that is centred on the patient;
• Early support discharge from hospital; and
• Approaches being taken to support people with their life after stroke in the long-term.

Stroke prevention
Delegates will consider ways of scaling up methods of achieving the prevention of stroke.

The seminar takes place in the context of:
• A recent speech from the Secretary of State for Health and Social Care highlighting prevention in one of his first public statements following the general election;
• The Department of Health and Social Care’s Advancing Our Health: Prevention in the 2020s green paper that outlines ways to prevent strokes in England and identifying people who are at risk; and
• A departmental review into the NHS Health Check Service, which is considering the use of personalised interventions to identify early signs of conditions such as stroke.

Areas for discussion include:
• The role of primary care settings, technology and innovation, public health, and National Stroke Delivery Networks in the delivery of stroke prevention; and
• Approaches to improving the identification and management of those people at risk.

Workforce, training, and education
The agenda focuses on the priorities for delivering a workforce capable of delivering stroke care targets and the training required for effective stroke prevention.

Areas for discussion include:
• Increasing the number of stroke consultants and specialists able to deliver mechanical thrombectomy – and ensuring these are evenly spread across the country;
• The role of rehabilitation pilots in increasing staffing for stroke;
• Progress in developing a standardised skills and capability framework for stroke and how this can be successfully implemented; and
• Encouraging organisations to work together on post-stroke care – including involvement of the third sector and community care.

Progress and priorities for local delivery
Further sessions will discuss the increased role of pharmacists in stroke care and prevention following the five-year Community Pharmacy Contractual Framework, which highlights the role of pharmacists in public health and prevention, as well as NHS England’s current review into making statins available from pharmacists.

Attendees will discuss how pharmacist support for stroke care and prevention within the community, through health checks and heart checks in local areas, is working so far.

Speakers

We are delighted to be able to include in this seminar keynote addresses from: Juliet Bouverie, Chief Executive Officer, Stroke Association and Professor Stephen Powis, National Medical Director, NHS England and NHS Improvement.

Further confirmed speakers include: Faye Edwards, National Programme Manager, Atrial Fibrilation Stroke Prevention Programme, Academic Health Science Network; Jackie Huddleston, Associate Director, South East Clinical Networks, NHS England and NHS Improvement and Dr Sanjeev Nayak, Consultant, Interventional Neuroradiologist, University Hospitals of North Midlands NHS Trust.

Baroness Wheeler, Opposition Deputy Chief Whip and Member, Shadow Health and Social Care Team has kindly agreed to chair part of this seminar.

Booking arrangements
To book places, please use our online booking form.

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