1. Slide 1 All Wales Stroke Services Improvement Collaborative Dr Tom Hughes Consultant Neurologist Cardiff and Vale NHS Trust Update on Stroke in Wales

2. Slide 2 All Wales Stroke Services Improvement Collaborative RCP Audit Remember the stories bit?

3. Slide 3 All Wales Stroke Services Improvement Collaborative Five key characteristics chosen from the Stroke Unit Trialists' Collaboration (SUTC) are: Consultant physician with responsibility for stroke Formal links with patient and carer organisations Multidisciplinary meetings at least weekly to plan patient care Provision of information to patients about stroke Continuing education programmes for staff

4. Slide 4 All Wales Stroke Services Improvement Collaborative 5 Acute Criteria of acute and combined stroke units: These criteria are not all evidence based but were developed using the consensus of an expert working group – the Intercollegiate Stroke Working Party: Continuous physiological monitoring (ECG, oximetry, blood pressure) Access to scanning within 3 hours of admission Direct admission from A&E/front door Specialist ward rounds at least 5 times a week Acute stroke protocols/guidelines

5. Slide 5 All Wales Stroke Services Improvement Collaborative

6. Slide 6 All Wales Stroke Services Improvement Collaborative

7. Slide 7 All Wales Stroke Services Improvement Collaborative Numbers are levers Good data is valuable It tells stories without then need for many words It should become part of routine practice Thank You