1. Supporting NHS Wales to Deliver World Class Healthcare AWSSIC North Wales Central Learning Session Two 25 th March 2009

2. Slide 2 All Wales Stroke Services Improvement Collaborative North Wales NHS Trust (Central) Dr Adhiyaman – Consultant Physician, Stroke Lead and Champion Josie Wray – Clinical Lead Nurse (Project Lead) Anna Whitlow – Clinical Nurse Specialist Janet Lloyd-Jones – Nursing Sister Janice Lavelle – Therapist Lead Geraint Parry – Information Lead Yvette Drysdale – Assistant General Manager

3. Slide 3 All Wales Stroke Services Improvement Collaborative Service

4. Slide 4 All Wales Stroke Services Improvement Collaborative Recent Developments 12 Co-located beds from 12 January 2009 Appointment of Clinical Nurse Specialist Recruitment in process for therapists and psychology Development of collaborative care plan Updated operational policy and service specification Trust webpage for Stroke Improved data collation mechanism

5. Slide 5 All Wales Stroke Services Improvement Collaborative Current data collation mechanism Multi-sources of data (Coding, PAS, Therapy Manager. Patient Records, Audit, Stroke database, LHB) Disjointed Time consuming Retrospective data Lack of time to evaluate for service change

6. Slide 6 All Wales Stroke Services Improvement Collaborative Strategy for Change Prospective data informs clinical decision making One system User Friendly Easy access to reports Realtime Measure clinical effectiveness and clinical outcomes Incorporate patient and public views Comparison of existing data collated and new data set as provided by NLIAH

7. Slide 7 All Wales Stroke Services Improvement Collaborative Barriers to Change Time to input the data Available technology Risk of duplication

8. Slide 8 All Wales Stroke Services Improvement Collaborative Solutions NLIAH database will rationalise current data collection Training and engagement of staff Synchronise systems Share information with staff and service users Greater involvement of staff in audit Proactive use of data to influence service improvement