Neuroscience quality and safety 2014 organisational audit results

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1 London Neuroscience Strategic Clinical Network Neuroscience quality and safety 2014 organisational audit results Dr Jo Jarosz Date Clinical Director, King s College Hospital NHS Foundation Trust Clinical Lead, London neuroscience quality and safety working group 18 March 2015

2 Quality and Safety Workstream Members Dr Bal Athwal Consultant Neurologist Royal Free Hospital NHS Foundation Trust Heather Campbell Clinical Lead & Head of Neuro Rehab Pathway Guy s and St Thomas NHS Foundation Trust (community ) Dr Jozef Jarosz (lead) Clinical Director / Consultant Neuroradiologist King s College Hospital NHS Foundation Trust Dr Harri Jenkins Consultant Neurologist Imperial College Healthcare NHS Trust Dr Nick Losseff Clinical Director London Neuroscience Strategic Clinical Network Katie Nichol Project Manager London Dementia and Neuroscience Strategic Clinical Networks Michael Oates Quality Improvement Lead London Neuroscience Strategic Clinical Network Mr Jonathan Pollock Clinical Director / Consultant Neurosurgeon Barking, Havering & Redbridge University Hospitals NHS Trust Dr Sanjay Wijayatilake Consultant in Neuro Intensive Care Barking, Havering & Redbridge University Hospitals NHS Trust Dr Oliver Foster Consultant Neurologist St George s Hospital NHS Foundation Trust Dr Michael Dilley Consultant Psychiatrist South London and Maudsley NHS Foundation Trust

3 London Neuroscience Strategic Clinical Network

4

5 Neurosciences Care Neuroscience Regional Centres 6 Specialist Neurology Centres 2 Acute General Hospitals 22 Community Rehabilitation Primary Care Social Care Rehabilitation

6 Quality and Safety Workstream Audit Organisation Process Outcome

7 Quality and Safety Workstream Audit Organisation Process Outcome

8 Neurosciences Providers Acute General Hospital Acute General Hospital Social Care Neuroscience Regional Centre Primary Care Acute General Hospital Community Rehabilitation

9 Audit Questions Staff Provision Infrastructure Protocol and Transfer Standards Communications and Training Standards Patient Information and Support Services Database and Registry Audit and Research

10 Neuroscience Centre Questions

11 Responses Regional Centre 100% Specialist Centre 100% Acute General Hospitals 52%

12 Staff Provision-Results

13 Staff Provision-Results

14 Staff Provision-Results

15 Staff Provision-Results

16 Infrastructure-Results

17 Infrastructure-Results

18 Infrastructure-Results

19 Infrastructure-Results

20 Protocol and Transfer Standards-Results

21 Protocol and Transfer Standards-Results

22 Protocol and Transfer Standards-Results

23 Protocol and Transfer Standards

24 Protocol and Transfer Standards-Results

25 Protocol and Transfer Standards-Results

26 Protocol and Transfer Standards-Results

27 Communications and Training Standards-Results

28 Communications and Training Standards-Results

29 Patient Information and Support Services-Results

30 Patient Information and Support Services-Results

31 Database and Registry-Results

32 Database and Registry-Results

33 Specialist Community Rehabilitation Specialist community neurorehabilitation service Regular involvement with specialist inpatient unit multidisciplinary team meetings. Coordinated care planning with specialist inpatient rehabilitation units. Barking and Dagenham Community Rehab Service Barnet Community Neurological Conditions Management Team Bromley Specialist Community Rehabilitation Neurology Team Camden Community Neuro and Stroke Team Central London Neurorehabilitation Community Team Ealing ENable Community Services Greenwich Community Neuro Rehabilitation Team Guy's and St Thomas' Community Health Services (Lambeth) Guy's and St Thomas' Community Health Services (Southwark) Havering Community Rehabilitation Service Hounslow and Richmond Community Neuro Rehabilitation (Hounslow) Richmond upon Thames Community Team

34 Specialist Community Rehabilitation Specialist community neurorehabilitation service Access to a consultant in RM Neuro-psychology provision Clinical psychology provision Neuro-navigator Barking and Dagenham Community Rehab Service 0 0 No Barnet Community Neurological Conditions Management Team No Bromley Specialist Community Rehabilitation Neurology Team No Camden Community Neuro and Stroke Team 0 2 Yes Central London Neurorehabilitation Community Team 2 0 No Ealing ENable Community Services Null No Greenwich Community Neuro Rehabilitation Team No Guy's and St Thomas' Community Health Services (Lambeth) No Guy's and St Thomas' Community Health Services (Southwark) 0 0 No Havering Community Rehabilitation Service 0 0 No Hounslow and Richmond Community Neuro Rehabilitation (Hounslow) 0 0 No Richmond upon Thames Community Team No

35 Conclusions No systematic application of organisational frameworks to allow remote advice, cover and transfer of patients

36 Conclusions No systematic application of organisational frameworks to allow remote advice, cover and transfer of patients No agreement on protocols for management of acute neurological emergency

37 Conclusions No systematic application of organisational frameworks to allow remote advice, cover and transfer of patients No agreement on protocols for management of acute neurological emergency Variation in both personnel and infrastructure

38 Conclusions No systematic application of organisational frameworks to allow remote advice, cover and transfer of patients No agreement on protocols for management of acute neurological emergency Variation in both personnel and infrastructure Specialist ownership is lacking

39 Conclusions No systematic application of organisational frameworks to allow remote advice, cover and transfer of patients No agreement on protocols for management of acute neurological emergency Variation in both personnel and infrastructure Specialist ownership is lacking

40 Thank you for your attention

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