Transformation Unit

Transforming stroke services

Developing a case for change and service change proposals for stroke services across Cheshire & Merseyside.

The client

The Cheshire & Merseyside Cardiovascular Disease Programme (Cheshire & Merseyside Health & Care Partnership and Liverpool Heart and Chest Hospital) aims to improve the cardiovascular health of the Cheshire and Merseyside population

The challenge

Cheshire and Merseyside were facing significant challenges around workforce. There were variations in access to, and the quality of, rehabilitation services, and levels of activity between stroke services also varied; making some services less sustainable than others.

Our Approach
We worked in partnership with a wide range of people, including the North West Coast Strategic Clinical Network, clinicians (consultants, nurses and therapies staff) and operational staff from acute, community and tertiary providers across the area, to develop a range of options for the future model of care. We also talked with commissioners, colleagues from the voluntary sector, and patient representatives, to test and refine the models.

The Outcome
We developed a vision – including proposals describing how stroke services could be safe, sustainable and fit for future generations.

  • These proposals have been endorsed by stakeholders across Cheshire & Merseyside and will enable them to deliver world class stroke services for their patients
  • Transforming services will prevent the huge social care costs incurred by failing to prevent disability and dependency, helping stroke survivors to return to independent living

Clinicians across Cheshire & Merseyside agree that our aim is to improve outcomes for patients by ensuring they can access the latest diagnostics and treatments in safe and sustainable specialist acute stroke care and by reducing variation in access to post-hospital rehabilitation. Development of these proposals represents significant progress in delivering our clinical vision for future stroke services across Cheshire & Merseyside. The input from the NHS Transformation Unit has been invaluable in progressing this work at pace”. Dr Deb Lowe, Clinical Lead for Stroke, Cheshire & Merseyside CVD Programme