Better stroke & heart attack care
Heart Attack & Chest Pain What are we proposing? Better care for heart attacks, suspected heart attacks and unstable angina (chest pain) Rapid access to the treatment that’s best for them
How may treatment change? Heart attack treatment aims to clear a blocked artery and restore the heart’s blood flow. This stops pain and limits damage to the heart. Current treatment Thrombolysis – drugs to dissolve blood clots Future treatment Primary Percutaneous Coronary Intervention (PPCI) – balloon surgery to open up blocked arteries
Why change? • In the East Midlands, approx 2,000 people a year could benefit from PPCI • PPCI can help people survive some types of heart attack • PPCI works best if given quickly • Too few people have fast access to PPCI • Concentrating skills and equipment in specialist centres builds experience and gets better results
What does this mean for patients?
Types of service Types of heart attack services are proposed: Specialist PPCI centres will offer PPCI 24 hours a day, seven days a week Acute coronary syndrome centres will care for people with chest pain (unstable angina) and people who have heart attacks that aren’t suitable for PPCI
Better stroke care
What are we proposing? Save lives and reduce disability caused by stroke Give the right help quickly in emergencies Act quickly to prevent a disabling stroke when someone has a minor stroke or transient ischaemic attack (TIA) Give everyone the best medical care so that people will make the best possible recovery
How may services change? • Some hospitals will offer specialist stroke centres • Paramedics will take stroke patients straight to a specialist hospital • Training for ambulance and hospital staff will help them identify people who are having a stroke • The aim is that people should be able to reach a specialist hospital within a 60-minute ambulance journey.
Why do we need to change? • In the East Midlands, more than 6,000 people a year have a stroke • Stroke is treatable • Specialist care saves lives and reduces disability • Thrombolysis is not available to everyone at the moment • Quality of care varies between hospitals
What does this mean for patients?
Types of service Proposed stroke services: Specialist stroke centres will offer access to scans and thrombolysis within an hour of a patient’s arrival. They will also offer access to highly specialist neurological services. Local stroke unit will provide ongoing care once a patient is stabilised - including rehabilitation.
How have we involved stakeholders? •These proposals stem from a 2007 review, From Evidence to Excellence , when we asked 4,500 members of the public and 500 health and social care staff about what mattered to them. •A clinical summit was held in September 2008. Clinical Advisory Groups were set up, and met regularly to develop the service model and minimum standards. •The ambulance service helped us to map the catchment areas for each hospital based on a 60-minute journey time. •We sought views, ideas and expectations from patients and carers during several workshops in November and December 2008. We also shared the quality-based decision-making criteria with three user groups in March 2009. •Over the next two months, PCTs will run a series of patient and public involvement events.
Next steps & draft timeline Current timeframe • Public and patient involvement Feb - Dec 2009 • Recommendations Early 2010 •Types of services and where they are located • On-going public involvement 2010 Taking account of advice from OSC • Final decisions 2010 • New services in place Within 3 years
Thank you, any questions?
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