Better stroke & heart attack care Heart Attack & Chest Pain - - PowerPoint PPT Presentation

Better stroke & heart attack care

Better care for heart attacks, suspected heart attacks and unstable angina (chest pain) Rapid access to the treatment that’s best for them

What are we proposing?

Heart Attack & Chest Pain

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

• pen 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

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

What are we proposing?

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

• ffer 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?