Issue - meetings

Clare Burns, Deputy Chief Operating Officer (DCOO) of Havering Clinical Commissioning Group and the Lead for this consultation, delivered a presentation outlining the proposals for the delivery of stroke rehabilitation services across the London boroughs of Barking and Dagenham, Havering and Redbridge.  Clare reminded the Board that the Case for Service Change was developed to remove the disparity of service provision and complicated pathways for post-acute stroke care for both medical professionals and patients and thereby provide an effective community stroke rehabilitation service that would be able to achieve the best possible outcomes for patients.  The ageing population was also a driver of demand for post-acute stroke care. 

A stakeholder workshop had been held in October 2015, following which the CCG Governing Body agreed a pre consultation business case.  This formed the basis of the proposed service changes under consultation, the details of which were set out in the report.  The three local Healthwatch organisations had helped to produce the consultation document and the proposals were now in a 12 week consultation phase.

The Board discussed a number of issues including the proposals to have the service delivered by one team, based at King George Hospital, to increase early supported discharge (ESD) that would provide a full range of therapies to improve rehabilitation support in patients own homes, the benefits of individualised care and rehabilitation that would be tailored to each patients needs, for example patients learning to use their own kitchen and kettles again rather than a generic kitchen.

Councillor Keller advised that the proposals had been considered by the LBBD Health and Adult Services Select Committee at its meeting held on 13 January 2016.

The Board commended the clarity of the consultation document and the proposals within it.

The Board:

(i)  Noted the proposals set out in the report for changes to the Acute Stroke Care provision, which included the creation of a stroke expertise and treatment centre at King George Hospital;

(ii)  Noted the proposals to improve Early Supported Discharge (ESD) to enable patients to undertake rehabilitation in their own homes, which would include a full range of therapies such as physiotherapy, speech and language therapies and physiological support;

(iii)  Noted that the consultation programme on the proposed changes was underway;

(iii)   Agreed that the Chair would write to the CCG on behalf of the Board to advise that the Board supported the proposals set out in the report; and

(iv)  Noted that a further report would be presented following the completion of the consultation process.