Urgent and Emergency Care 7 day hospital service

As part of the overall programme to transform urgent and emergency care, Clinical Networks are expected to focus on transformation of cardiovascular elements of the urgent and emergency care pathway (stroke, vascular surgery, heart attack).

The South West Cardiovascular Clinical Network has mapped the provision of hyperacute stroke, primary percutaneous coronary interventions and complex cardiology services for the region. The remit of the project was to provide the clinical context and to understand the regional and local implications of national policy and standards on emergency and elective cardiac and stroke services, including compliance with specialised commissioning national service specifications.  As well as the net clinical benefits from time- and volume-sensitive interventions for both ST-elevation myocardial infarction and acute stroke, the analysis took into consideration co-dependency with other critical services such as vascular surgery and interventional neuroradiology.

Hyperlinks to mapping docs

sw-cv-scn-bigger-better-faster-full-report-september-2016

sw-cv-scn-project-initiation-document-v12

sw-cv-scn-bigger-better-faster-executive-summary-april-2016

A particular focus has been supporting the application of the seven day service, four-priority clinical standards target. The Network has developed stroke and emergency diabetic foot specific standards, these give a more precise meaning that is much more in-line with NICE and relevant national guidance. They also include suggested metrics to measure progress. The Network will continue to provide clinical advice and support to STPs in the implementation of the standards and evolving plans for transforming care.