Common use of Evidence Base Clause in Contracts

Evidence Base. The National Stroke Strategy; • The Cochrane Review of ESD; • Royal College of Physicians Clinical Guidelines for Stroke 2008; • The National Sentinel Stroke Audits; • The National Service Framework for Older People Standard 5; • The Accelerated Stroke Programme; • Revised ESD Consensus Statement prepared by Prof. ▇▇▇▇▇▇ ▇▇▇▇▇▇ and Dr ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ of the Collaborative Leadership and Research in Health Care (CLAHRC), for NDL; • Evaluation tool to assess the implementation and effectiveness of ESD in practice in rural and mixed settings developed by Collaborative Leadership and Research in Health Care (CLAHRC), for NDL; • The East Midlands Public Health Observatory (EMPHO) previous and future demand modelling; 2. Scope 2.1 Aims and objectives of service • Eligible patients will have access to ESD to give the best possible outcomes for the patients and allow local NHS providers and commissioners to use resources effectively within the health economy. • To ensure a whole system approach that raises standards across the whole stroke pathway by establishing a recommended model and limit point. • To establish a recommended model for ESD services across the East Midlands to include specialist stroke multidisciplinary teams, who will support stroke patients on discharge from acute care to their place of residence in order to fulfil identified achievable measureable and agreed rehabilitation goals, and offer support and guidance to their carers and families. In most instances this will occur in a time limited framework. The team will signpost, or transfer to relevant NHS, Social Service and voluntary sector services for ongoing support. • To show a reduction in length of hospital stay, thereby increase the proportion of patients spending at least 90% of their time on a stroke unit. • To ensure timely discharge of all eligible stroke patients. • To ensure equity of access to an ESD. • To reduce hospital re-admission rates. • To reduce premature admission into long term care.

Evidence Base.  The National Stroke Strategy; •  The Cochrane Review of ESD; •  Royal College of Physicians Clinical Guidelines for Stroke 2008; • (fourth edition) 2012  The National Sentinel Stroke Audits; •  The National Service Framework for Older People Standard 5; •  The Accelerated Stroke Programme; • Revised ESD Consensus Statement prepared by Prof.  ▇▇▇▇▇▇ ▇▇▇▇▇▇ and Dr ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ of the Collaborative Leadership and Research in Health Care et al A consensus on stroke early supported discharge (CLAHRC), for NDL; • 2011) Stroke 42:1392-1397  Evaluation tool to assess the implementation and effectiveness of ESD in practice in rural and mixed settings developed by Collaborative Leadership and Research in Health Care (CLAHRC), for NDL; •  The East Midlands Public Health Observatory (EMPHO) previous and future demand modelling; 2. Scope 2.1 Aims and objectives of service • Eligible patients will have  To provide timely access to eligible patients, to an ESD to give service which will deliver the best possible outcomes for the patients and allow local NHS providers and commissioners to use resources effectively within the health economy. •  To ensure a whole system approach that raises standards across the whole stroke pathway by establishing a recommended model and limit point. •  To establish a recommended model for deliver stroke specialist ESD services across in line with the East Midlands to include specialist stroke multidisciplinary teamsevidence base, who will support stroke patients on discharge from acute care to their place of residence in order to fulfil identified achievable measureable and agreed rehabilitation goals, and offer support and guidance to their carers and families. In most instances this will occur in a time limited framework. The team will signpost, or transfer to relevant NHSNHS including stroke specialist community rehabilitation, Social Service and voluntary sector services for ongoing support. •  To show a reduction in length of hospital stay, thereby increase the proportion of patients spending at least 90% of their time on a stroke unit. •  To ensure timely discharge of all eligible stroke patientspatients e.g. where appropriate patients should be able to access services within 24 hours. •  To ensure equity of access to an ESDESD service. •  To reduce hospital re-admission rates. •  To reduce premature admission into long term care.