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Just some background about prism adaption that I found from an article

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Here is just 3 creative ideas I thought of to make our pitch memorable or at least intriguing.

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Sentinel Stroke National Audit Programme (SSNAP)

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Sentinel Stroke National Audit Programme (SSNAP)

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From 2015

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Relaxation training after stroke: potential to reduce anxiety

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Relaxation training after stroke: potential to reduce anxiety

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https://www.tandfonline.com/doi/full/10.3109/09638288.2013.808275

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This paper compared Visual Scanning Training and Prismatic adaption interventions for stroke patients with left visual neglect.

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Based on an article: Occupational Therapy Activities and Intervention Techniques with Stoke in 6 Rehabilitation Hospitals

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What I learned about Adults with Dementia (5B) group:

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What I learned about Adults with Dementia (5B) group:

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The Mental Health (Care and Treatment) (Scotland) Act 2003 protects the rights and people with a mental disorder.

This Act places the responsibility on local councils, care providers, and support services.

This act called on developing community based mental health services, involvement from service users and unpaid carers, and respect for human rights

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In the Children's Care Act 2004 they have implemented Independent Reviewing Officers (IROs) to ensure care plans are made and reviewed- if not they will challenge poor practice and have the authority to refer the case to the Children and Family Court Advisory and Support Service.

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4655695/

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High quality educational provision under Section 21 of the Children and Families Act 2014 will meet the individual needs of the majority of children and young people with SEN.

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High quality educational provision under Section 21 of the Children and Families Act 2014 will meet the individual needs of the majority of children and young people with SEN.

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Chapters 5, 6 and 7 give guidance on identifying and supporting children and young people with SEN or disabilities.
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/398815/SEND_Code_of_Practice_January_2015.pdf

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Occupational therapy concise guide for stroke 2016

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Occupational therapy concise guide for stroke 2016

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NICE guideline

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Describes both the statutory and non-statutory elements of the role of Director of Public Health

Documents

Details

The roles and responsibilities guidance describes both the statutory and non-statutory elements of the role, and outlines arrangements that are designed to allow local authorities to have confidence in the director of public health appointments they make, and to build on their own good practice while meeting national requirements.

The appointment guidance provides information about changes to statutory regulation, which will apply to all public health professionals in future. There are 3 regulators for specialists in public health: the General Medical Council, which regulates public health doctors; the General Dental Council, which regulates public health dentists; and the UK Public Health Register, which regulates the multidisciplinary workforce. Medical and dental public health professionals are already subject to statutory regulation by the General Medical Council or General Dental Council.

The documents are supported by a factsheet on the new public health role of local authorities, outlining the Department of Health's vision for public health in local government and highlighting how the director of public health will lead and champion health improvement across the local authority.

The factsheet will primarily be of interest to local authority elected members and officers, and local public health teams.

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Role of the Director of Public Health in Local Authorities

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Describes both the statutory and non-statutory elements of the role of Director of Public Health The roles and responsibilities guidance describes both the statutory and non-statutory elements of the role, and outlines arrangements that are designed to allow local authorities to have confidence in the director of public health appointments they make, and to build on their own good practice while meeting national requirements.

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Stroke rehabilitation in adults | Guidance | NICE

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This guidance has been updated and replaced by stroke rehabilitation in adults

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Non-Statutory Funding: Northamptonshire County Council planning to charge self-funding adults for care-assessment

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Non-Statutory Funding: Northamptonshire County Council planning to charge self-funding adults for care-assessment

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Northamptonshire County Council is planning to introduce a £50 charge for social care assessments of adults who need to pay for their own care.

The plan, currently out for consultation, will see individuals with assessable savings and capital investments in excess of £23,250 having to pay the £50 administrative charge for an assessment of their care needs.

A spokesman for the council said: "Adult social care services across the country are means-tested, which means people above a certain level of savings and investments are expected to contribute towards the cost of their care. Paid-for care services are only intended to help those who cannot help themselves."

The spokesman added that the plan is a reaction to budget pressures. "In these times of reduced funding from central government, our current consultation about how self-funders pay for care and support seeks to make explicitly clear what is the council's role and what are the expectations of the service user if they are eligible and able to make a financial contribution."

Right to assessment

However, the move was criticised by the Alzheimer's Society.

"A key principle of the Care Act is people's right to assessment of their care needs. Charging for this is wrong," said Andrew Boaden, senior policy officer at the charity. "The burden of paying for care already leaves many people choosing between a hot meal or buying in help to shower and get dressed.

"Many are left with no option other than to sell their home to buy care. Others struggle on unsupported, increasing their risk of ending up in a crisis that requires emergency hospital care or early entry to a residential home."

Barrier to support

"Charging for an assessment is another barrier to support that will make this already dire situation worse," Boaden added. "We sympathise with the budget cuts local authorities are having to make but these should not be passed on to people who desperately need and are entitled to care.

"Instead a long-term solution to funding the social care system is required and must be addressed in the Budget in March."

The consultation on the assessment charge ends on 1 February. The authority intends to make a decision on the charge on 14 February.

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Council plans to charge self-funding adults for care assessment

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Northamptonshire County Council is planning to introduce a £50 charge for social care assessments of adults who need to pay for their own care. The plan, currently out for consultation, will see individuals with assessable savings and capital investments in excess of £23,250 having to pay the £50 administrative charge for an assessment of their [...]

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Statutory Funding:Improving care for Stroke patients at home

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Statutory Funding:Improving care for Stroke patients at home

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News story

Innovative organisations can apply for a share of up to £2.7 million to develop new ways of improving care for stroke patients at home.

A Northern Ireland-led international consortium is inviting innovative businesses to apply for a share of up to £2.7 million to develop new technical care solutions for stroke patients.

The project - Mobile Assistance for Groups and Individuals in the Community (MAGIC) - aims to discover innovative approaches to post-stroke care and improve the independence of stroke survivors.

This competition is in 3 phases:

phase 1 - successful applicants will receive funding of up to €60,000 to carry out feasibility studies / solution development projects lasting 6 months

phase 2 - successful companies from phase 1 will receive funding of up to €105,700 to develop prototypes of their proposed solutions

phase 3 - successful companies from phase 2 will receive funding of up to €930,000 to develop their solutions at scale in Northern Ireland and Italy

The MAGIC Post-Stroke challenge is funded through the Horizon 2020 programme. This is the first successful bid for funding from the Horizon 2020 pre-commercial procurement fund in the UK and Ireland. The Northern Ireland Department of Health is running this competition. Other NI participants are the Health and Social Care Board, the Public Health Agency, Invest Northern Ireland and Ulster University. There are also international partners from Ireland, Italy, Finland, Spain, Luxembourg and Denmark.

Competition information

this competition is open now

the application deadline is 3pm on Friday 9 December 2016

you must register and apply online via the eTendersNI website

the call for tender number for this competition is 601494

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Improving care for stroke patients: apply for innovation funding

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News story Innovative organisations can apply for a share of up to £2.7 million to develop new ways of improving care for stroke patients at home. A Northern Ireland-led international consortium is inviting innovative businesses to apply for a share of up to £2.7 million to develop new technical care solutions for stroke patients.

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COT contributes to new Stroke guidelines

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COT contributes to new Stroke guidelines

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Members of The College of Occupational Therapists' Specialist Section for Neurological Practice, Professor Avril Drummond, and Karen Clements have been key to new guidelines on the treatment of stroke.

The guideline, published by the Royal College of Physicians' (RCP) Stroke Programme, calls for all patients to receive an urgent brain scan within 1 hour of being admitted to hospital, which is a major reduction in the time limit from the previous guidance of 12 hours. The guideline recommends that all acute stroke hospitals have access to brain scans 24 hours a day and calls for local stroke services to be organised to minimise the time to treatment for the maximum number of people.

The guideline also calls for a greater emphasis on the early rehabilitation of stroke patients in their own homes rather than in hospital, a more multidisciplinary approach to their recovery and longer-term rehabilitation, which supports the aims of the College of Occupational Therapists' Improving lives, Saving Money Campaign.

Research analysed by the RCP's Stroke Programme indicates that early supported discharge with continued access to rehabilitation after leaving hospital can improve the outcome for stroke patients and provides the greatest potential for people to return to living independently after a stroke.

The new guidance also includes:

advice on new stroke treatments such as clot removal (mechanical thrombectomy) and blood pressure management for an acute brain haemorrhage

recommendations about the urgent treatment of suspected mini-stroke to improve prevention of a full stroke

research-based guidance on the early mobilisation of stroke patients

research-based guidance on the use of multidisciplinary teams to provide personalised care.

Professor Avril Drummond who is Chair of the UK Stroke Forum, and Fellow of the College of Occupational Therapists, commented:

"Rehabilitation is again a key area in the new guidelines which extends across the whole patient and carer pathway. We are particularly pleased that, in this edition, there is more recognition of the length of the journey and thus there are recommendations for enhancing life after stroke. The role of the occupational therapist remains central in the multidisciplinary team."

Dr Martin James, a stroke physician in Exeter and one of the editors of the new guideline, said:

"Stroke is a medical emergency and if outcomes for people with stroke are to be improved we need to minimise time delays in diagnosis and treatment. In recent years stroke care in the UK has improved dramatically. We have collected very good evidence that the earlier someone with a stroke gets specialist treatments then the better their chances of recovery.

We have also learnt just how cost effective treatments like clot-busting thrombolysis in hospital and early rehabilitation at home can be. With the NHS facing ever-increasing pressures on costs and hospital beds, we need to make sure we deliver treatments that help to get people with stroke back home living independently again."
Read the RCP National clinical guideline for stroke 2016.

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COT contributes to new guideline on the treatment of stroke

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Members of The College of Occupational Therapists' Specialist Section for Neurological Practice, Professor Avril Drummond, and Karen Clements have been key to new guidelines on the treatment of stroke.

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Clinical Commissioning Groups (CCGs) were created following the Health and Social Care Act in 2012, and replaced Primary Care Trusts on 1 April 2013. They are clinically-led statutory NHS bodies responsible for the planning and commissioning of health care services for their local area. There are now 207 CCGs in England.
Commissioning is about getting the best possible health outcomes for the local population. This involves assessing local needs, deciding priorities and strategies, and then buying services on behalf of the population from providers such as hospitals, clinics, community health bodies, etc. It is an ongoing process. CCGs must constantly respond and adapt to changing local circumstances. They are responsible for the health of their entire population, and measured by how much they improve outcomes.

CCGs are:

Membership bodies, with local GP practices as the members;

Led by an elected governing body made up of GPs, other clinicians including a nurse and a secondary care consultant, and lay members;

Responsible for approximately 2/3 of of the total NHS England budget; or £73.6 billion in 2017/18;

Responsible for commissioning healthcare including mental health services, urgent and emergency care, elective hospital services, and community care;

Independent, and accountable to the Secretary of State for Health through NHS England;

Responsible for the health of populations ranging from under 100,000 to 900,000, although their average population is about a quarter of a million people.

The commissioning system is continually evolving. Our publication The future of commissioning sets out our vision for the future of clinical commissioning, based on what we are hearing from our members.

Making a positive difference

We have published a number of case study reports showing how clinical commissioners are making a positive difference to their local patients and populations.

These include:

We have also produced a document Local solutions to national challenges. This puts forward a series of key "asks" to give clinical commissioners the freedoms and flexibilities they need to make even more of a difference in transforming healthcare locally. Read more.

CCGs and NHS England

CCGs work with closely with NHS England, which has three roles in relation to them:

Assurance: NHS England has a responsibility to assure themselves that CCGs are fit for purpose and improving health outcomes.

Development: NHS England must help support the development of CCGs.

Direct commissioning: NHS England directly commission highly specialised services. In some cases they also commission primary care, though most CCGs have now taken on either full or joint responsibility alongside NHS England for this. As co-commissioners, CCGs work with NHS England's regional teams to ensure joined-up care.

Public health

As local authorities are responsible for public health, CCGs work closely with them through health and wellbeing boards. They work together to achieve the best possible outcomes for the local community by developing a joint needs assessment and strategy for improving public health.

Commissioning Support Units

Commissioning support units (CSUs) help provide support and services for CCGs such as finance, HR, data management, or contracting. CCGs can buy services from CSUs or to carry them out in-house, whichever they feel is most efficient and appropriate. CSUs are now procured by CCGs via the NHS England Lead Provider Framework.

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Clinical Commissioning Groups (CCGs) were created following the Health and Social Care Act in 2012, and replaced Primary Care Trusts on 1 April 2013. They are clinically-led statutory NHS bodies responsible for the planning and commissioning of health care services for their local area. There are now 207 CCGs in England.

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https://www.futurelearn.com/courses/public-health-history/0/steps/30333

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Statutory and non-statutory UK public services

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Statutory and non-statutory UK public services

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http://simpleask.co.uk/statutory-and-non-statutory-public-services/

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https://www.sciencedaily.com/news/health_medicine/stroke/

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http://www.independent.co.uk/life-style/health-and-families/health-news/stroke-treatment-mechanical-thrombectomy-nhs-england-paralysis-a7576391.html

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http://www.worldlifeexpectancy.com/world-health-rankings

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https://www.stroke.org.uk/sites/default/files/sn_spring_2017_website.pdf

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A blood test and a brain scan could help people at risk of one of the deadliest forms of strokes.

Scientists have found combining the two tests for patients who have suffered a stroke could help predict the chances of them experiencing a second stroke.

Experts said the new approach could revolutionise the way doctors manage strokes caused by brain bleeding, known as intracerebral haemorrhage (ICH).

ICH accounts for up to 50% of all strokes worldwide.

About half of those affected die within one year.

Researchers used the blood test and brain scan images to detect a condition known as cerebral amyloid angiopathy (CAA), which is caused by a build-up of a protein known as amyloid in the walls of blood vessels in the brain.

CAA can cause ICH and is linked to a higher risk of further strokes and dementia.

Edinburgh University researchers used computed tomography (CT) scans in more than 100 patients who died following their first ICH.

Developing countries

They collected blood samples to test a gene called APOE, which is linked to CAA.

By combining simple CT scan images with a genetic blood test, researchers could accurately spot if an ICH had been caused by CAA.

Dr Mark Rodrigues, Wellcome Trust Clinical PhD Programme Fellow at the University of Edinburgh, said: "Identifying the cause of a brain haemorrhage is important to planning patient care.

"Our findings suggest that the combination of routine CT scanning with APOE gene testing can identify those whose ICH has been caused by CAA - a group who may be more at risk of another ICH or dementia."

This new approach could help identify people who are at higher risk after their ICH, scientists say.

It could also improve ICH diagnosis in developing countries as CT scanning and blood testing is available worldwide.

The study is published in Lancet Neurology and was funded by the Medical Research Council, Stroke Association and Wellcome Trust.

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A blood test and a brain scan could help people at risk of one of the deadliest forms of strokes. Scientists have found combining the two tests for patients who have suffered a stroke could help predict the chances of them experiencing a second stroke.

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2018: 1. my amazing brain: richard's war

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Horizon - 2018: 1. My Amazing Brain: Richard's War

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The story of Richard Gray and his remarkable recovery from a catastrophic stroke.

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Differences of Stroke Prepardness between the US and UK 

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Differences of Stroke Prepardness between the US and UK 

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http://stroke.ahajournals.org/content/46/11/3220http://stroke.ahajournals.org/content/46/11/3220

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Channel 4 documentary on rebuilding brain

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Can You Rebuild My Brain?: Can You Rebuild My Brain?

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Lotje Sodderland meets neuroscience pioneers who use new knowledge to fix 'broken' brains

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Hi gang

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Stroke warning for middle aged adults urged to change lifestyles 

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Stroke warning for middle aged adults urged to change lifestyles 

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https://inews.co.uk/news/health/stroke-warning-middle-aged-change-lifestyles/https://inews.co.uk/news/health/stroke-warning-middle-aged-change-lifestyles/