Follow NWC SCN and Senate on Twitter

Urgent & Emergency Care and Diabetes Resources

Click on the relevant heading to link through to the information you are interested in:

AF_Pathway_pic.jpgClinical pathway for people with, or at risk of Atrial Fibrillation

A clinical pathway to support providers, public health and NHS commissioners to develop services and improve clinical practice for people with, or at risk of, atrial fibrillation.


Cardiac_Rehab_Prov_report.pngReview of Cardiac Rehabilitation Provision in Cheshire & Merseyside 2014 Report

This report presents scoping data relating to service provision for cardiac rehabilitation services, including those for heart failure patients. It aims to facilitate benchmarking of service provision and provides a platform for discussion around future service development.

Improving diabetes foot care pathway

cardiovascular.pngEvidence shows a significant variation in foot care regionally and nationally and highlights the need to reduce the rate of diabetes related ulcers and amputation (which are often avoidable) and help improve survival rates amongst people with diabetes. This new pathway was developed to support the commissioning of services and help address the existing inequalities in patient care and experience.

Diabetes_footcare_training.pngDiabetes foot care screening e-learning tool

An online foot screening programme designed to complement your attendance at the competency based theory and practical training sessions on diabetes foot care screening. Your local NHS Podiatry Service can advise on how to access the training sessions. Please note: the e-learning tool is not intended to be an independent training resource on this subject.

Diabetes_and_Pregnancy_Report_Sept_2015.pngDiabetes and Pregnancy pathway

A pathway to improve the information and support available to pregnant women from the point of diagnosis right through to postnatal care. Developed by the Maternity, Children & Young People and CVD Networks under the leadership of Dr S Samad (Consultant Diabetologist at Aintree Hospitals NHS Trust) and Dr Nigel Taylor (GP Lead at South Sefton CCG and in partnership with a group of experts and patient representatives.

Stroke_ESD_bench_rpt.pngStroke Early Supported Discharge Teams / Post-acute Rehabilitation Services Benchmarking Report (Nov 2014)

This report outlines the services available across the patch and highlights gaps and unacceptable variation. It highlights the importance of stroke early supported discharge being commissioned as part of a whole pathway approach and raises some challenges around workforce that need to be considered going forward. The report has been well recieved and a number of commissioners are using it to support discussions around service improvement.

Stroke Early Supported Discharge Gold Standards Framework (Nov 2014)

cardiovascular.pngThis document was produced with reference to national standards for best practice (e.g. NICE guidelines), a consensus document on stroke (Fisher et. al, 2011) and local expert opinion/benchmarking of ESD teams within Cheshire and Merseyside Early supported discharge (ESD) teams should be commissioned as part of a whole pathway commissioning approach (National Stroke Strategy, 2007).

stroke_6month_review_benchmarking_report.pngStroke 6 Month Reviews Benchmarking Report (Nov 2014)

An innovative network of stroke therapists developed a consensus on a best practice framework for ESD services. Based on the evidence base, the Stroke Six Month Reviews Benchmarking Report clarifies the role and scope of ESD teams and outlines a range of quality standards that teams should be striving to deliver. This can form the basis of a service specification for use by commissioners when negotiating contracts.


AF Comissioning ToolkitAF Commissioning Tookit

A useful resources for Commissioners