5
FY25
PLANNING
Fay Parsonage
Introduction
Key Accounts FY26
key Projects
Unit Increase & Revenue
Introduction
Stroke
Impact
Syncope
Driving Capacity
Syncope
Elevating Syncope
Blackpool Victoria Hospital
Focus on refining and streamlining current service and leverage Blackpool's progress within North West region to influence other centres and develop P2P activities.
- Learnings from FY24 with JCUH visit support given to Blackpool and working with Rachel. BVH now : 1 advanced nurse practitioner and 1 specialty nurse seeing patients independently & 3 other arrhythmia nurses who are seeing patients with direct supervision.
- Dr Chus Feedback invaluable and has some key insights
-Working collaboratively to achieve Key Objectives
- Establishing electronic referral system
- Nurse-initiated links to the Emergency Department and Stroke team
- A&E Education
- Audit
- Celebration of success - key next step
Other Hospitals to be influenced.
1. Manchester Royal Infirmary :Working with TB on proposal for nonclinical
2. Arrowe Park
3. Stoke : Indira keen to expand primary care links for better referrals
4. LHCH Patch / Holter Project
Feedback Dr Gavin Chu
Financial support for Education , training events and peer to peer learnings
Non material aspects of Medtronic input to support - ' the Maze of service development'
'Deep knowledge and crucially an acceptance of the way the field operates across different healthcare environments'
Unit Increase /Revenue for Blackpool
£
- 100 Unit increase already with Blackpool Service in last 2 years - Based on current position the service is in ...Now is the time to ramp up
- Syncope Potential 223 (March 23 - Feb 24)
- 87 units this year 189k ( majority for syncope based on RM data and this is growing )
- 10% + = 96 units
- Streamlining referal process and based on current growth will do more than 10% .
-If other accounts started slowly this would support the 10%
Stroke
Synergise Stroke
Royal Stoke Hospital
-Focus on developing 'Gapless ECG pathway' data collection and time to implant..
- Continue to Leverage Stoke's progress within region and national to influence other centres and develop P2P activities.
- Working with Stoke on 'Gapless' ECG and service adaptations to decrease the time from Stroke index to ILR (< 4 days ) - Short & Long term plan to manage this whilst balancing need for research.
- Short term - Direct referral from Indira to Ash or Vince and they will list within days.
-Long term - half days Mon , Wed , Fri one dedicated person to identify Stroke pts 9am. Tues &Thurs continues as elective list.
- AI on LINQ to solidify trust in technology and build upon LINQ II future use.
Accounts Influenced or to be Influenced by Stoke Model
- Preston - COE Meeting impact. Monthly meeting with Stroke , Bus Manager , Cardiology. Stroke doing Audit . Pathway - Patches then list for ILR . Policy being written and Stokes inc/excl criteria being used.
- Blackpool - Business Case working with Jo for service Implementation.
- North Wales - Engagement with 3 sites.
- Arrowe Park
- Fairfield - Engagement with Stroke but Cardio bit challenging.
- Stepping Hill FocusOn / Stroke engagement with ISDN Lead.
Stoke Meeting : APH , Fairfield , North Wales , Stepping Hill
Increase Units & Revenue
£
Royal Stoke
- ILR Stroke Potential for Stroke 312 (March 23 - Feb 24) = £561,707
- Currently implanted 180 for CS pts Over 2 Years
- YTD total implants 655 (big % Syncope)
- 10%+ = 65 units
- YTD Actual £925,559 vs YTD LY £686,542
- 21 Cryptogenic pts on Remote Monitoring per Q on average
- Average around 1.7 referalls a week
- Gapless Project = 4/5 referrals a week so an increase of 2 per week.
- 95 units average increase
Preston
- ILR Stroke Potential = 194 units (March 23 - Feb 24)
- Same ICB as BVH
- Potential Invite for H&B and Stoke
Blackpool
-Business case- 219 new units depending on approval - 50 units potential
Drive Capacity
Drive Capacity
Out of Lab NPI
Royal Preston
To allow Stroke referrals at Preston to start - NPI and OOL needs to happen but projects simultaneously running and monthly calls with the business manager are giving time to this.
Anna has been identified and the training is due to start.
Next step is FocusOn 3 month trial which Physiologists are keen to try.
OOL / NPI
Bolton Hospital
- Fairfield Hospital - OOL and increasing NPI to physiologists at Oldham site. This needs to happen first before Stroke referrals and Sohaib is keen to implement Physiologist led implants
- Explant course - Physiologists learning to explant is a key driver for Sohaib.
Explant Course
Hospitals from NW Region :
LHCH
Fairfield
Liverpool
Salford
LINQ 2 & Focus On
Fairfield Hospital
- Royal Bolton Hospital - FocusOn Trial then working on LINQ2 implementation with Helen being NPI in future.
- Cardiology keen to implant LINQ2 for Stroke but Stroke not as receptive. Attended Stoke day so working on following up. Business Case and Joanna's support in future.
- Wigan - No budget for LINQ & Focus On to continue - Need to support time savings and economic value.
Salford Royal Hospital
Salford Royal
- Salford Royal - FocusOn trial about to start , training done and discussions about transitioning retrospective on LINQ2 ( Financial Challenge) Cost calculator , revenue generation for the department for follow ups and implant / explant.
- Approval to use LINQ 2 and Focus On going forward.
- Referral meeting with Stroke team and Cardiology
Uplift and revenue increase
£
Salford - LINQ 2 growth= 99k
Retrospective = (250 in FU) 40K
Preston - LINQ 2 growth= 44k
Retrospective = 40k
OOL will allow for increased in capacity for Stroke Patients