Getting to Hospital at a Single Stroke
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  • Stroke

    Brain cells die when blood supply is cut off
    Timely Clot-busting treatment restores blood flow & saves brain
    Time = Brain = Better recovery

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  • TIA

    Transient Ischaemic Attack
    Temporary interruption in blood flow to the brain
    Symptoms of stroke and Increased risk of stroke
    Timely treatment prevents stroke

    Page 2
  • The problem

    20% of stroke patients call their GP first
    Clot-busting medication – The sooner the better
    Calling Primary Care delays access to optimal care

    Page 3
  • The solution

    RECEPTS training
    Reception Staff are on the frontline when stroke patients call
    Recognition ⇒ Confident Decisions ⇒ Effective Action ⇒ Better Outcomes

    Page 3
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WHY RECEPTS?

The problem: every five minutes someone, somewhere in the UK has a stroke.

When a patient contacts their GP with symptoms of a stroke or TIA a seamless and co-ordinated response from the entire team is vital.

From the second the symptoms appear the clock is ticking: to save lives and minimise long-term damage stroke patients must be diagnosed and treated in just four-and-a-half hours.

Our research showed that 20 per cent of stroke patients called their GP rather than an ambulance. As a result of this delay none of these patients went on to have timely, effective treatment in the form of 'clot-busting' thrombolysis.

Experiencing a TIA greatly increases risk of having a stoke in the days and weeks immediately after the event. Assessing patients and starting treatment on the same day reduces this risk by 80%.

GP Reception Staff are on the front line when patients present to practices with symptoms of stroke and TIA. We aim to give staff the confidence to recognise these symptoms as emergencies and the skills to act quickly and effectively to improve clinical outcomes.



The solution: RECEPTS

RECEPTS is a free, independently funded training course grounded in evidence and designed to help GP Reception Staff recognise potential stroke and TIA symptoms and direct patients to timely, effective care.

We offer two complimentary and flexible ways to access training:

  • A flexible e-learning module accessed online
  • Eight half-day face-to-face training events delivered at venues across the West Midlands by clinical and administrative staff

Find out more about taking part in this free training initiative for GP practices in the Midlands by clicking on the tabs above.

For details of our collaborators and funders see below.

West Midlands Academic Health Science Network
UoB : Primary Care Clinical Sciences

what we do

The research

The initial RECEPTS study was conducted by researchers at the University of Birmingham, as part of the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care for Birmingham and the Black Country (NIHR CLAHRC BBC). Researchers worked closely with both stroke and TIA patients and NHS Staff.

The study was designed to understand how GP Reception Staff recognise and respond to patients with stroke and TIA symptoms.

The findings

We made 520 unannouced phone calls to GP practices using trained medical role players to simulate calls made by stroke patients and their families.

We spoke to GP reception staff during focus groups to explore their experiences of handling emergency calls including stroke.

We identified a great many strengths in the handling of stroke calls but also areas where the confidence and knowledge of reception staff could be boosted to improve patient outcomes.

The pilot and the training

In August 2014 we'll be holding free online and face-to face training sessions with GP practices in one West Midlands CCG. Following this pilot we'll be rolling out RECEPTS across the wider West Midlands during late 2014/early 2015

Our free training package features e-learning module and face-to-face training. It is available free to all practices in the wider West Midlands.

Who we are

RECEPTS is a free training initiative based at the University of Birmingham. It is based on research findings and grounded in evidence.

We are wholly funded by the West Midlands Academic Health Sciences Network with no funding links to drug companies or private medical firms. Our work is supported by the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care West Midlands (NIHR CLAHRC WM). We are based at the University of Birmingham.

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