The clinical lead and senior advisor for the stroke work stream were appointed in 2017 and endorsed by the British Association of Stroke Physicians.
You can contact the project manager for this workstream at [email protected]
Best practice guidance
Two guides for teams delivering stroke services during and after the COVID-19 pandemic have been made available in a collaboration between the GIRFT programme clinical leads and the Oxford Academic Health Science Network (AHSN), hosted on the British Association of Stroke Physicians (BASP) resource hub:
- Restoration and recovery of stroke services during the COVID-19 pandemic assesses the impact of rapid changes made across the whole stroke pathway, including community services.
- Adapting stroke services during the COVID-19 pandemic: an implementation guide supports the need to minimise face-to-face interactions between patients and healthcare professionals through alternative models of care can be implemented.
The GIRFT stroke team has also collaborated with Oxford AHSN on a series of practical guides to help both primary care teams and integrated care systems continue to deliver quality cardiovascular disease (CVD) prevention services during and after COVID-19:
- CVD prevention guide for primary care, offering guidance and best practice to support primary care teams in delivering cardiovascular disease prevention interventions during the COVID-19 pandemic
- CVD prevention guide for systems, a package of tools to help healthcare systems overcome disruption to CVD prevention
- Targeted AF detection in COVID-19 vaccination clinics, showing how offering heart rhythm checks to over-65s at COVID-19 clinics can help to reduce the risk of stroke.
Clinical Lead: Dr David Hargroves
Consultant physician and clinical lead for stroke medicine at East Kent Hospitals University Foundation Trust
Dr David Hargroves is a consultant and clinical lead for stroke medicine at East Kent Hospitals University Foundation Trust. David graduated from University College London in 1996 and undertook stroke fellowship training at St Helier’s and St George’s Hospitals. He has been a consultant in East Kent for over ten years and clinical lead for stroke medicine at the trust for the past nine years.
David has personally assessed, imaged and treated over 3,000 patients with transient neurological deficit with same day MRI / CEMRA and a similar number of patients with persistent neurological deficit. He chairs the IV Stroke Thombolysis governance meeting and has reviewed the clinical histories and neuroradiology for over 1,200 cases treated in East Kent. David has been local principal investigator for several international clinical trials and has a particular research interest in use of advanced imaging in hyper acute stroke care, obstructive sleep apnoea and neurovascular disease, telemedicine use in stroke care and medication compliance and adherence in patients with neurovascular disease.
David was appointed clinical lead for the Strategic Health Authority in October 2010, and to the South East Coast Strategic Clinical Network and Senate since 2013. David was elected to the British Association of Stroke Physicians education and training board in October 2011 and was chair of the group from 2013 until 2017, remaining an active co-opted member. David is winner of the prestigious 2017 Life after Stroke Award for Professional Excellence from the Stroke Association.
Senior Clinical Advisor: Dr Deborah Lowe
Consultant stroke physician and geriatrician at Wirral University Teaching Hospital NHS Foundation Trust and NHS National Clinical Director for stroke.
Dr Deb Lowe is a consultant stroke physician and geriatrician on the Wirral. In 2020, she was announced as the NHS National Clinical Director for stroke.
She graduated from Liverpool Medical School in 1997 and did her postgraduate medical training within Merseyside and Cheshire region. She completed a research fellows post in stroke medicine and has an interest in patient education and empowerment.
She has been a consultant stroke physician and geriatrician at Wirral University Teaching Hospital NHS Foundation Trust since January 2006. Since 2008 she has been a clinical service lead for stroke, elderly care and rehabilitation and clinical director for division of medicine & acute specialties since 2013.
During her time in medical management she has developed several services and Wirral Stroke Service is recognised as being one of the best performing in the UK in national audits. She has also developed one of the first older persons short stay and frailty units in the region. Deb’s work in stroke has been recognised nationally when she was a finalist in the Stroke Association Life After Stroke Awards for Professional Excellence in 2013.
Deb has been clinical lead for Stroke within the Strategic Clinical Networks and Senate since January 2014. She has led peer support service reviews across the region over the last few years and has comprehensive knowledge of stroke services across country. She chairs several stroke boards that have focused on the delivery of sustainable and effective stroke services. Within this role she is keen to promote a culture of effective clinical engagement, accurate performance monitoring and is currently working closely with clinical leads and commissioners across the north-west coast to deliver sustainable world class stroke services.
She delivers education both within primary and secondary care to improve knowledge and understanding of stroke and, most importantly, the management of atrial fibrillation and other modifiable risk factors.