Learn to speak NHS jargon

Have you ever wanted to know what all those NHS terms that get thrown around really mean?

We've got you covered...

24/7
Twenty-four hours a day, seven days a week

A&E
Accident & Emergency

Acute care
Acute care refers to active but short-term treatment, usually in a hospital, for patients with a severe urgent illness or injury. A branch of secondary health care where a patient receives active but short-term treatment for a severe injury or episode of illness, an urgent medical condition, or during recovery from surgery. In medical terms, care for acute health conditions is the opposite from chronic care, or longer term care.

Acute hospital
A hospital offering inpatient surgical and medical patient care for individuals with an unexpected serious medical problem that needs immediate assessment and treatment.

Acute medicine
Acute medicine is a medical discipline concerned with the immediate and early specialist management of adult patients with a wide range of medical conditions who present in hospital as emergencies

Acute stroke unit
Acute stroke units (ASUs) are for subsequent (after 72 hrs) hospital care for people who have had a stroke. These units offer ongoing specialist care with 7-day therapies services (physiotherapy, occupational therapy, speech and language therapy, dietetics input) and effective multi-disciplinary team (MDT) working.

ADT
Admissions, Discharges and Transfers

AfC
Agenda for Change

AHP
Allied Health Professional

ALoS
Average Length of Stay

Ambulatory Care
Health services provided on an outpatient basis to those who visit a hospital or other healthcare facility and depart after treatment on the same day.

Antenatal Care (Maternity)
The care patient receives from healthcare professionals during pregnancy. The purpose of antenatal care is to monitor the patient health, the baby’s health and support the patients to make plans which are right for them.

AO
Accountable Officer

AP
Assistant Practitioner

AQP
Any Qualified Provider

Atrial fibrillation
Atrial fibrillation (also called AFib or AF) is a quivering or irregular heartbeat (arrhythmia) that can lead to blood clots, stroke, heart failure and other heart-related complications.

AWP
Any Willing Provider

BAU
Business As Usual

Benefits framework
Part of the pre-consultation business case, the benefits framework sets out how the proposed changes will bring benefits to health and care services for local people.

Best Practice Tariff
Best Practice Tariffs (BPTs) are payments to providers that are structured to incentivise care that is high quality and cost effective with the aim to reduce unexplained variation in the quality of care.

BHD
Buckland Hospital Dover

BMA
British Medical Association

BME
Black and Minority Ethnic

BNF
British National Formulary

CAB
Clinical Advisory Board

CAB/C&B
Choose And Book

CAC
Children Assessment Centre

CAF
Common Assessment Framework

CalaisH
(NHS Affiliated) Centre Hospitalier de Calais

CAMHS
Children and Adolescent Mental Health Service (see CHYPS)

Carotid endarterectomy
Carotid endarterectomy (CEA) is a surgical procedure used to reduce the risk of stroke by correcting stenosis (narrowing) in the common carotid artery or internal carotid artery. Endarterectomy is the removal of material on the inside of an artery.

Case for change
The case for change is the document that sets out why things need to change within local health and care services to make sure they are fit for the future. The case for change for stroke was published in June 2015 and was followed by the case for change for Kent and Medway as part of the wider STP programme in March 2017. They can be found at: http://kentandmedway.nhs.uk/stp/caseforchange/

CAT
Computerised Axial Tomography (scan)

CCG
Clinical Commissioning Group. CCGs are the GP-led bodies responsible for planning and investing in many local health and care services including the majority of hospital care and stroke services.

CCU
Critical Care Unit

CDU
Clinical Decision Unit

CEO
Chief Executive Officer

CFH/CfH
Connecting For Health

CHAI
Commission for Healthcare Audit and Inspection

CHD
Coronary Heart Disease

CHEK
Concern for Health in East Kent

ChYPS
Children and Young Persons Service (formerly CAMHS)

CIC
Community Interest Company

CIP
Cost Improvement Programme

Clinical co- dependencies
Some services need to be in the same place, or supported by other services through a network arrangement. For example, a hyper acute stroke unit would usually need critical/intensive care support in the same place.

CMHT
Community Mental Health Team

Commissioning
A continual process of analysing the needs of the community, designing pathways of care then specifying and buying services that will deliver and improved agreed health and social outcomes within the resources available.

CPA
Care Programme Approach

CPD
Continuing Professional Development

CPN
Community Psychiatric Nurse

CQC
Care Quality Commission

CQUIN
Commissioning for Quality and Innovation

CRG
Clinical Reference Group

CSU
Commissioning Support Unit

CT scan
CT scans are sometimes referred to as CAT scans or computed tomography scans. CT scans can produce detailed images of many structures inside the body, including the internal organs, blood vessels and bones.

CTA
Computed Tomography Angiography produce 3D images on a computer screen

Day Surgery
Minor surgery that does not require the patient to stay in hospital overnight.

DCC
Direct Clinical Cover

Dermatology
The branch of medicine concerned with the diagnosis and
treatment of skin disorders.

DGH
District General Hospital

DGS
Dartford, Gravesham and Swanley

DGT
Dartford and Gravesham NHS Trust

Diagnostic services
Services used for investigating and diagnosing health conditions, such as radiology or other imagine techniques, blood or urine tests, endoscopy.

Diagnostic Tests
Blood or urine tests, X-rays, ultrasound and other imaging
techniques that help clinicians see what is happening inside the body to help them diagnose a patient condition.

District Nurses
Are senior nurses in the United Kingdom's National Health Service who manage care within the community, leading teams of community nurses and support workers, as well as visiting housebound patients to provide advice and care such as palliative care, wound management.

DNA
Did Not Attend

DNR
Do Not Resuscitate

DoH/DH
Department of Health

DPA
Data Protection Act

DQ
Data Quality

DR
Disaster Recovery

DS
Discharge Summary

DSU
Day Surgery Unit

DTC
Diagnosis and Treatment Centre

DVH
Darent Valley Hospital

DVLA
Driver and Vehicle Licensing Agency

E&D
Equality & Diversity

ECG
Electrocardiogram

ED
Emergency Department (alternative name for A&E)

EDM
Electronic Document Management

EDN
Electronic Discharge Notification

EIA
Equality Impact Assessment

EKHUFT
East Kent Hospitals University NHS Foundation Trust

e-KSF
(electronic) Knowledge and Skills Framework

Emergency Care
An immediate response to time critical health care need.

End of Life Care
An important part of palliative care for people who are nearing the end of their life. End of life care is for people who are considered to be in the last year of life, but this timeframe can be difficult to predict.

ENT
Ear, Nose and Throat

EPP
Expert Patient Programme

EPR
Electronic patient record: systems that enable health and care professionals to access key information about a person’s medical history or needs.

EQIA
Equalities Impact Assessment

Equality Act
Passed in 1995, this law makes it illegal to offer a public service which is inaccessible to someone because of their physical or learning disabilities.

ERIC
Estates Return Information Collection

ESD
Early supported discharge. The purpose of early supported discharge is to provide a structured rehabilitation programme, suited to the needs of each individual stroke patient

ESR
Electronic Staff Record

ETD
Education, Training and Development

Evaluation criteria
The criteria used to evaluate the options that remained after the application of the hurdle criteria. The evaluation criteria are quality of care for all, access to care for all, workforce, ability to deliver and affordability and value for money. Each have a number of sub-criterion and were developed with patients and the public.

EVMC
Estuary View Medical Centre

EWAs
Enterprise-Wide Arrangements

EWTD
European Working Time Directive

FAQ
Frequently Asked Question

Fast +
People who are displaying the symptoms of stroke. FAST is an acronym used as a mnemonic to help detect and enhance responsiveness to stroke victim needs; the acronym stands for Facial drooping, Arm weakness, Speech difficulties and Time to call emergency services.

FBC
Full Business Case

FOI
Freedom Of Information

FOIA
Freedom of Information Act

Follow-up
A second or subsequent appointment to check on the outcome of a treatment plan.

Foundation Trusts (FT)
NHS Foundation Trusts are non-profit making public sector corporations. They are part of the NHS but have greater freedom to decide their own plans and the way services are run. Foundation Trusts have members and a council of governors.

Four Tests
The NHS ‘Four Tests’
NHS England has issued guidance on how commissioners should manage major service change and the criteria that should be met. One of the key requirements is to ensure that the ‘four tests’ are embedded within the reconfiguration planning process. Section 8.7 describes how the proposals within the scope of this PCBC meet these ‘four tests’. The tests are designed to demonstrate that there has been a consistent approach to both managing change and engaging with patients and the public.

FRSPH
Fellow of the Royal Society for Public Health

FSC
Social Care, Health & Wellbeing (KCC)

FT
Foundation Trust

FTE
Full Time Equivalent

FTN
Foundation Trust Network

GDC
General Dental Council

GDS
General Dental Services

GMC
General Medical Council

GMS
General Medical Services

GOS
General Ophthalmic Services

Governing Body
The decision-making group of the Clinical Commissioning Groups in Kent and Medway.

GP
General Practitioner. GPs are traditionally the first point of contact for patients.

GPC
(BMA) General Practitioners Committee

GPhC
General Pharmaceutical Council

GPS
Government Procurement Services

GPwSI
General Practitioner with a Special Interest (i.e. clinical specialty)

Haemorrhagic strokes
Also known as cerebral haemorrhages or intracranial haemorrhages. They occur when a blood vessel within the skull bursts and bleeds into and around the brain. The main cause of haemorrhagic stroke is high blood pressure, which can weaken the arteries in the brain and make them prone to split or rupture.

HASCIP
Health & Social Care Integration Programme

HASU
Hyper-acute stroke unit. A highly specialist stroke unit where people who have just had a stroke get rapid access to first class diagnostics, specialist assessment and intervention, seven days a week. This saves lives and reduces disability.

HDU
High Dependency Unit

Health Education England
Health Education England (HEE) is an executive non-departmental public body of the Department of Health. Their function is to provide national leadership and coordination for the education and training within the health and public health workforce
within England.

Healthwatch
Healthwatch Kent and Healthwatch Medway provide information to service users, carers and the public about local health and care services and how to find their way around the system. Healthwatch represents the views and experiences of service users, carers and the public on health and wellbeing boards (see below). It can also raise any concerns with the national body, Healthwatch England.

HEMS
Helicopter Emergency Medical Service

HES
Hospital Episodes Statistics (HES) is a data warehouse containing records of all patients admitted to NHS hospitals in England.

HIA
Health Impact Assessment

HIS
Health Information Service/System

HLC
Healthy Living Centre

HMT
Her Majesty Treasury

HOSC
Health overview and scrutiny committee (HOSC) or health overview and scrutiny panel. A committee of the relevant local authority, or group of local authorities, made up of local councillors who are responsible for monitoring, and if necessary challenging, health plans. They inform the programme if they believe consultation is needed, depending on the scale of proposed change, and they also agree some other aspects of consultation, such as the length of the consultation period.

HPA
Health Protection Agency

HR
Human Resources

HSCI
Health Service Cost Index

HSCIC
Health and Social Care Information Centre

HSE
Health and Safety Executive

HSJ
Health Service Journal

Hurdle criteria
A set of criteria, developed by clinicians and the public, used to establish the optimal number of stroke units for Kent & Medway.

HWB
Health and Wellbeing Board. These were formed as part of the NHS restructure in April 2013. They bring together the local NHS, public health, adult social care and children’s services to plan how best to meet the needs of local people, and tackle health inequalities. They are hosted by the local authority and members include elected Councillors and Healthwatch.

HWE
Healthwatch England

HWK
Healthwatch Kent

HWLH
High Weald Lewes Havens

IAPT
Improving Access to Psychological Therapies

ICAS
Independent Complaints Advocacy Service

ICO
Integrated Care Organisation

ICP
Integrated Care Pathway

ICST
Integrated Community Stroke Team. Post-hospital stroke rehabilitation will be provided by the ICST, a multidisciplinary team. This team will support all rehabilitation pathways and early supported discharge.

ICT
Information and Communication Technology

ICU
Intensive Care Unit

IG
Information Governance

IGG
Intelligence Gathering Group

IGT/IG/IGTK
IG Toolkit

IM&T
Information management and technology (also known as IT).

Inpatient
A person who is admitted over night to a hospital for treatment or an operation.

In-patients Care
Provided in a hospital where patient will stay overnight at least one night.

Integrated Care Pathway
A multidisciplinary outline of anticipated care, placed in an appropriate timeframe, to help a patient with a specific condition or set of symptoms move progressively through a clinical experience to positive outcomes.

Intensive care
Intensive care units provide support for patients after complex surgery, or patients needing multiple organ support such as ventilation and dialysis.

IP
Inpatient

IRP
Independent Reconfiguration Panel

ISA
Independent Safeguarding Authority

Ischaemic strokes
Ischaemic strokes are the most common type of stroke. They occur when a blood clot blocks the flow of blood and oxygen to the brain. These blood clots typically form in areas where the arteries have been narrowed or blocked over time by fatty deposits known as plaques.

ISTC
Independent Sector Treatment Centres

ITT
Invitation to Tender

ITU
Intensive Therapy Unit

JCCCG
The Joint Committee of Clinical Commissioning Groups (JCCCG) is a meeting of the CCGs in Kent & Medway plus two external CCGs with populations affected by the proposals. The JCCCG is responsible for making decisions about the proposals for stroke services contained in this PCBC.

JHOSC
The Kent & Medway NHS Joint Health Overview and Scrutiny Committee (JHOSC) brings together the local HOSCs and will inform the programme whether it considers that consultation is required regarding service changes.

JHWS
Joint Health and Wellbeing Strategy

JSNA
Joint Strategic Needs Assessment

K&C
Kent & Canterbury Hospital

K&CH
Kent and Canterbury Hospital

K&M
Kent and Medway

KCA
Kent Council on Addiction

KCC
Kent County Council

KCHT
Kent Community Health Trust

KDAAT
Kent Drug, Alcohol and Addiction Team

KHWBB
Kent Health and Wellbeing Board

KIASS
Kent Integrated Adolescent Support Service

KID
Kent Integrated Dataset. A database which pulls together information for individual patients across health and social care providers in Kent & Medway.

KMPT
Kent & Medway Partnership Trust – Mental Health

KPI
Key Performance Indicator

KSF
(NHS) Knowledge and Skills Framework

LAS
Locum Appointment for Service

LAs
Local authorities. In this instance, that means Kent County Council and Medway Council, which are the local authorities with responsibility for social care and public health.

LAT
Locum Appointment for Training

LDP
Local Delivery Plan

LDR
Local Digital Roadmap – plans to improve technology and information sharing in the NHS and social care.

LES
Local Enhanced Service

LGA
Local Government Association

LHB
Local Health Board

LHC
Local Health Community

LHW
Local Healthwatch

LINks
Local Involvement Networks

LMC
Local Medical Committee

LOS
Length of stay – how long a patient stays in a hospital bed.

LSP
Local Service Provider

LSP
Local Strategic Partnership

LTA
Long-Term Agreement

LTC
Long-Term Conditions

MASH
Multi-Agency Safeguarding Hub

MAU
Medical Admission/Assessment Unit

MCN
Managed Clinical Network

MCP
Multi-speciality Community Providers

MDT
Multi-disciplinary team which brings together a range of health and social care professionals to work together to provide joined -up care for local people. That might include GPs, mental health specialists, social workers, nurses and hospital clinicians.

MEC
Major Emergency Centre

Mechanical thrombectomy
Mechanical thrombectomy is an emergency procedure to remove a blood clot using surgery.

MFT
Medway NHS Foundation Trust

MGH
Maidstone General Hospital

MHRA
Medicines and Healthcare Products Regulatory Agency

Minor Injuries Unit
A hospital department in the UK largely staffed by emergency nurse practitioners (ENPs) working autonomously looking after minor injuries such as lacerations and fractures, and have access to X-ray facilities.

MIU
Minor Injury Unit

MMH
Medway Maritime Hospital

MMR
Measles, Mumps, Rubella (vaccination)

Models of care
Models of care are the way that health and social care services are organised, accessed and delivered.

MP
Member of Parliment

MRA
Magnetic Resonance Angiography

MRC
Medical Research Council

MRI
Magnetic Resonance Imaging

MRI scan
Magnetic resonance imaging (MRI) is a type of scan that uses strong magnetic fields and radio waves to produce detailed images of the inside of the body. An MRI scan can be used to examine almost any part of the body. The results of an MRI scan can be used to help diagnose conditions, plan treatments and assess how effective previous treatment has been.

MRSA
Methicillin-resistant Staphylococcus aureus

MTW
Maidstone & Tunbridge Wells Hospital Trust

MUA
Medway Unitary Authority (Medway Council)

Musculoskeletal (MSK) Service
Care of conditions related to body muscles, bones and joint mobility.

NAG
National Advisory Group

NAO
National Audit Office

NCVO
National Council for Voluntary Organisations

NDA
National Diabetes Audit

NEAT
New and Emerging Applications of Technology

NED
Non-Executive Director

NHS
National Health Service

NHS Clinical Commissioners
This is the membership organisation of clinical commissioning groups. Their job is to help get the best healthcare and health outcomes for their local communities and patients. In East Kent there are four clinical commissioning groups (CCGs) as follows;
• Ashford CCG
• South Kent Coast CCG
• Thanet CCG
• Canterbury and Coast CCG

NHS LIFT
NHS Local Improvement Finance Trust

NHSBT
NHS Blood and Transplant

NHSCB
NHS Commissioning Board

NHSCC
NHS Clinical Commissioners

NHSE
NHS Employers

NHSE
NHS England is an executive non-departmental public body of the Department of Health. It oversees the budget, planning, delivery and day-to-day operation of the commissioning side of the NHS in England as set out in the Health and Social Care Act 2012. It holds the contracts for primary care services and specialised services.

NHSI
NHS Institute for Innovation and Improvement

NHSLA
National Health Service Litigation Authority

NHST
NHS Trust

NICE
National Institute of Clinical Excellence

NICU
Neonatal Intensive Care Unit

NIHR
National Institute for Health Research

NMC
Nursing and Midwifery Council

NP
Nurse Practitioner

NPV
Net Present Value

NRES
National Research Ethics Service

NSCG
National Specialist Commissioning Group

NSF
National Service Framework

OBC
Outline Business Case

OBD
Occupied bed day. Used as a way to count and calculate the number of beds required.

OBS
Outline Business Case

ODP
Operating Department Practitioner

OJEU
Official Journal of the European Union

One Stop Care Model
One stop shop is the Outpatient model to which EKHUFT aspire. They are designed to allow us to reduce appointments and create opportunities for getting consultations, diagnostic tests, and treatment plan all in one appointment. For surgical patients it will also include pre assessment and agreement of operation date.

ONS
Office for National Statistics

OOA
Out Of Area

OOH
Out Of Hours

OP
Outpatient

OPCS
Office for Population Censuses and Surveys Classification of Surgical Operations & Procedures

Ophthalmology
The branch of medicine that deals with the anatomy, physiology and diseases of the eye.

Option Appraisal
Comparing key points about several alternatives to guide a choice that ensures agreed objectives are met as close as possible.

OSC
(Local Authority) Overview and Scrutiny Committee

OT
Occupational Therapist/Therapy

Outpatients Care
Provided in a hospital or at a freestanding surgery centre. Afterward patients are released to recuperate at home.

PA
Programme Activity

PA
Physician Assistant

PACS
Primary and Acute Care Systems

PACS
Picture Archiving and Communications System

Palliative Care
Care for people living with a terminal illness where a cure is no longer possible. It’s also for people who have a complex illness and need their symptoms controlled.

PALS
Patient Advice & Liaison Service

Paramedics
The senior healthcare professional at an accident or a medical emergency. Working on their own, or with an emergency care assistant or ambulance technician, they assess the patient’s condition and give essential treatment.

PAS
Patient Administration Service

Patient Discharge
To inform patient officially that he/she can or must leave the hospital.

PBC
Practice-Based Commissioning

PbR
Payment by Results

PCBC
Pre-consultation business case. The document which presents the business case for any changes to services on which the CCGs agree to consult. It shows that CCGs have properly considered the options, undertaken pre-consultation engagement, submitted to the required scrutiny and met the four tests and three conditions required by the Secretary of State.

PCIS
Primary Care Information Service

PFI
Private Finance Initiative

Pharmacy Outlet
A chemist’s shop which dispenses prescription

PhwSI
Pharmacist with Special Interest

PIAG
Patient Information Advisory Group

PID
Person Identifiable Data

PID
Project Initiation Document

PIG
Policy Implementation Guide

PMO
Project/programme management office.

PMS
Personal Medical Services

PPAG
Patient and Public Advisory Group (PPAG). A group of patients, carers and the public, set up to provide input into programme. It consists of a range of people who use or have contact with health services across Kent and Medway and who between them bring a wide and diverse range of experiences and perspectives to feed into the discussions. In addition, they are able to feedback information and progress on the work of the programme to their own networks and are supporting the STP with its information sharing and gathering as plans develop.

PPC
(prescription) Pre-Payment Certificate

pPCI
Primary percutaneous coronary intervention. A procedure used to treat narrowed arteries.

PPE
Patient and Public Engagement

PPEI
Patient and Public Engagement and Involvement

PPG
Patient Participation Group

PPI
Public and Patient Involvement

PPIC
Private Patient Income Cap

Pre-assessment Tests
Checks made by a nurse before patient has an operation or other healthcare procedure.

Primary care
Primary care is the main or first point of contact for the patient, usually through a GP. Other primary care services include community pharmacy, optometry, dentistry. The day-to-day health care given by a health care provider. Typically this provider acts as the first contact and principal point of continuing care for patients within a health care system, and coordinates other specialist care that the patient may need

PROM
Patient-Reported Outcome Measure

Provider
An individual or an organisation that gives a service in return for payment, such as GPs, hospitals and pharmacies.

PRUH
Princess Royal University Hospital in Orpington (part of Kings College Hospital NHS Foundation Trust)

PT
Physiotherapist

PTL
Patient Tracking List

Q&A
Questions and Answers

QA
Quality Assurance

QEQM
Queen Elizabeth Queen Mother Hospital Margate

QIPP
Quality, Innovation, Productivity and Prevention

QOF
Quality Outcome Framework (Assessor Validation Reports)

Quality Assurance
This is the process that any proposed changes go through to ensure that proposals are based on robust, sound evidence and meet the criteria set down as part of the Four Tests and other regulatory requirements for commissioners and providers as set by NHS England.

Quartile
A statistical term used when a population of people is divided into four groups, usually used to show the top or bottom quarter of people in a group.

R&D
Research and Development

RCGP
Royal College of General Practitioners

RCM
Royal College of Midwives

RCN
Royal College of Nursing

RCoA
Royal College of Anaesthetists

RCP
Royal College of Physicians

RCS
Royal College of Surgeons

RCSLT
Royal College of Speech and Language Therapists

RCT
Randomised Controlled Trial

Rheumatoid Arthritis Service
Rheumatoid arthritis (RA) is where the joints of the body become inflamed and cause pain and tenderness.

RN
Registered Nurse

RO
Responsible Officer

RTT
Referral To Treatment Time

RVH
Royal Victoria Hospital Folkestone

SALT/SLT
Speech & language therapist

SARS
Severe Acute Respiratory Syndrome

SAU
Surgical Admission Unit

SCG
Specialised Commissioning Group

SCR
Summary Care Record

SEAP
Support, Empower, Advocate and Promote

SEAU
Surgical Emergency Assessment Unit

SECAM
South East Coast Ambulance service

SECAmb
South East Coast Ambulance Service NHS Foundation Trust.

Self-care and Preventative Activities
Includes any intentional actions patient takes to care for their physical, mental and emotional health.

SITREPS
Situation Reports

SMR
Standardised Mortality Ratio

SOC
Strategic Outline Case

SOR
Society of Radiographers

South East Cardiovascular Clinical Network
The South East Cardiovascular Clinical Networks support the delivery of the Five Year Forward Plan for the clinical priority programme of cardiovascular. It brings patients, carers, clinicians, commissioners and organisations together across Kent, Surrey & Sussex to enable the delivery of significant strategic quality improvements in cardiovascular services.

South East Coast Clinical Senate
The South East Coast Clinical Senate is a source of independent, strategic advice and guidance to commissioners and other stakeholders to help them to make the best decisions about healthcare for the populations they represent. It is comprised of a core clinical senate council and a wider clinical senate assembly or forum. It has a clinical chair. IT has assured the clinical aspects of the proposals in this PCBC.

SPA
Single Point of Access

Spec Comm
Specialist commissioning.

Specialist Care
Care for people with severe health conditions in a specialist hospital. Very small number of patients needs this type of emergency or complex care.

SRO
Senior responsible officer. The person responsible for the successful delivery of a project or programme.

SSNAP
The Sentinel Stroke National Audit Programme (SSNAP) aims to improve the quality of stroke care by auditing stroke services against evidence based standards and national and local benchmarks. Building on 15 years of experience delivering the National Sentinel Stroke Audit (NSSA) and the Stroke Improvement National Audit Programme (SINAP), SSNAP is pioneering a new model of healthcare quality improvement through near real -time data collection, analysis and reporting on the quality and outcomes of stroke care. SSNAP is the single source of stroke data and has 100% participation of acute hospitals in England, with 95% case ascertainment.

SSRB
Senior Salaries Review Body

Stakeholder
Anyone with an interest in a business or organisation. Stakeholders are individuals, groups or organisations that are affected by the activity of the business.

STF
Sustainability and transformation fund – money allocated by the NHS to support the transformation of services and systems.

STP
Sustainability and Transformation Partnership

STP
Sustainability and Transformation Plan

Stroke
A "brain attack". A stroke is a serious life threatening medical condition that occurs when the blood supply to part of the brain is cut off. It can happen to anyone at any time.  When this happens, brain cells are deprived of oxygen and begin to die. When brain cells die during a stroke, abilities controlled by that area of the brain such as memory and muscle control are lost.

Surgery
The specialty of medicine that treats diseases and disorders by cutting, removing or changing the body with an operative procedure. Surgery could either be minor or major.

TBC
To be confirmed.

TDA
NHS Trust Development Authority

Telemedicine
Use of new technology to help clinicians to discuss a patient access to relevant medical images and information

Therapeutic staffing
A team of mixed expertise from nursing, healthcare administrators, therapists, psychiatrists and psychologists who learn from each other to provide better care for the patient.

Therapy
Treatment that helps patient regains their ability to carry out tasks of daily leaving.

Thrombolysis
Thrombolysis, also known as thrombolytic therapy, is a treatment to dissolve dangerous clots in blood vessels, improve blood flow, and prevent damage to tissues and organs.

TIA
Transient ischaemic attack (TIA) or ‘mini stroke is caused by a temporary disruption in the blood supply to part of the brain. The disruption in blood supply results in a lack of oxygen to the brain. This can cause sudden symptoms similar to a stroke, such as speech and visual disturbance, and numbness or weakness in the face, arms and legs. However, a TIA doesn't last as long as a stroke. The effects often only last for a few minutes or hours and fully resolve within 24 hours.

Tiers of Care
Tiered model of care seek to match intensity and acuity of the problem to the intensity and acuity of the treatment; primary care plays a key role in these models

TUPE
Transfer of Undertaking Protection of Employment Regulations

TWH
Tunbridge Wells Hospital

TWR
Two-Week Referral

UCC
Urgent Care Centre

UCLH
University College London Hospital

Unscheduled Care
Involve services that are available for the public to access without prior arrangement where there is an urgent actual or perceived need for intervention by a health or social care professional

Urgent and emergency care
Urgent and emergency care. Surgery or medical treatment that is not planned and which is needed for urgent conditions. Examples include surgery for appendicitis, perforated or obstructed bowel, and gallbladder infections. It is also known as non-elective care.

Urgent Care
The response before the next in–hours or routine (primary care) service is available

Vascular Disease
Includes any condition that affects the circulatory system, such as peripheral artery disease. This ranges from diseases of the arteries, veins and lymph vessels to blood disorders that affect circulation

VCS
Voluntary and Community Sector

VCSE
Voluntary, Community and Social Enterprise

VFM
Value for Money

VTE
Venous Thromboembolism

Walk-in Centres
Are staffed by teams of nurse practitioners who provide treatment and advice for patients on a range of minor illnesses and injuries, without an appointment.

WHH
William Harvey Hospital in Ashford. Named after the Canterbury educated discoverer of the circulation of the blood.

WHO
World Health Organisation

Whole system
Commissioners and providers in a local area acting as a “whole system” to deliver effective and efficient services across all aspects of health and/or social care.

WIC
Walk In Centre

Women’s Health
Health issues specific to female anatomy.

Workforce infrastructure
commissioners) that enables us to plan, commission and deliver workforce.

Workstreams
These are specific strands of work taken forward by a dedicated team of people as part of the wider STP programme. Workstreams for the Kent and Medway STP include: communications and engagement, digital, estates and workforce.

WTD
Working-Time Directive

WTE
Whole time equivalent: the number of staff required to carry out a particular function assuming that they all work full (whole) time

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