MBE for Nottingham Hospitals stroke nurse

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A nurse who has dedicated her professional life to helping to improve the quality of care for stroke survivors has received royal recognition for her work.

Dawn Good, previously Head of Service for Stroke Services and Lead Stroke Nurse at Nottingham University Hospitals NHS Trust (NUH) has been made an MBE in the Queen’s Birthday Honours, announced today.

She said: “I am absolutely thrilled to receive this honour.  It is just fantastic that the work over the last 30 years, with the support of very many colleagues from NUH, The University of Nottingham and other partners across Nottinghamshire and further afield, to improve stroke care, treatments and outcomes and quality of life of stroke patients has been recognised. The work we have done together, with the support of stroke survivors and their families, over many years, has led to Nottingham becoming a national leader for stroke care, with the best outcomes in the country.”

Dawn started her professional life as a staff nurse on the first specialist stroke rehabilitation unit at Nottingham City Hospital in 1987 and went on to be Ward Manager and Clinical Stroke Specialist, also in Nottingham.

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Following the merger of Queen’s Medical Centre and Nottingham City Hospital in 2006 to form Nottingham University Hospitals NHS Trust (NUH), Dawn became the first nurse to be appointed as Head of Stroke Services, where she successfully brought together the two hospital stroke teams and the stroke service on one campus at City Hospital. This included a new hyper acute stroke service and the well-established stroke rehabilitation service.

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Improvements to stroke services under Dawn’s leadership include:

  • NUH being placed in the top quartile of acute hospitals of the national sentinel audit alongside the London hospitals and the top performing hospital in the East Midlands
  • 2006: development of a one-stop fast track TIA (mini stroke) clinic. Recognising and treating TIAs quickly can reduce the risk of a major stroke within the following 10 days. Patients at high risk of developing a stroke seen within 24hrs and commenced on secondary prevention.
  • 2006: pilot of a direct access pathway for paramedics to by-pass the emergency department taking patients directly to the hyper acute stroke unit at City Hospital using the Face, Arm, Speech Test assessment.
  • 2008: Launch of the direct access to the hyper acute stroke unit from GPs and the paramedics, giving patients immediate access to specialist stroke care.
  • Once at the City Hospital Hyper acute stroke unit, immediate access to CT, specialist stroke consultant review, commenced preventative measures, including for suitable patients immediate thrombolysis. 85% of stroke patients spent more than 90% of their hospital stay in a stroke unit.
  • 2009: Nottingham was designated a Comprehensive Stroke Centre for the region providing seven day, 24hr access to hyper acute stroke care, delivered by a specialist stroke multi-disciplinary team. Telemedicine was introduced to allow consultants to assess patients, review the CT image and commence, for clinical appropriate patients, thrombolysis “clot busting” treatment remotely.
  • 2010: For patients who do not present with signs and symptoms of stroke on admission, a new referral pathway was developed to ensure all patients with a new stroke or patients with other conditions who subsequently have a stroke, could access stroke specialist care from the hyper acute stroke unit.
  • 2010: Dawn was appointed as the stroke lead for Nottinghamshire and developed partnership working between NUH and Sherwood Forest Hospitals, developing a 7-day hyper acute stroke pathway, ensuring all Nottinghamshire patients have access to specialist stroke care.
  • Dawn has supported The University of Nottingham’s Department of Age and Ageing and Stroke Medicine to undertake clinical research on stroke wards to improve stroke care and treatments
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Dawn has been passionate about raising the profile of stroke nursing and was previously the lead Stroke Nurse for the East Midlands Stroke Network, bringing together nurses with an interest in stroke care, supporting development of standardising care to meet national standards, with teaching programmes to improve quality and safety for patients. In 2011, she was Chair of the National Stroke Nursing Forum and was the first nurse to Chair for two consecutive years a UK Stroke Forum, with involvement of 32 organisations involved in stroke care, and provided  a national stroke multi- disciplinary conference.

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In 2011, she was appointed the National Stroke Lead Nurse to support the National Director for Stroke and Stroke Medical Lead providing leadership and advice to develop and improve stroke pathways and raise standards of care in line with the National Stroke Strategy.

Peter Homa, NUH Chief Executive, said: “I send my warmest congratulations to Dawn on this well-deserved honour, but I know other colleagues from across NUH, The University of Nottingham and partners from further afield will also be delighted to hear this news. Dawn has been instrumental in the development of stroke services in Nottingham and Nottinghamshire over the last 10 years, always striving to see how we can improve the service for our patients, their loved ones and carers by finding better ways of working.”

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Stroke Survivor, Ossie Newell, from Nottingham, said: “In August 1999 I suffered a stroke and as a result became totally involved as a campaigner for stroke services, which led me to the privilege of working with Dawn at NUH’s Stroke Unit at City Hospital over a period of some 15 years.  We became joined at the hip in our joint crusade to provide better stroke service care for patients and families who had suffered a stroke.  Dawn has been inspirational in her ability to drive improvements forward and as a result has built an enviable reputation in the field of stroke care nationally.  This award is well deserved and is recognition of her talents and services to stroke.  It has been a pleasure to have worked with her and contributed in a small way to these achievements. Well done Dawn!”

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