New research published showing benefits of re-organisation of inpatient services

The region has been part of a research study:  ‘Innovations in major system reconfiguration in England: a study of the effectiveness, acceptability and processes of implementation of different models of stroke care’, funded by the NIHR Health Services and Delivery Research programme.

A new paper has been published in the British Medical Journal, based on this research.The paper is entitled, ‘Impact and sustainability of centralising acute stroke services in English metropolitan areas: retrospective analysis of hospital episode statistics and stroke national audit data’.

You can read the full article on the BMJ website here  and a press release summary can be read here

Overview of findings

  • The previous paper on outcomes of centralisation in London and Greater Manchester (Morris et al, 2014) suggested that only London’s centralisation (where all patients were eligible for treatment in a hyper-acute stroke unit) was associated with significant reductions in patient mortality.
  • Further centralisation in Greater Manchester in 2015 (after which all stroke patients were eligible to be treated in a hyper-acute stroke unit) has been shown to save an extra 69 lives per year, reduce average length of hospital stay by 1.5 days per patient.
  • London’s centralised stroke system has been shown to have sustained its impact on patient mortality and length of hospital stay from 2010 to 2016.
  • This analysis provides further evidence that centralised hospital stroke services are associated with better patient outcomes, and demonstrates that these effects can be sustained over time.

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