Centralising acute stroke services

Published Date: 19th July 2016

Publication Authors: Hill AM

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Morris and colleagues did not discuss how substantial financial investment in services affected their results. The London stroke strategy was supported by an additional £23m (€28.8m; $37.3m) in funding.2 The cost improvement programme highlighted the need for an extra £13m investment in hyperacute stroke units to provide the imaging and nursing needs to improve the service and a £7m staffing investment in stroke units. A similar investment was not made in Manchester, and nor is it planned elsewhere in the UK, despite heavy promotion of the perceived merits of greater centralisation of stroke services.

Hill, AM. (2014).  Centralising acute stroke services: Study confounded by financial investment . BMJ 349:g5710

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