Hospitals without acute stroke units - implications and recommendations Jan 2016

9th February 2016

There is now a large body of evidence demonstrating the many benefits to patient outcomes of centralising specialist services for acute stroke patients in hyper-acute and acute stroke units, alongside effective early supported discharge (ESD) and rehabilitation services. As a result of such reconfigurations, some hospitals currently providing stroke services to their local populations may have these services transferred to a specialist centre. It is therefore important to understand the implications of such a service move for hospitals without stroke services and their local populations, and for the rehabilitation pathways. In this context, the South East Clinical Senate (SECS) was requested by the Surrey CCGs to provide a review of these issues, to aid them and their providers’ strategic planning of their future stroke services.

The review proposes a set of broad principles and recommendations that should be used when planning new stroke pathways that involve acute hospitals without both a hyper-acute and an acute stroke unit, and  that have a wider application in relation to similar stroke change programmes across the country.

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