Evaluation of reconfigurations of acute stroke services in different regions of England and lessons for implementation: a mixed-methods study

• Main Authors: Naomi J Fulop (Author), Angus IG Ramsay (Author), Rachael M Hunter (Author), Christopher McKevitt (Author), Catherine Perry (Author), Simon J Turner (Author), Ruth Boaden (Author), Iliatha Papachristou (Author), Anthony G Rudd (Author), Pippa J Tyrrell (Author), Charles DA Wolfe (Author), Stephen Morris (Author)
• Format: Book
• Published: National Institute for Health Research, 2019-02-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Background: Centralising acute stroke services is an example of major system change (MSC). 'Hub and spoke' systems, consisting of a reduced number of services providing acute stroke care over the first 72 hours following a stroke (hubs), with a larger number of services providing care beyo...