The Bengoa Report uses the London Stroke Model as an example of international good practice, but by only mentioning the 8 Hyper acute stroke units and ignoring the rest of the local stroke services network in London – is N.Ireland getting the full picture?

The diagram shows there are 31 Stroke Units in London including 8 ‘Hyper acute’ stroke units (HASUs) following reconfiguration of stroke services.

The International Level Case Study in the Bengoa Panel Report (pg 72) would seem to imply that all the 30 stroke units in London were centralised to only 8 hyper acute stroke units.  As the diagram shows- there is a network of 31 Stroke Units remaining in London including 8 ‘Hyper acute’ stroke units (HASUs) following reconfiguration of stroke services.

It was never intended that ‘Hyper Acute’ Stroke Units in London should work in isolation from the other 23 existing dedicated local stroke units providing stroke services. The Sentinel Stroke National Audit Programme for 2016 shows there is a total of 628 stroke beds in all 31 stroke units in London.

According to the London Stroke Model HYPER ACUTE STROKE UNITS (HASUs) ARE ONLY FOR THE FIRST 72 HOURS OF STROKE CARE – that is why a network of dedicated local stroke units as well as the 8 Hyper Acute stroke units were needed in London.

Confirmation the Southern Trust have proposed the creation of a’ hyper-acute’ stroke unit can be seen in the following extract from a 27^th October 2014 press statement:

“The Trust’s proposals are:

1. The modernisation of in-patient acute and rehabilitation Stroke Services, which are currently provided at Lurgan, Loane House (South Tyrone Hospital) Daisy Hill and Craigavon Area Hospitals. The Trust is proposing the development of a ‘hyper-acute’ stroke unit at Craigavon Area Hospital…..”*.

The Southern Trust’s proposal to have only one ‘Hyper Acute’ Stroke Unit in Craigavon locality with no network of dedicated local stroke units in Newry or Dungannon is in COMPLETE CONTRAST to the London Stroke Model.

If the London Stroke Model is followed correctly by the Southern Trust for safe stroke care –TWO ‘hyper acute’ stroke units – one in Newry City’s Daisy Hill Acute Hospital, and one in Craigavon Hospital – attached to the already existing stroke units are needed. Only this proposal would give ALL THE POPULATION of the Southern Trust the same EQUALITY OF ACCESS to a network of stroke services (both ‘hyper acute’ and dedicated local acute rehabilitation stroke services) as there exists in London.

The criteria evolving from this Bengoa Report is the subject being addressed by the Department of Health in a series of public meetings around Northern Ireland before the current health Consultation on the criteria closes on 20^th January 2017.  The meeting in Newry will take place on Monday 16^th January in the Newry Conferencing and Banqueting Centre, 39-41 The Mall Newry from 7 -9 pm.

© Daisy Hill for Life on Facebook and http://www.savedaisyhillhospital.com, 2015 – 2017. Excerpts and links may be used, provided that full and clear credit is given to http://www.savedaisyhillhospital.com and Daisy Hill for Life with appropriate and specific direction to the original content. Thank-you!

This website is a free website from WordPress and adverts which appear here are not endorsed or controlled by the Web admin team of Save Daisy Hill Hospital.com