Game-changing how-to-guide: Medical thrombectomy for acute ischaemic stroke

University of Exeter | July 2019| How-to’ guide launched to speed up spread of ‘game-changing’ stroke treatment
 
Oxford Academic Health Science Network has implemented a new guide from Medical thrombectomy (MT)  for acute ischaemic storke. This how-to-guide has been recognised as a ‘game-changing emergency treatment for stroke. 
 
It has been developed by a group of professors including Martin James, Consultant Stroke Physician at the Royal Devon and Exeter NHS Foundation Trust. While there is significant evdience that MT for the treatment of ischaemic stroke due to large artery occlusion (blockage of one of the major arteries in the brain, causing a severe stroke) is highly effective and could benefit at least one in ten patients admitted to hospital with an acute stroke; implementation of MT across the UK has been limited. Only 1,200 MT procedures in England and Northern Ireland in 2018/19. That represents just 1.4% of all people with acute stroke or one in 71 stroke patients. In Scotland and Wales, there are no services providing this emergency treatment at all.
 

https://youtu.be/ac8ypOfXUUU

 
Prof. Martin James said:
 
“Mechanical thrombectomy is a classic example of a ‘disruptive innovation’, particularly within the unique circumstances of the UK NHS, where service development has been held back while the research evidence is awaited.“Now that evidence is available, such a step-change in treatment for many people with major disabling stroke requires a rapid response from the NHS to deliver and this is sure to involve further centralisation of services for hyperacute stroke” (Source: University of Exeter).

The guide –Mechanical thrombectomy for acute ischaemic stroke: an implementation guide for the UK- is available to download from the Academic Science Healthcare Network 

Alternatively, download it here 

Read University of Exeter press release 

 

 

 
 

Quick Guide – Improving Access to Urgent Treatment Centres using the Directory of Services

NHS England | August 2019| Quick Guide – Improving Access to Urgent Treatment Centres using the Directory of Services

NHS England has produced a quick guide that is designed to provide practical information to urgent care Providers, Commissioners, Directory of Services (DoS) Leads and NHS 111 contact centres/Integrated Urgent Care (IUC) services on how they can use the DoS to improve access for patients to Urgent Treatment Centre (UTC) services and other services expected to meet the UTC standards.

Quick Guide – Improving Access to Urgent Treatment Centres using the Directory of Services

Full details are available from NHS England

King’s Fund: A short history of social care funding reform in England: 1997 to 2019

The King’s Fund | July 2019 | A short history of social care funding reform in England: 1997 to 2019

Since the 1990s, funding for social care has been widely seen to be unfair, and successive governments have attempted to reform the overall approach to funding adult social care but without success. The King’s Fund outline the history of the past 22 years of attempts to reform how social care funded (Source: The King’s Fund).

See The King’s Fund for the timeline

Health inequalities: place-based approaches to reduce inequalities

Public Health England | July 2019 | Health inequalities: place-based approaches to reduce inequalities

Public Health England (PHE) has published Health inequalities: place-based approaches to reduce inequalities; the aims of the ‘place-based approaches for reducing health inequalities’ are to:

  • reinforce a common understanding of the complex causes and costs of health inequalities
  • provide a practical framework and tools for places to reduce health inequalities

unequal

Place-based approaches for reducing health inequalities: foreword and executive summar

Place-based approaches for reducing health inequalities: main report

More documents available from PHE

See also:

PHE blog

Must know: tobacco control

Local Government Association | July 2019 | Must know: tobacco control

The Local Government Association, in partnership with Cancer Research UK, has published Must know: tobacco control which argues that comprehensive tobacco control is the best thing a local authority can do for public health.

local.gov.uk
Image source: local.gov.uk

The report includes case studies from the North East, Hastings and Hull as well as examples of good practice. 

Must know: tobacco control