Nigel Evans – 2016 Parliamentary Question to the Department of Health

The below Parliamentary question was asked by Nigel Evans on 2016-09-06.

To ask the Secretary of State for Health, what plans his Department has further to centralise the delivery of acute stroke services in metropolitan areas.

David Mowat

NHS England’s National Clinical Director (NCD) for stroke is leading work to develop a full proposal which will consider the evidence and logistical issues involved in delivering mechanical thrombectomy to stroke patients across the country. This includes working with the relevant specialist societies, Royal Colleges and Health Education England to consider the workforce implications. Once the proposal has been developed, NHS England will decide whether the procedure should be made widely available.

To ensure there is equitable access to high quality hyper acute stroke care regardless of time of stroke or where a patient has their stroke, NHS England’s NCD for stroke continues to work with Clinical Networks, Urgent and Emergency Care Networks, clinical commissioning groups and the Sustainability and Transformation Plan footprints on how stroke care is best delivered to their local communities.

In some places, this is ‘the London type model’ of focussing care in a small number of centres and equipping these to be able to deliver specialist care 24/7. In other parts of the country, centralisation of care into specialist centres is not feasible for geographical reasons. In these cases, alternative solutions (such as the use of telemedicine) have to be considered. Whatever the scenario, NHS England is fully committed to ensuring that all patients receive the best quality of care and the most up to date treatments.