I’m delighted to have been part of the recent learning from stroke webinars, where we had wide-ranging discussions of key aspects of major system change.

In our first webinar, Naomi Fulop, Steve Morris, and Ruth Boaden presented our NIHR research on centralisation of hospital stroke services in London and Greater Manchester, reflecting on how changes were led and put into action, and their impact on patient outcomes, delivery of evidence-based care, cost-effectiveness, and patient experience.

In our second webinar we turned to international perspectives on major system change: Allan Best gave insights on key principles and approaches to carry out such changes, and Kristian Taageby Nielsen shared the case of current work to reconfigure hospital care across the whole of Denmark.