Research papers
The research papers linked to on this page cover what we have learned about different aspects of the reorganisation of stroke services in London and Greater Manchester.
We have also produced accessible summaries of our findings, which you can download from this page and share with your colleagues.
We have also produced accessible summaries of our findings, which you can download from this page and share with your colleagues.
NEW PAPERS: 24/7 care in London Hyper Acute Stroke Units
Do London Hyper Acute Stroke Units deliver care consistently 24/7?
Variation in quality of acute stroke care by day and time of admission: prospective cohort study of weekday and weekend centralised hyperacute stroke unit care and non-centralised services.
BMJ Open 2019;9:e025366. DOI:10.1136/bmjopen-2018-025366
Melnychuk M et al. (2019)
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Download combined accessible summary of 24/7 care in London's HASUs
What do London Hyper Acute Stroke Units do in order to deliver 24/7 care?
What does it take to provide clinical interventions with temporal consistency? A qualitative study of London hyperacute stroke units.
BMJ Open 2019;9:e025367. DOI:10.1136/bmjopen-2018-025367
Black GB & Ramsay AIG et al. (2019)
Read full paper
Download combined accessible summary of 24/7 care in London's HASUs
Do London Hyper Acute Stroke Units deliver care consistently 24/7?
Variation in quality of acute stroke care by day and time of admission: prospective cohort study of weekday and weekend centralised hyperacute stroke unit care and non-centralised services.
BMJ Open 2019;9:e025366. DOI:10.1136/bmjopen-2018-025366
Melnychuk M et al. (2019)
Read full paper
Download combined accessible summary of 24/7 care in London's HASUs
What do London Hyper Acute Stroke Units do in order to deliver 24/7 care?
What does it take to provide clinical interventions with temporal consistency? A qualitative study of London hyperacute stroke units.
BMJ Open 2019;9:e025367. DOI:10.1136/bmjopen-2018-025367
Black GB & Ramsay AIG et al. (2019)
Read full paper
Download combined accessible summary of 24/7 care in London's HASUs
PAPERS: reorganisation of stroke services in London and Greater Manchester
Study protocol
Innovations in major system reconfiguration in England: a study of the effectiveness, acceptability and processes of implementation of two models of stroke care.
Implementation Science 2013; 8:5. DOI:10.1186/1748-5908-8-5.
Fulop NJ et al. (2013)
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Impact on clinical outcomes
Impact of centralising acute stroke services in English metropolitan areas on mortality and length of hospital stay: difference-in-differences analysis.
BMJ 349:g4757. DOI:10.1136/bmj.g4757
Morris S et al. (2014)
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Download accessible summary
Impact on clinical interventions
Effects of centralizing acute stroke services on stroke care provision in two large metropolitan areas in England.
Stroke 2015. DOI:10.1161/strokeaha.115.009723
Ramsay AIG et al. (2015)
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Download accessible summary
Leadership of major system change
Lessons for major system change: centralisation of stroke services in two metropolitan areas in England.
Journal of Health Services Research and Policy 2016. DOI:10.1177/1355819615626189
Turner S et al. (2016)
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How service model and implementation approaches influenced outcomes
Explaining outcomes in major system change: a qualitative study of implementing centralised acute stroke services in two large metropolitan regions in England.
Implementation Science 2016. DOI:10.1186/s13012-016-0445-z
Fulop NJ et al. (2016)
Read full paper
Download accessible summary
Patient and public involvement in major system change
Patient, carer and public involvement in major system change in acute stroke services: the construction of value.
Health Expectations 2018;21:685-692. DOI:10.1111/hex.12668
McKevitt C et al. (2018)
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Cost-effectiveness of centralised stroke services
The potential role of cost-utility analysis in the decision to implement major system change in acute stroke services in metropolitan areas in England.
Health Research Policy and Systems 2018.16:23. DOI:10.1186/s12961-018-0301-5
Hunter RM et al. (2018)
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Download accessible summary
Patient experience of centralised services
Patient experience of centralised acute stroke care pathways
Health Expectations 2018;21:909-918. DOI:10.1111/hex.12685
Perry C et al. (2018)
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Download accessible summary
Impact and sustainability of centralising acute stroke services
Impact and sustainability of centralising acute stroke services in English metropolitan areas: retrospective analysis of hospital episode statistics and stroke national audit data
BMJ 2019;364:l1. DOI:10.1136/bmj.l1
Morris S et al. (2019)
Read full paper
Download accessible summary
Final report: the whole story
Evaluation of reconfigurations of acute stroke services in different regions of England and lessons for implementation: a mixed-methods study
Fulop NJ et al. (2019)
Health Services and Delivery Research;2019;7(7). DOI:10.3310/hsdr07070
Read full report and access other project information
Study protocol
Innovations in major system reconfiguration in England: a study of the effectiveness, acceptability and processes of implementation of two models of stroke care.
Implementation Science 2013; 8:5. DOI:10.1186/1748-5908-8-5.
Fulop NJ et al. (2013)
Read full paper
Impact on clinical outcomes
Impact of centralising acute stroke services in English metropolitan areas on mortality and length of hospital stay: difference-in-differences analysis.
BMJ 349:g4757. DOI:10.1136/bmj.g4757
Morris S et al. (2014)
Read full paper
Download accessible summary
Impact on clinical interventions
Effects of centralizing acute stroke services on stroke care provision in two large metropolitan areas in England.
Stroke 2015. DOI:10.1161/strokeaha.115.009723
Ramsay AIG et al. (2015)
Read full paper
Download accessible summary
Leadership of major system change
Lessons for major system change: centralisation of stroke services in two metropolitan areas in England.
Journal of Health Services Research and Policy 2016. DOI:10.1177/1355819615626189
Turner S et al. (2016)
Read full paper
Download accessible summary
How service model and implementation approaches influenced outcomes
Explaining outcomes in major system change: a qualitative study of implementing centralised acute stroke services in two large metropolitan regions in England.
Implementation Science 2016. DOI:10.1186/s13012-016-0445-z
Fulop NJ et al. (2016)
Read full paper
Download accessible summary
Patient and public involvement in major system change
Patient, carer and public involvement in major system change in acute stroke services: the construction of value.
Health Expectations 2018;21:685-692. DOI:10.1111/hex.12668
McKevitt C et al. (2018)
Read full paper
Download accessible summary
Cost-effectiveness of centralised stroke services
The potential role of cost-utility analysis in the decision to implement major system change in acute stroke services in metropolitan areas in England.
Health Research Policy and Systems 2018.16:23. DOI:10.1186/s12961-018-0301-5
Hunter RM et al. (2018)
Read full paper
Download accessible summary
Patient experience of centralised services
Patient experience of centralised acute stroke care pathways
Health Expectations 2018;21:909-918. DOI:10.1111/hex.12685
Perry C et al. (2018)
Read full paper
Download accessible summary
Impact and sustainability of centralising acute stroke services
Impact and sustainability of centralising acute stroke services in English metropolitan areas: retrospective analysis of hospital episode statistics and stroke national audit data
BMJ 2019;364:l1. DOI:10.1136/bmj.l1
Morris S et al. (2019)
Read full paper
Download accessible summary
Final report: the whole story
Evaluation of reconfigurations of acute stroke services in different regions of England and lessons for implementation: a mixed-methods study
Fulop NJ et al. (2019)
Health Services and Delivery Research;2019;7(7). DOI:10.3310/hsdr07070
Read full report and access other project information