As far as I could tell Bo Norrving did nothing useful for stroke survivors when he was president of the World Stroke Organization. The Helsingborg Declaration did nothing about setting goals on stroke results, just continuum of care. All talk and no action.
http://www.safestroke.eu/2017/11/09/patients-carers-expertise-important-credibility-european-stroke-action-plan/
Bo Norrving is a professor in neurology at Lund University,
Sweden. He has authored more than 400 publications on clinical stroke
research, including several seminal papers e.g. the Swedish Aspirin Low
Dose Study, and the world’s largest study of stroke in the young. He is a
founder of the Swedish Stroke Register (Riksstroke), the world’s 1st national stroke registry. He is a member of the advisory group for ICD 11 at WHO. He was the President of the World Stroke Organization (WSO) 2008-2012, and chairs the WSO Global Policy Committee. He is the editor-in-chief of the European Stroke Journal.
Having in mind that he was one of the editors of the important 2006 Helsingborg Declaration
on European stroke strategies, the European Stroke Organisation and
SAFE are proud and honored to have Prof. Norrving now coordinating a
joint ESO and SAFE project called “Stroke Action Plan for Europe
2018-2030”.
SAFE:
Stroke Support Organisations are only just beginning to be formed and
to grow in quite a lot of countries; do you think that medics are fully
aware of how important they are in influencing decision makers on
allocations of funding and resources to things like stroke care, stroke
research and public awareness? If not as aware what is ESO doing to
encourage medics to aid the growth of SSO?
BN:
I think the full importance is still not well recognized. There are
many examples where the initiatives of SSOs have been critically
important. It’s an important task for ESO to support formation of new
SSOs and to support and collaborate with existing ones. ESO and SAFE
have recently joined forces in several actions and projects (e.g. at the
EU, the European Stroke Action Plan), and I am sure there will be many
more in the future.
SAFE:
SAFE is going to launch the Stroke Action Plan for Europe in the EU
Parliament as part of European Stroke Action Month in May 2018. What
plans have ESO made for their members to aid public awareness raising
with SSO’s in this month?
BN:
I expect that ESO will join SAFE at the EU Parliament as a
demonstration of the collaboration between ESO and SAFE on the Action
Plan. I expect that stroke professionals will align with SSOs all across
Europe and work together, this is a joint task. I was impressed by the
enormous success in social media of the recent World Stroke Day, and the
stroke action month next May is another good opportunity to raise
awareness.
SAFE:
Stroke professionals and stroke survivors and their carers will be
working together on Stroke Action Plan for Europe, what would be the
quality / insight you expect to get from including non-medics in writing
recommendations for the Stroke Action Plan for Europe?
BN:
Including the expertise from patients and carers is perennially
important, and helps to make the European Stroke Action Plan credible.
In many countries SSOs are now included in guidelines work, and speaking
from my own country I am happy to report that this is now routine and
mandated at the National Board of Health and Welfare and the quality
registers level.
SAFE: What would be the main difference between the Helsingborg Declaration and the Stroke Action Plan for Europe?
BN:
The Stroke Action Plan for Europe now includes primary prevention and
Life after Stroke as new domains, which makes the new document more
complete. Furthermore, the working process is now more transparent will
possibility for anyone to provide comments and input.
SAFE: Are the goals set by Helsingborg Declaration met and if not, what were the main obstacles, and issues that were not met?
BN:
The targets are unfortunately not met, and the most flagrant in my
opinion is a widespread lack of stroke unit beds across almost all parts
of Europe. Other issues are unavailability of acute therapies in many
regions and areas, and weak organisations for rehabilitation and follow
up. Stronger actions from ministries of health and hospital
administrators would have been needed; I hope that the new action plan
will achieve this with more power than during the past 10 years.
SAFE:
The work on Stroke Action Plan for Europe is divided in seven parts, or
domains as they were called, covering all aspects of stroke, from
prevention to life after stroke. Once made, how do you plan to bring
these recommendations to life and make impact on decision makers across
Europe?
BN:
This discussion has only started and plans are not developed in detail,
but ESO will likely establish an implementation committee to coordinate
the actions. One of the first steps will be to advocate for
country-specific action plans based on gap analyses, as stroke
prevention and services vary so much between countries. Even with common
targets for the whole of Europe, we need to remember that every country
is autonomous in decisions of health care. Interim targets needs to be
set and should be reviewed regularly. The use of learning from “good
examples” between countries and regions will be important stimuli to
achieve the targets.
SAFE:
We learned from the Burden of Stroke Report, presented in May this
year, that there are not enough studies about life after stroke, which
is the main topic of the seventh domain in the Stroke Action Plan for
Europe. How do you plan to deal with this topic which is so important to
stroke survivors and their families?
BN:
Each domain of the Action Plan has a section on research priorities,
and I expect that this will be highlighted in the Life after Stroke
section. I think that this research area is growing already now, and the
Action Plan will help to give its support.
SAFE: When is the final document of the Stroke Action Plan for Europe due to be published?
BN: There will be the workshop in Munich March 21 to 23rd, and then the launch of the final document at the ESOC
in Göteborg in May where a session is scheduled for Thursday May 17
14:30 to 16 in the main program. The document will be published in a
scientific journal as soon as possible thereafter.
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,112 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.
What this blog is for:
My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.
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