Deans' stroke musings: NBT stroke service reconfiguration leads to improved patient outcomes across the region

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.

Friday, May 17, 2024

NBT stroke service reconfiguration leads to improved patient outcomes across the region

If you were to genuinely ask survivors if they were 'improved' enough; they would reply; 'Hell no, I didn't get 100% recovered!'. So this stroke service is normalizing failure. You as stroke survivors will need to take it over; right now it's a complete failure!

NBT stroke service reconfiguration leads to improved patient outcomes across the region

North Bristol NHS Trust’s stroke team has undergone dramatic transformation and expansion over the past ten years. It is currently the largest service of its kind in the UK, and one of the largest in Europe.

The biggest changes have been the expansion of the mechanical thrombectomy service in December 2022 to run 24/7, and the centralisation of urgent stroke services in Bristol, North Somerset and South Gloucestershire to create the hyper acute and acute stroke units at Southmead Hospital’s comprehensive stroke centre in May 2023. The changes mean that Southmead is now the main provider of emergency stroke care(NOT RECOVERY!) for patients in the region via the Hyper Acute Stroke Unit (HASU), with the Acute Stroke Unit (ASU) providing specialist follow-up care(NOT RECOVERY!) before patients move onto rehab closer to their homes, or are discharged home with support.

In the first year of offering the 24/7 service, the team treated 200 more patients than the previous year with more than 400 thrombectomies performed in 2023.

Dr James Dodd, Clinical Lead for Stroke at NBT, says it’s been “incredible” to see how advances in care(NOT RECOVERY!) and treatment have improved patient outcomes in the six years he has been practising as a doctor.

“We know from research and evidence that getting people to a specialist centre earlier improves stroke outcomes. Prior to reconfiguration, a lot of stroke outcomes depended on when and where you had the stroke. And we were aware that there was an inequality of outcomes across the wider region.

“It has been incredible to see this service grow considerably and how many people have been in receipt of our care(NOT RECOVERY!) and treatment.

“I think we're very lucky to work in a hospital like Southmead where it's a very beautiful building, it's light and airy, and I think the workforce and indeed the patients and relatives, they often comment on how nice it is, and I think that really does help with the patient experience.”