Barriers to effective stroke care out of hours need to be broached

doi:10.1136/bmj.325.7364.596/a

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Mark F Nicol, specialist/locum consultant (markfnicol@hotmail.com)

Macclesfield SK10 3BL

EDITOR—The article by Harraf et al is a welcome addition to much needed hard data on the poor delivery of evidence based and patient focused care in the United Kingdom. 1 The paper prompts the need to analyse prospectively the nature of the barriers to timely assessment, investigation, and treatment of a patient presenting with a potentially life threatening stroke.

The paper would have benefited from providing readers with the subset analysis of time to assessment, senior opinion, and computed tomography in the …