Letters Centralising acute stroke services

Study on centralising acute stroke services provides no firm conclusions

BMJ 2014; 349 doi: https://doi.org/10.1136/bmj.g5715 (Published 24 September 2014) Cite this as: BMJ 2014;349:g5715
  1. Matthew P Rudd, teaching and research fellow/specialty trainee geriatric medicine1
  1. 1Northumbria Healthcare NHS Foundation Trust, Wansbeck General Hospital, Ashington NE63 9JJ, UK
  1. mprudd{at}yahoo.co.uk

The improvement in London and Manchester stroke services is important and has offered real clinical benefits to patients.1 However, several problems with the study of Morris and colleagues (and more broadly) limit the extent of the conclusion that increased centralisation of stroke (and other) services automatically improves clinical outcomes.

Comparing services in London and Manchester with those in the …

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