Letters Centralising acute stroke services

Authors’ reply to Hill and Rudd

BMJ 2014; 349 doi: https://doi.org/10.1136/bmj.g5717 (Published 24 September 2014) Cite this as: BMJ 2014;349:g5717
  1. Stephen Morris, professor of health economics1,
  2. Rachael M Hunter, senior research associate2,
  3. Angus I G Ramsay, senior research associate1,
  4. Ruth Boaden, professor of service operations management3,
  5. Christopher McKevitt, reader4,
  6. Catherine Perry, research associate3,
  7. Nanik Pursani, patient representative5,
  8. Anthony G Rudd, professor of stroke medicine6,
  9. Simon J Turner, senior research associate1,
  10. Pippa J Tyrrell, professor of stroke medicine7,
  11. Charles D A Wolfe, professor of public health medicine48,
  12. Naomi J Fulop, professor of healthcare organisation and management1
  1. 1Department of Applied Health Research, University College London, London WC1E 7HB, UK
  2. 2Research Department of Primary Care and Population Health, University College London, London, UK
  3. 3Manchester Business School, University of Manchester, Manchester, UK
  4. 4Division of Health and Social Care Research, School of Medicine, King’s College London, London, UK
  5. 5King’s College London Stroke Research Patients and Family Group, Division of Health and Social Care Research, School of Medicine, King’s College London, London, UK
  6. 6Guy’s and St Thomas’ NHS Foundation Trust, St Thomas’ Hospital, London, UK
  7. 7University of Manchester Stroke and Vascular Centre, Manchester Academic Health Science Centre, Salford Royal Hospitals NHS Foundation Trust, Salford, UK
  8. 8National Institute of Health Research Comprehensive Biomedical Research Centre, Guy’s and St Thomas’ NHS Foundation Trust and King’s College London, London, UK
  1. steve.morris{at}ucl.ac.uk

We agree with Hill,1 and we stated in our article that a health economic analysis of the reconfigurations in London and Greater Manchester would be valuable.2 The analysis should consider whether the changes in London and Greater Manchester are cost effective. As Hill mentions, this ought to account for the upfront investments in London and Greater Manchester. Among other things it also …

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