PenCLAHRC’s operational research team, PenCHORD, have recently completed a project, which looks at the mapping and reconfiguration of hyperacute stroke services in Wales.
The team were tasked by the Stroke Implementation Group (SIG) of the Welsh Government to coordinate the development of service maps and profiles for hyperacute and acute stroke services across Wales. The aim of the project was to provide evidence to support discussions regarding the reconfiguration of services across the country.
The modelling was evidence based, with the results interpreted and supported by an expert panel drawn up by the Royal College of Physicians Stroke Programme. Their objective was to prioritise and balance the competing factors that affect reconfiguration. The model reported the optimal and near-optimal solutions for the selection of locations, for any given number of hospitals.
By producing a range of options, the project identified the service configurations with the greatest health benefits, for the maximum number of people, from interventions for acute stroke.
The project gained the attention of Professor Sir Roger Boyle CBE, former national director for heart disease and stroke at the Department of Health, following the presentation of the final report to stakeholders. He said:
"The modelling exercise undertaken by PenCHORD at Exeter University Medical School exploring the possible configuration of acute stroke services in Wales was a difficult task given the scattered nature of the Welsh population. However the report demonstrated very clearly how the difficult issues of travel time could be addressed in order to optimise outcomes. In my opinion, the PenCHORD modelling team are the best that we have in this country. Well done."
To read about the project in more detail, please visit the Mapping and reconfiguration of hyperacute stroke services in Wales project page.