TY - JOUR AU - Fulop, Naomi AU - Boaden, Ruth AU - Hunter, Rachael AU - McKevitt, Christopher AU - Morris, Steve AU - Pursani, Nanik AU - Ramsay, Angus IG AU - Rudd, Anthony G. AU - Tyrrell, Pippa J. AU - DA Wolfe, Charles PY - 2013 DA - 2013/01/05 TI - Innovations in major system reconfiguration in England: a study of the effectiveness, acceptability and processes of implementation of two models of stroke care JO - Implementation Science SP - 5 VL - 8 IS - 1 AB - Significant changes in provision of clinical care within the English National Health Service (NHS) have been discussed in recent years, with proposals to concentrate specialist services in fewer centres. Stroke is a major public health issue, accounting for over 10% of deaths in England and Wales, and much disability among survivors. Variations have been highlighted in stroke care, with many patients not receiving evidence-based care. To address these concerns, stroke services in London and Greater Manchester were reorganised, although different models were implemented. This study will analyse processes involved in making significant changes to stroke care services over a short time period, and the factors influencing these processes. We will examine whether the changes have delivered improvements in quality of care and patient outcomes; and, in light of this, whether the significant extra financial investment represented good value for money. SN - 1748-5908 UR - https://doi.org/10.1186/1748-5908-8-5 DO - 10.1186/1748-5908-8-5 ID - Fulop2013 ER -