Angus I G Ramsay

TL;DR: A centralised model of acute stroke care, in which hyperacute care is provided to all patients with stroke across an entire metropolitan area, can reduce mortality and length of hospital stay.

TL;DR: Centralized systems admitting all stroke patients to hyperacute units, as in London, are significantly more likely to provide evidence-based clinical interventions, which may help explain previous research showing better outcomes associated with fully centralized models.

TL;DR: Centralised models of acute stroke care, in which all stroke patients receive hyperacute care, can reduce mortality and length of acute hospital stay and improve provision of evidence based clinical interventions.

TL;DR: Policy makers should examine how the structures of system authority, with performance management and financial levers, can be employed to coordinate transformation by aligning the disparate interests of providers and commissioners.

TL;DR: A systematic review of evidence on school-based vaccination programmes identified common factors that influence the implementation of programmes, including programme leadership and governance, organisational models and institutional relationships, workforce capacity and roles, and clinic organisation and delivery.