The Shape of Things to Come

From 31 January to 8 May 2009, Healthcare for London held a major consultation – The shape of things to come – on plans to improve stroke and major trauma services.

Following the consultation, a committee of PCTs decided to introduce four major trauma centres, eight hyper-acute stroke units and better local services across London.

Results of the consultation

A joint committee of primary care trusts (JCPCT) met in public on 20 July 2009 to consider clinical evidence and the responses to The shape of things to come. The JCPCT agreed to introduce new, specialist services for stroke and major trauma patients.

Four major trauma centres to treat the most seriously injured patients are located at:

  • The Royal London Hospital, Whitechapel
  • King’s College Hospital, Denmark Hill
  • St George’s Hospital, Tooting
  • St Mary’s Hospital, Paddington

Eight hyper-acute stroke centres to provide specialist care to patients following a stroke are located at:

  • Charing Cross Hospital, Hammersmith
  • King’s College Hospital, Denmark Hill
  • Northwick Park Hospital, Harrow
  • Queen’s Hospital, Romford
  • St George’s Hospital, Tooting
  • The Princess Royal University Hospital, Orpington
  • The Royal London Hospital, Whitechapel
  • University College Hospital, Euston

After patients have received care at a hyper-acute stroke centre, they are transferred to one of 24 local stroke units to continue their recovery.

TIA services, for people who have had a transient ischaemic attack (or ‘mini-stroke’), are provided alongside the stroke units. People attending a TIA service are rapidly assessed and treated to reduce their chances of having a full stroke in future.

Consultation assessment

A joint committee of London’s 31 PCTs and NHS South West Essex was established to oversee the consultation and make final decisions on the proposals.

The joint committee of primary care trusts (JCPCT) met twice in public to consider a number of important reports.

Consultation responses

Almost 11,000 responses to The shape of things to come were received from individuals and organisations.

Engagement and health fairs

Many thousands of people took the opportunity to be involved in the consultation:

  • 14,000 individual visitors to the website
  • 13,000 visitors to health fairs
  • Around 14,000 people attended meetings

And a great many decided to make their views known. Around:

  • 8,100 individuals completed the consultation questionnaire
  • 200 organisations completed the consultation questionnaire
  • 1,300 people took part in consultation with traditionally under-represented groups
  • 1,000 people and organisations wrote, phoned, or emailed comments
  • 4,000 people signed petitions

Consultation documentation

What happens now?

All facilities are now operational and expected to save around 500 lives a year and reduce long-term disability for thousands more. The 2010 National Sentinel Stroke Audit found that five out of the top six stroke services in the country were in London.