- new trauma networks based around three or four new major trauma centres
- new hyper-acute stroke units and transient ischaemic attack (TIA sometimes called mini stroke) services
The first proposal is for three or four networks centring around one hospital designated a major trauma centre, serving local hospitals designated trauma centres. The major trauma centre would provide 24/7 immediate treatment for the most serious injuries. Local trauma centres will treat people with less serious injuries.
1. Four trauma networks - Major trauma centres at Royal London Hospital, King's College, St George's (all working by April 2010) and St Mary's (by April 2012). Northwick Park and Central Middlesex linked to St Mary's Paddington.
2. Four trauma networks - The first three as above and the fourth, the Royal Free, working by April 2012. Northwick Park and Central Middlesex would be linked to the Royal Free.
3. Three trauma networks- Just the first three with Northwick Park and Central Middlesex linked to the Royal London.
Option 1 is the preferred option as it would give wider coverage and St Mary's would deal with a small number of local hospitals. It is also closer to central London, Heathrow and Brent. Option 3 may be preferred as it would be quicker to set up. You can express an option preference.
Healthcare are proposing:
1. 8 Hyper-acute stroke units - these will provide immediate response to a stroke for the first 72 hours or until the patient has stabilised.
2. 20 Stroke units - these will provide ongoing care once a patient is stabilised including multi-therapy rehabilitation
3. TIA Services - these Will provide rapid assessment and access to a specialist within 24 hours for high-risk patients or 7 days for low-risk patients.
Northwick Park is a preferred option for all three services.