Hospital beds

NHS Trust delivers cutting edge stroke care during peak of pandemic

The Bart’s Health (BHT) NHS Trust stroke service team - based at The Royal London Hospital - successfully expanded to deliver mechanical thrombectomy 24/7 at the start of the second wave. For patients who are suitable, this treatment can entirely remove the effects of the stroke. As a result, the unit is one of the busiest in the country, providing safe and timely care to people across north east London and as far afield as Peterborough, Norwich and Canterbury.

The team have performed over 80 procedures this year and are on course to help 300 patients who would otherwise have had a severe stroke. Since moving the service 24/7 they have jumped from seeing 10 cases to around 25 a month.

During the pandemic the service increasingly harnessed artificial intelligence (AI) to get patients into specialist care quickly. With the support of NHSX, BHT is now testing a suite of tools powered by AI to help clinicians increase the speed they make time-critical treatment decisions for patients with strokes, to determine which patients will benefit from transferral to a specialist centre.

Dr Paul Bhogal, Consultant Interventional Neuroradiologist said: “We hope through using new technology we will be able to identify even more patients for treatment. In this way we can get the right patient to the right place for the right procedure as fast as possible.”

The combination of a 24/7 service performed by expert specialists, collaborating with partners across the NHS and the AI assisted stroke detection, has allowed the team to continue pushing boundaries to deliver world-class care.

Dr Levansri Makalanda, Clinical Lead for Neurovascular Services, said: “Since starting the 24/7 mechanical thrombectomy service, Barts Health has rapidly become one of the busiest stroke centres in the UK, helping a significant number of patients throughout the south east.”

Dr Edward McKintosh, Clinical Director for Neurosciences said: “Our teams have managed to develop and continually improve the stroke service during the peak of the Covid crisis – it is testament to the dedication of all our doctors, nurses, radiographers, and paramedics involved in delivering this remarkable achievement, and I am delighted that our patients have continued to benefit from their hard work.”


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