|
answer text |
<p>NHS England agreed to fund thrombectomy for stroke in April 2017.</p><p>Progression
to full implementation will need to take place on a phased basis to ensure the service
providers can put in place the necessary staffing and working arrangements. In the
short term there will be an interim set of arrangements.</p><p>Initially the procedure
will be undertaken in neuroscience centres which are currently being assessed to ensure
that they meet the standards set out in the service specification that is currently
out for public consultation. This information will be used by a national oversight
group and regional commissioning teams to assess who is able to provide the service
in this interim period and will not be published. Further work with the providers
of this service will be completed with regional commissioners and the services directly
to establish clear action plans which will lead to full implementation.</p><p>It is
anticipated that there will be some 1,000 cases completed by the end of March 2018;
and that, by 2023, about 10% of stroke admissions in England (8,000 cases) will be
treated with thrombectomy annually. NHS England have not undertaken an independent
cost benefit analysis of thrombectomy but there have been research studies published
such as Jean Ganesalingam et al – “Cost-Utility Analysis of Mechanical Thrombectomy
Using Stent Retrievers”, in Acute Ischemic Stroke 2015;46:2591-2598. This showed that
it is a highly cost effective treatment, particularly when the longer term health
and social care costs are taken into account.</p>
|
|