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Stroke questionnaire - phase 2 Clinical Service Plan

Please read the stroke services phase 2 consultation document and supporting documents, for more information. These include what we heard during the Clinical Services Plan consultation, travel, funding and timescales for implementation.



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Stroke

A stroke is a serious life-threatening medical condition that happens when the blood supply to part of the brain is cut off.

Currently there are stroke units at all four main hospitals: Bronglais, Glangwili, Prince Philip and Withybush. However, the service fails to meet clinical standards and there are not enough staff to support it. This leads to outcomes that are not as good as they could be. Evidence shows that outcomes and standards are better if services are brought together and delivered from fewer hospitals. Bringing services together would also help with hiring and keeping staff, making the service more sustainable.

Our preferred option is a stroke unit at Glangwili with 24-hour specialist cover, seven days a week. Bronglais, Prince Philip and Withybush would become treat and transfer hospitals. Stroke patients would be transferred to Glangwili from these hospitals for their acute stroke care. Patients closest to Prince Philip and Withybush would remain in Glangwili Hospital for their stroke specific rehabilitation. Bronglais Hospital would have a stroke rehabilitation unit, meaning patients closest to this hospital, would be transferred back from Glangwili for their stroke specific rehabilitation.


The current stroke service provided by Hywel Dda is stroke units at Bronglais, Glangwili, Prince Phillip and Withybush hospitals.   Under the Preferred option – There would be a stroke unit at Glangwili Hospital with 24-hour specialist cover, seven days a week. Bronglais, Prince Philip and Withybush hospitals would become treat and transfer hospitals. Stroke patients would be transferred to Glangwili Hospital from these hospitals for their acute stroke care. Bronglais Hospital would also have a stroke rehabilitation unit, meaning patients closest to this hospital, would be transferred back to Bronglais Hospital from Glangwili Hospital for their stroke specific rehabilitation.

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To what extent do you agree or disagree that the preferred option for stroke services will help improve clinical standards, patient safety and staff shortages?

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