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NIHR Themed Review Roads to Recovery - Organisation and Quality of Stroke Services
Stroke is a devastating disease affecting many people as well as being an area of substantial health and care spend. It represents around 5% of total NHS costs and is the fourth largest cause of death in the UK. Recent years have seen huge improvements in the clinical management of people with stroke with early assessment, use of thrombolysis and better organisation of services into acute stroke units. Over the last twenty years, stroke mortality rates have halved. Yet providing the right care ...
NIHR Themed Review Better Beginnings - improving health for pregnancy
Being healthy is the best start to pregnancy for a woman and child. Preparing for pregnancy can focus attention on health, such as eating a healthy balanced diet or losing excess weight, as well as avoiding risks from smoking, alcohol and drug use. Ensuring the best care for long-term physical and mental health conditions is important for a healthy pregnancy, as well as addressing complex social needs. Getting the best start in life for children is a UK policy priority, focused on preventing pr...
NIHR Themed Review On the level - evidence for action on type 2 diabetes
Type 2 diabetes is a serious condition. It doubles the risk of cardiovascular disease, is the most common reason for severe kidney disease and is the second most common cause of blindness in working age adults. The disease is a major public health challenge, with many people not knowing they have diabetes and many more are at risk of developing it. NIHR research provides important insights throughout the patient pathway, from prevention to early identification to management of the disease and tr...
NIHR Themed Review Better Endings - right care, right place, right time
Helping people to die with dignity, compassion and comfort is an important goal of any health service. Recent accounts have provided rich insights into some of the challenges for healthcare professionals trying to meet the needs of people at the end of life, ranging from reports of inequalities in access to specialist palliative care to skills and training gaps for general staff caring for the dying. Better Endings is the NIHR Dissemination Centre’s first Themed Review. It brings together evide...
NIHR Themed Review Care at the Scene - research for ambulance services
The role and the scope of ambulance services has changed radically over recent decades. The ambulance service is now expected to provide complete pre-hospital care. The majority of 999 calls are not traffic accidents or heart attacks. More typically, calls involve people with complex and ongoing health problems experiencing a crisis. This could be an elderly person with heart failure and diabetes having had a fall, someone with lung disease experiencing breathlessness or a person at risk of sui...
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