And PAA recognition, they wrote, "was a more robust identifier of hospitals with better performance" than PSC. In fact, they noted, "When performance of PAA-recognized hospitals with PSC certification was compared to PAA recognized hospitals without PSC certification, there were no significant differences (all-or-none summary performance measure adjusted odds ratio 1.02 [0.93-1.14], P=0.5935 for PAA+/PSC+ hospitals with PAA+/PSC- as reference)."
Care for the elderly in England has traditionally been funded by the state, but it is increasingly rationed according to a joint report by the King's Fund and Nuffield Trust as the cost of care to the nation rises. People who have minimal savings or other assets are provided with care either in the home (from visiting carers) or by moving to a residential care home or nursing home. However, research by the Live-in Care Hub indicates that 97% of older people do not want to move into a care home[28] so they often struggle without support on their own. This is true for both those who will receive state funding for their care and those who will have to pay for it themselves out of savings or by selling other assets. Larger numbers of old people need help because of an aging population and medical advances, but less is being paid out by the government to help them. A million people who need care get neither formal nor informal help.[29]

Stroke patients who are taken to the hospital in an ambulance may get diagnosed and treated more quickly than people who do not arrive in an ambulance.1 This is because emergency treatment starts on the way to the hospital. The emergency workers may take you to a specialized stroke centerExternal to ensure that you receive the quickest possible diagnosis and treatment. The emergency workers will also collect valuable information that guides treatment and alert hospital medical staff before you arrive at the emergency room, giving them time to prepare.

“We are currently negotiating funding with the HSE, to further develop the service so that it’s rapidly available to everybody,” says Thornton. “We began the service without any additional funding or new structures in place. There are charities such as the Irish Heart Foundation that are currently in the process of reviewing guidelines to publish a formal protocol for patients and doctors on how to approach and deal with a large-vessel stroke. But we need the HSE to formally recognise the importance of medical thrombectomy and to support urgent development of the service because it is essential that stroke patients in Ireland are getting the best standard of care possible.”

We support NHS Trusts and private sector organisations by placing nurses, midwives, doctors, allied health professionals, health scientists and social workers into temporary, permanent and contract roles. We care passionately about the quality of our staff and services and recognise the importance of achieving the highest standards. Through attracting and nurturing the best people, we help clients deliver the best compassionate care.
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