Collaborations for Leadership in Applied Health Research and Care for Birmingham & Black Country

The overall study aim is to optimise the management of Stroke and TIA locally through a programme combining data collection, modelling of current care pathways, feedback to clinicians, patients and commissioners and evaluation. These efforts will be aimed at maximising benefit from early intensive treatment of people who suffer from a Transient Ischaemic Attack (TIA) or Stroke: early thrombolysis in selected groups post Stroke and early secondary prevention post TIA can reduce the risk of subsequent Stroke with evidence that earlier intervention is better. Therefore, it is relevant for health services to consider how best to provide services for patients who have had a TIA or Stroke so as to ensure that they receive speedy diagnosis and prompt treatment to provide optimum outcomes.

The NIHR Collaborations for Leadership in Applied Health Research and Care (CLAHRC) for Birmingham & Black Country is one of nine pilot CLAHRC’s funded by the National Institute for Health Research (NIHR). CLAHRCs have been established to undertake high-quality applied health research focused on the needs of patients and to support the translation of research evidence into practice in the NHS.

Our findings will be compared with the optimum care standards set by the National Stroke Strategy and other published data using our previously developed simulation model for TIA management and acute Stroke care. The results of this will be fed back to local care commissioners, GPs, specialists and patients to reveal where barriers to optimal care exist. Once interventions have been placed we will perform repeat cycles of the investigative process to assess the impact on service improvement and patient care.

A summary of the details of the study are set out below:

  • Potential participants will be identified both in primary and secondary care.
  • A Research Nurse will obtain formal consent from the patient in order to link clinical information between Primary Care, Ambulance Services and Secondary care.
  • Follow up (including all questionnaires and interviews) will be run by the research team at the University.
  • Collaborative working arrangements are in place with the Cardiac and Stroke Network, the Stroke Research Network, and within Primary Care Clinical Sciences at the University of Birmingham.

Contact details:

Professor Richard McManus, Principal Investigator, 01865 617834

Dr Ruth Mellor, Theme Manager, 0121 414 8578

Dr Satinder Singh, Clinical Lead, 0121 414 2685  

Dr James Sheppard, Research Fellow, 0121 414 7573

Ms Kelley Rosborough, Senior Research Nurse, 0121 414 8172

Mr Ronnie Smith, Allied Health Care Professional, Heart of England NHS Foundation Trust

Mr Muhammad Shafi, Allied Health Care Professional, University Hospital Birmingham NHS Foundation Trust  

Mrs Sheila Bailey, Project Officer, 0121 414 7956

Mrs Anita Martin, Research Administrator, 0121 414 3872  

Further staff information

If you would like to find out more see: