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Centralising acute stroke services in urban areas can reduce mortality and length of stay, and increase delivery of evidence-based care; type of service model, planning change and context affect implementation.

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Naomi J Fulop 1,*, Angus I G Ramsay 1, Rachael M Hunter 2, Christopher McKevitt 3, Catherine Perry 4, Simon J Turner 5, Ruth Boaden 4, Iliatha Papachristou 6, Anthony G Rudd 7, Pippa J Tyrrell 8, Charles D A Wolfe 3, Stephen Morris 1

1 Department of Applied Health Research, University College London, London, UK
2 Research Department of Primary Care and Population Health, University College London, London, UK
3 Department of Population Health Sciences, School of Population Health & Environmental Sciences Research, King’s College London, London, UK
4 Alliance Manchester Business School, University of Manchester, Manchester, UK
5 Centre for Primary Care, Division of Population Health, Health Services Research and Primary Care, University of Manchester, Manchester, UK
6 Department of Psychological Medicine, King’s College London, London, UK
7 Guy’s and St Thomas’ NHS Foundation Trust, St Thomas’ Hospital, London, UK
8 Stroke and Vascular Centre, University of Manchester, Manchester Academic Health Science Centre, Salford Royal Hospitals NHS Foundation Trust, Salford, UK
* Corresponding author Email: n.fulop@ucl.ac.uk

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