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Northamptonshire Project on Stroke

Bandolier 3 (April '94) reviewed the Northamptonshire GRiP project on Stroke rehabilitation. Marie-Josée Blais of the Northamptonshire Directorate of Public Health Medicine has now published a stroke literature review which Bandolier is delighted to recommend to its readers, though to call it a literature review grossly understates its quality and value.

This highly readable monograph has 241 references, 15 tables and 10 appendices. Most important is that it extracts all the relevant information from the huge background literature they have chosen to review and lays it out clearly for the reader to benefit.

Quite apart from a superb executive summary which in a few pages outlines the problems for stroke rehabilitation, there are 10 short and punchy chapters covering topics from background and primary and secondary prevention, through delivering stroke services, to information requirements and research priorities.

There is so much information in this document; on costs, for instance, it runs from the £791 million which was the estimated cost of strokes to the NHS in 1990/1 to the £1.94 cost of an ESR in Northampton, making it impossible to review adequately. While there is a necessary local spin to this monograph, there is something in it for any geographical location. It is the best possible example of how to review a problem to ensure that all the important questions are being asked.

"Stroke: literature review" is available at £5 per copy from
Dr Jill Meara,
Director of Public Health,
Northamptonshire HA,
Cliftonville Road,
Northampton NN1.

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