Case | HBS Case Collection | June 2012

Reconfiguring Stroke Care in North Central London

by Michael E. Porter, James Mountford, Kamalini Ramdas and Samuel Takvorian


In 2006, surgeon Ara Darzi identified several key areas, including acute stroke care, for improving health care across London. In response to his seminal call to action, stroke care was reorganized around eight hyper-acute stroke units covering London's five sectors, replacing the more than thirty units that had previously delivered acute stroke care. This case profiles the roll-out of the new care delivery model in North Central London, where acute stroke care had previously been fragmented among five acute hospital trusts with varying care resources, capacity, and protocols. In the new model, stroke care would be delivered across facilities in an integrated fashion, with a single hyper-acute facility designed for the care of the most acute and severe cases.

Keywords: health care; Health Care and Treatment; Performance Improvement; Performance Efficiency; Integration; Health Industry; London;


Porter, Michael E., James Mountford, Kamalini Ramdas, and Samuel Takvorian. "Reconfiguring Stroke Care in North Central London ." Harvard Business School Case 712-496, June 2012.