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Significant 'differences' in stroke care between rich and poor areas

Poorer people who suffer from strokes are more likely to receive a sub-standard level of care, suggests a new study by UK researchers.

Patients from more deprived areas are less likely to be admitted to hospital, less likely to be given a key test once in hospital and less likely to be given important post-stroke drugs, the research suggests.

Researchers, from King’s College London and Guy’s and Thomas’ Foundation Trust, examined the stroke care and aftercare received by 4,200 patients from south London between 1995 and 2010.

“Our study has highlighted a number of problems which remain in the provision of stroke care, and which explain the higher mortality rates seen in deprived areas”

Charles Wolfe

They found that patients from poor areas were a third less likely to be admitted to hospital than their richer neighbours.

The study, published in the Journal of Neurology, Neurosurgery and Psychiatry, also found those in hospital were a third less likely to receive a swallow test. The NHS says that these tests are “essential” for anybody who has had a stroke because swallowing problems affect over a third of patients.

The researchers also found that patients from deprived areas were half as likely to be taking drugs to lower their blood cholesterol three months after their stroke

They said that, despite improvements to equal access to healthcare since 2001, stroke care remains “uneven” across Britain.

“Our study has highlighted a number of problems which remain in the provision of stroke care, and which explain the higher mortality rates seen in stroke patients from deprived areas,” said Professor Charles Wolfe, professor of public health at King’s College London and director of research and development at Guy’s and St Thomas’.

Charles Wolfe

Charles Wolfe

“Our findings should help policy makers to introduce the measures needed to reduce health care inequalities and improve the prognosis of stroke,” he said.

Dr Ruoling Chen, senior lecturer in public health at King’s College London, added: “The good news is that changes in health policies, the organisation of stroke services and advances in clinical practices have brought some improvements in the provision of care for stroke patients since 2001.

“These increased efforts in the UK to improve the quality of stroke care are showing encouraging results. However, we need to address ongoing problems with follow-up care in the community, such as ensuring all stroke patients receive the necessary medication.”

“This report suggests a shocking disparity between rich and poor stroke survivors”

Joe Korner

Every year in England over 150,000 people have a stroke and it is the third largest cause of death, after heart disease and cancer.

Joe Korner, director of external affairs at the Stroke Association, said: “This report suggests a shocking disparity between rich and poor stroke survivors.

“We know from existing research that people from economically deprived areas are twice as likely to have a stroke and more likely to die. Black people are twice as likely to have a stroke than white people,” he said.

Joe Korner

Joe Korner

“These findings should serve as a wake-up call to the government and health services across the UK,” he added.

“While the reorganisation of stroke services and new scientific evidence have seen significant improvements in stroke treatments, there remain alarming differences in prevention, treatment and long-term care for people in deprived areas.”

Readers' comments (2)

  • Shameful, and I guess that probable goes for all services between the rich and poor.

    Unsuitable or offensive?

  • None of this makes any sense, would have liked to have seen the full report (without having to pay for it), stroke care "should" be fairly standardised. I don't see how your socio-economic status stops you having a swallow test in hospital (which has a 4 hour window).

    Unsuitable or offensive?

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