TY - JOUR T1 - A hyperacute neurology team – transforming emergency neurological care JF - Clinical Medicine JO - Clin Med SP - 298 LP - 302 DO - 10.7861/clinmedicine.17-4-298 VL - 17 IS - 4 AU - Arani Nitkunan AU - Bridget K MacDonald AU - Ajay Boodhoo AU - Andrew Tomkins AU - Caitlin Smyth AU - Medina Southam AU - Fred Schon Y1 - 2017/08/01 UR - http://www.rcpjournals.org/content/17/4/298.abstract N2 - We present the results of an 18-month study of a new model of how to care for emergency neurological admissions. We have established a hyperacute neurology team at a single district general hospital. Key features are a senior acute neurology nurse coordinator, an exclusively consultant-delivered service, acute epilepsy nurses, an acute neurophysiology service supported by neuroradiology and acute physicians and based within the acute medical admissions unit. Key improvements are a major increase in the number of patients seen, the speed with which they are seen and the percentage seen on acute medical unit before going to the general wards. We have shown a reduced length of stay and readmission rates for patients with epilepsy. Epilepsy accounted for 30% of all referrals. The cost implications of running this service are modest. We feel that this model is worthy of widespread consideration. ER -