Box 1.

Staffing change examples

All consultants with predominantly DGH sessions released from roles in neurosciences centres Accordingly, stroke and neurology on-call rota revised – stroke and daytime neurology services staffed by neuroscience centre internally Individual sub-specialties provide core and urgent services with, for example, daily multiple sclerosis consultant service to deal with any issues as they arise. Home delivery for immunotherapies where possible Combined stroke and neurology wards, run by neurology to release stroke team; beds used flexibly Increased community support to speed up discharge in stroke and rehabilitation Roving physician colleagues to provide help and support to neurologists in general medicine roles Daily consultant-led clinic focusing jointly on transient ischemic attack and hot neurology, including emergency department in-reach, inpatient referrals and urgent GP calls