Report evidence summary
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised. 26
Action
Reinforce thrombectomy availability communications and monitor clinician awareness through feedback, refreshing information as service arrangements change.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated in progressThe respondent said that this action was in progress when they made their response on 10 June 2025. View source
Action
Complete radiographer shift planning and consultation to support 24/7 thrombectomy provision.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated in progressThe respondent said that this action was in progress when they made their response on 10 June 2025. View source
Action
Monitor progress against the 24/7 service and regional-aid plans through monthly executive review.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated in progressThe respondent said that this action was in progress when they made their response on 10 June 2025. View source
Action
Convene a regional stakeholder meeting with Salford Royal Hospital and The Walton Centre to scope coordinated mutual aid.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated plannedThe respondent said that this action was planned when they made their response on 10 June 2025. View source
Action
Conducted initial regional-aid discussions and assessed the impact of potential support on Salford Royal services.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated completedThe respondent said that this action was complete when they made their response on 10 June 2025. View source
Action
Finalise and agree the 24/7 thrombectomy business case, including required infrastructure and workforce arrangements.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated in progressThe respondent said that this action was in progress when they made their response on 10 June 2025. View source
Action
Negotiate and evaluate a sustainable 1-in-8 neurointerventional radiology rota and associated job plans for 24/7 service delivery.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated in progressThe respondent said that this action was in progress when they made their response on 10 June 2025. View source
Action
Establish regional mutual-aid arrangements by engaging neighbouring thrombectomy centres and progressing a coordinated support agreement.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated in progressThe respondent said that this action was in progress when they made their response on 10 June 2025. View source
Action
Develop operational readiness for overnight theatre and recovery services.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated in progressThe respondent said that this action was in progress when they made their response on 10 June 2025. View source
Action
Operate a seven-day mechanical thrombectomy service until 22:00, with the planned transition to full 24/7 provision by 28 February 2026.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated plannedThe respondent said that this action was planned when they made their response on 10 June 2025. View source
Action
Recruit additional Radiology and Anaesthetic staff required to support overnight thrombectomy provision.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated in progressThe respondent said that this action was in progress when they made their response on 10 June 2025. View source
Action
Update and disseminate stakeholder communications explaining current thrombectomy service hours and referral availability.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated completedThe respondent said that this action was complete when they made their response on 10 June 2025. View source
Action
Work with regional stakeholders and clinicians to explore and progress plans for overnight thrombectomy access across Lancashire and South Cumbria.
Stated by Northern Care Alliance NHS Foundation Trust Stated in progressThe respondent said that this action was in progress when they made their response on 10 June 2025. View source
Action
Issue commissioners an urgent recommendation to review North West thrombectomy provision and achieve fully operational 24/7 coverage.
Stated by NHS England Stated completedThe respondent said that this action was complete when they made their response on 10 June 2025. View source
Action
Support an options appraisal of regional nighttime thrombectomy models to improve equal access across the North West.
Stated by NHS England Stated in progressThe respondent said that this action was in progress when they made their response on 10 June 2025. View source
Action
Continue working with Lancashire Teaching Hospitals to sustain its seven-day thrombectomy service.
Stated by NHS England Stated in progressThe respondent said that this action was in progress when they made their response on 10 June 2025. View source
Action
Visit comprehensive stroke centres and issue measurable recommendations to improve thrombectomy access, workforce capacity and inter-centre coordination.
Stated by NHS England Stated completedThe respondent said that this action was complete when they made their response on 10 June 2025. View source
Action
Obtain regional assurance that the thrombectomy communication arrangements have been actioned through regional assurance meetings.
Stated by NHS England Stated plannedThe respondent said that this action was planned when they made their response on 10 June 2025. View source
Action
Develop operational readiness for overnight theatre and recovery services supporting thrombectomy.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated in progressThe respondent said that this action was in progress when they made their response on 10 June 2025. View source
Action
Complete recruitment and rota development for Anaesthetic, Radiology and Radiography staffing needed for overnight provision.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated in progressThe respondent said that this action was in progress when they made their response on 10 June 2025. View source
Action
Evaluate and negotiate the proposed 1-in-8 NIR consultant rota and associated job plans for sustainable 24/7 coverage.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated in progressThe respondent said that this action was in progress when they made their response on 10 June 2025. View source
Action
Establish regional thrombectomy aid arrangements by contacting neighbouring providers, assessing options and convening a stakeholder meeting.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated in progressThe respondent said that this action was in progress when they made their response on 10 June 2025. View source
Action
Operate a seven-day mechanical thrombectomy service with coverage from 08:00 to 22:00, including bank holidays.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated completedThe respondent said that this action was complete when they made their response on 10 June 2025. View source
Action
Implement a fully operational 24/7 mechanical thrombectomy service at LTHTR by 28 February 2026.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated plannedThe respondent said that this action was planned when they made their response on 10 June 2025. View source
Action
Update and disseminate stakeholder communications explaining current mechanical thrombectomy service hours and referral availability.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated completedThe respondent said that this action was complete when they made their response on 10 June 2025. View source
Action
Finalise the business case for 24/7 thrombectomy expansion, including required infrastructure and workforce arrangements.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated in progressThe respondent said that this action was in progress when they made their response on 10 June 2025. View source See 23 more actions
× Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.
PFD Monitor interpretation Lack of understanding among non-stroke specialist clinicians about when and where thrombectomy services are available
Wider context from the report “(2) There is a lack of understanding from non-stroke specialist clinicians in Lancashire as to when and where thrombectomy services are available for patients in Lancashire
” Is this part of a recurring concern? No recurring-concern membership is currently published.
Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.
PFD Monitor interpretation Lack of regional mutual aid for thrombectomy
Wider context from the report “(3) There is no mutual aid regionally , even where thrombectomy is available, clinically appropriate, it is known lack the procedure is likely to result in death and it is anticipated resources are available to complete the procedure.
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.
PFD Monitor interpretation Lack of a clear plan to deliver a 24/7 thrombectomy service in Lancashire
Wider context from the report “(1) NHS England national service specifications provide for a 24/7 thrombectomy service which is not currently being delivered in Lancashire and there is no clear plan to deliver that service
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.
PFD Monitor interpretation Failure to deliver a 24/7 thrombectomy service in Lancashire
Wider context from the report “(1) NHS England national service specifications provide for a 24/7 thrombectomy service which is not currently being delivered in Lancashire and there is no clear plan to deliver that service
” Is this part of a recurring concern? No recurring-concern membership is currently published.
Open source report
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Reinforce thrombectomy availability communications and monitor clinician awareness through feedback, refreshing information as service arrangements change.
Verbatim wording from the response “The updated document was issued on 13th June 2025 and disseminated through formal communications channels, including via Chief Operating Officers in July 2025. The Trust will continue to reinforce the communication and monitor understanding and awareness through feedback mechanisms and will refresh communications as the service evolves.” Source location Response from Lancashire Teaching Hospitals
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Complete radiographer shift planning and consultation to support 24/7 thrombectomy provision.
Verbatim wording from the response “• Continued recruitment across Anaesthetics, Radiology, and Radiography;” Source location Response from Lancashire Teaching Hospitals
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Monitor progress against the 24/7 service and regional-aid plans through monthly executive review.
Verbatim wording from the response “Progress against these actions will be monitored on a monthly basis by the executive management team and an earlier start date will be considered if possible.” Source location Response from Lancashire Teaching Hospitals
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Convene a regional stakeholder meeting with Salford Royal Hospital and The Walton Centre to scope coordinated mutual aid.
Verbatim wording from the response “The Walton Centre also responded positively on 15th July 2025, and a regional meeting involving all three organisations has been scheduled by 22 August 2025 to progress a coordinated regional aid approach.” Source location Response from Lancashire Teaching Hospitals
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Conducted initial regional-aid discussions and assessed the impact of potential support on Salford Royal services.
Verbatim wording from the response “Salford Royal Hospital responded positively, and a meeting was held on 15th July 2025, with participation from the Northwest Medical Director for Commissioning. This was a constructive discussion that outlined the key requirements and challenges for regional aid.” Source location Response from Lancashire Teaching Hospitals
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Finalise and agree the 24/7 thrombectomy business case, including required infrastructure and workforce arrangements.
Verbatim wording from the response “• Finalisation of a business case to be agreed with NHSE to support the required infrastructure and workforce;” Source location Response from Lancashire Teaching Hospitals
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Negotiate and evaluate a sustainable 1-in-8 neurointerventional radiology rota and associated job plans for 24/7 service delivery.
Verbatim wording from the response “NIR engagement and Business Case Development” Source location Response from Lancashire Teaching Hospitals
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Establish regional mutual-aid arrangements by engaging neighbouring thrombectomy centres and progressing a coordinated support agreement.
Verbatim wording from the response “The Trust fully recognises the critical importance of regional aid to ensure timely access to thrombectomy for patients in Lancashire and South Cumbria, particularly during the overnight period (22:00–08:00) when local provision is not yet available.” Source location Response from Lancashire Teaching Hospitals
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Develop operational readiness for overnight theatre and recovery services.
Verbatim wording from the response “• Development of operational readiness for overnight theatre and recovery services.” Source location Response from Lancashire Teaching Hospitals
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Operate a seven-day mechanical thrombectomy service until 22:00, with the planned transition to full 24/7 provision by 28 February 2026.
Verbatim wording from the response “the service began operating into the evening delivering 7 days per week including Bank Holidays with cover until 22:00 with some occasional gaps due to workforce availability, supported by collaborative working across Anaesthetics, Theatres, and Radiology. From 13 June 2025 cover have been consistently achieved from 08.00-22.00 (referral cut off times are 20.00 for all sites with the exception of Harrogate at 19.30). This has been achieved by flexible use of existing staff rotas, interim arrangements with Anaesthetic and Theatre teams, and a shared commitment across departments to maximise available NIR clinical time.” Source location Response from Lancashire Teaching Hospitals
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Recruit additional Radiology and Anaesthetic staff required to support overnight thrombectomy provision.
Verbatim wording from the response “• Continued recruitment across Anaesthetics, Radiology, and Radiography;” Source location Response from Lancashire Teaching Hospitals
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Update and disseminate stakeholder communications explaining current thrombectomy service hours and referral availability.
Verbatim wording from the response “The Trust acknowledges this concern and has taken steps to improve awareness and clarity across the system. The stakeholder communications policy has been updated to reflect the current operational hours of the mechanical thrombectomy service. This update has been broadened to include non-stroke clinical teams across the region, ensuring that all relevant clinicians are informed of when and where thrombectomy is available.” Source location Response from Lancashire Teaching Hospitals
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Work with regional stakeholders and clinicians to explore and progress plans for overnight thrombectomy access across Lancashire and South Cumbria.
Verbatim wording from the response “These challenges are recognised by NHS England (“NHSE”) and are the subject of ongoing discussions. It is our understanding that the service provided from Royal Preston Hospital now covers 7 days per week, 8am – 10pm. The team here at Northern Care Alliance will continue to work with NHSE, Lancashire Teaching Hospitals and the Walton Centre to explore options to provide the Lancashire and South Cumbria catchment with access to this service overnight. A meeting between the Trust, NHSE and Lancashire Teaching Hospitals took place on 15 July 2025 to discuss this, where possible options for providing aid overnight were explored. Follow-up meetings will include representation from all NW thrombectomy providers to ensure all possibilities are thoroughly explored and aim to progress plans and clarify timelines. We will work with our clinicians to support this process.” Source location Response from Northern Care Alliance NHS Foundation Trust
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Issue commissioners an urgent recommendation to review North West thrombectomy provision and achieve fully operational 24/7 coverage.
Verbatim wording from the response “Following their visit to the CSCs at Royal Preston Hospital, Salford Royal and the Walton Centre in April 2025, ████████ and ████████ issued a letter in June 2025 to LTH, the Northern Care Alliance NHS Foundation Trust, and the Walton Centre NHS Foundation Trust. This outlined their recommendation that an urgent review of mechanical thrombectomy provision within the North West is undertaken by commissioners, and set out their expectation that a fully operational 24/7 service is achievable and the position set by October 2025.” Source location Response from NHS England
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Support an options appraisal of regional nighttime thrombectomy models to improve equal access across the North West.
Verbatim wording from the response “In order to ensure equal access for the population across the North West region, the North West’s Medical Director for Commissioning is supporting an options appraisal to consider the best model that supports outcomes for patients, whilst making the most effective use of resources. As set out above, the options currently being considered are for LTH to move to a 24/7 service or for the population of Lancashire & South Cumbria to have access to the service elsewhere in the region during nighttime hours (10pm to 8am).” Source location Response from NHS England
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Continue working with Lancashire Teaching Hospitals to sustain its seven-day thrombectomy service.
Verbatim wording from the response “Currently, 12 of the 24 CSCs across the 20 ISDNs have a 24/7 thrombectomy service in place. In the North West, NHS England’s Regional Specialised Commissioning Team have been focused on work with Lancashire Teaching Hospitals NHS Foundation Trust (LTH) on the sustainable delivery of a 7 day service. LTH had previously been delivering a 7 day service until April 2024 when, due to staffing issues, they regressed to a Monday to Friday service, moving back to 7 days in August 2024 on a six weekend in eight basis. The Regional Specialised Commissioning Team have, through dialogue and formal contractual levers, been following this up with LTH to improve this position and, as a result, the service has gradually expanded. From May 2025, the service has operated consistently on a 7 day basis (between the hours of 8am and 10pm) and NHS England continues to work with LTH in sustaining this service.” Source location Response from NHS England
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Visit comprehensive stroke centres and issue measurable recommendations to improve thrombectomy access, workforce capacity and inter-centre coordination.
Verbatim wording from the response “visits, led personally by my predecessor ████████ and our National Clinical Director for Stroke Medicine, ████████. During 2024, they visited every CSC in England to understand the local barriers and successes, support quality improvement, bring together the wider thrombectomy stakeholders to discuss collaborative opportunities and provide specific, jointly agreed, measurable actions for each centre. Each CSC was given a list of recommended actions in order to improve access to thrombectomy, focusing on pre-hospital video triage, ensuring timely diagnostic pathways, encouraging training for non-INRs and optimising all training opportunities generally to increase the workforce, developing repatriation policies to ensure that centres always have free beds, collaborating between units, and data accuracy. 12 CSCs have received second visits during 2025, to reflect on the uptake of actions.” Source location Response from NHS England
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Obtain regional assurance that the thrombectomy communication arrangements have been actioned through regional assurance meetings.
Verbatim wording from the response “LTH implemented a Standard Operating Procedure (SOP) for communication about the availability of thrombectomy services with stakeholders in September 2024, and this was a clinician-led communication.” Source location Response from NHS England
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Develop operational readiness for overnight theatre and recovery services supporting thrombectomy.
Verbatim wording from the response “• Development of operational readiness for overnight theatre and recovery services.” Source location 2025-0268 - Response from Lancashire Teaching Hospitals
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Complete recruitment and rota development for Anaesthetic, Radiology and Radiography staffing needed for overnight provision.
Verbatim wording from the response “• Continued recruitment across Anaesthetics, Radiology, and Radiography;” Source location 2025-0268 - Response from Lancashire Teaching Hospitals
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Evaluate and negotiate the proposed 1-in-8 NIR consultant rota and associated job plans for sustainable 24/7 coverage.
Verbatim wording from the response “A meeting held on the 27th June with national stakeholders, including the Chair of the United Kingdom Neuro-Interventional Group (UKNG), explored national models for 24/7 service delivery and shared sample rota structures. The NIR team were asked to provide feedback on preferred rota models and job plan implications, with a response received in the week commencing 21st July 2025.” Source location 2025-0268 - Response from Lancashire Teaching Hospitals
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Establish regional thrombectomy aid arrangements by contacting neighbouring providers, assessing options and convening a stakeholder meeting.
Verbatim wording from the response “Following receipt of the Regulation 28 notice, the Trust has escalated efforts to establish regional aid arrangements with neighbouring centres. Actions taken include Direct contact by the LTHTR Chief Operating Officer with Salford Royal Hospital, and CEO-to-CEO correspondence issued to both Salford Royal Hospital and The Walton Centre, formally requesting regional support.” Source location 2025-0268 - Response from Lancashire Teaching Hospitals
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Operate a seven-day mechanical thrombectomy service with coverage from 08:00 to 22:00, including bank holidays.
Verbatim wording from the response “the service began operating into the evening delivering 7 days per week including Bank Holidays with cover until 22:00 with some occasional gaps due to workforce availability, supported by collaborative working across Anaesthetics, Theatres, and Radiology. From 13 June 2025 cover have been consistently achieved from 08.00-22.00 (referral cut off times are 20.00 for all sites with the exception of barest at 19.30). This has been achieved by flexible use of existing staff rotas, interim arrangements with Anaesthetic and Theatre teams, and a shared commitment across departments to maximise available NIR clinical time.” Source location 2025-0268 - Response from Lancashire Teaching Hospitals
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Implement a fully operational 24/7 mechanical thrombectomy service at LTHTR by 28 February 2026.
Verbatim wording from the response “These actions form part of a clear and accountable plan to implement a fully operational 24/7 thrombectomy service by 28 February 2026, ensuring equitable access for all patients across Lancashire and South Cumbria. There is a commitment to starting this sooner if staff can be recruited to enable this.” Source location 2025-0268 - Response from Lancashire Teaching Hospitals
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Update and disseminate stakeholder communications explaining current mechanical thrombectomy service hours and referral availability.
Verbatim wording from the response “The Trust acknowledges this concern and has taken steps to improve awareness and clarity across the system. The stakeholder communications policy has been updated to reflect the current operational hours of the mechanical thrombectomy service. This update has been broadened to include non-stroke clinical teams across the region, ensuring that all relevant clinicians are informed of when and where thrombectomy is available.” Source location 2025-0268 - Response from Lancashire Teaching Hospitals
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Finalise the business case for 24/7 thrombectomy expansion, including required infrastructure and workforce arrangements.
Verbatim wording from the response “• Finalisation of a business case to be agreed with NHSE to support the required infrastructure and workforce;” Source location 2025-0268 - Response from Lancashire Teaching Hospitals
Open published response
×
Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation A 24/7 service cannot yet be implemented because NIR rota approval, recruitment, radiographer planning, and overnight theatre and recovery readiness remain incomplete.
Verbatim wording from the response “While progress has been made with evening and weekend expansion, a 24/7 service is not yet in place. The barriers are multi-factorial and include:” Source location Response from Lancashire Teaching Hospitals
Open published response
×
Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Regional mutual aid is not currently agreed because neighbouring services face fragility and logistical challenges across the North West.
Verbatim wording from the response “Outside of these hours, owing to the fragility of services and logistical challenges across the North West, there is currently no agreement to provide mutual aid from Manchester or Liverpool. There has been an initial meeting chaired by the Medical Director for North West specialised commissioning at NHS England and a further date has been agreed to discuss progressing this further on 22nd August 2025.” Source location Response from Lancashire Teaching Hospitals
Open published response
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Concerns about thrombectomy provision and clinician understanding in Lancashire fall outside the Trust’s commissioned Greater Manchester functions.
Verbatim wording from the response “The Northern Care Alliance NHS Foundation Trust (“the Trust”) is commissioned to provide mechanical thrombectomy services across Greater Manchester. The Trust is not in a position to respond to the first and second areas of concern.” Source location Response from Northern Care Alliance NHS Foundation Trust
Open published response
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Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Since 1 April 2024, Lancashire and South Cumbria ICB is responsible for commissioning regional stroke thrombectomy services, not NHS England.
Verbatim wording from the response “NHS England has liaised with Lancashire & South Cumbria Integrated Care Board (ICB) regarding your Report. Stroke thrombectomy services are now a delegated specialised service and, since 1 April 2024, Lancashire & South Cumbria ICB has been the responsible commissioner for the region rather than NHS England. Whilst NHS England was previously responsible for commissioning (funding) stroke thrombectomy services, the responsibility for providing this service rests with the Trusts in each region.” Source location Response from NHS England
Open published response
×
Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Responsibility for providing regional stroke thrombectomy services rests with the relevant provider Trusts, rather than NHS England.
Verbatim wording from the response “NHS England has liaised with Lancashire & South Cumbria Integrated Care Board (ICB) regarding your Report. Stroke thrombectomy services are now a delegated specialised service and, since 1 April 2024, Lancashire & South Cumbria ICB has been the responsible commissioner for the region rather than NHS England. Whilst NHS England was previously responsible for commissioning (funding) stroke thrombectomy services, the responsibility for providing this service rests with the Trusts in each region.” Source location Response from NHS England
Open published response
×
Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation A 24/7 thrombectomy service cannot yet be implemented because the NIR rota, recruitment, staffing and overnight operational arrangements remain incomplete.
Verbatim wording from the response “While progress has been made with evening and weekend expansion, a 24/7 service is not yet in place. The barriers are multi-factorial and include:” Source location 2025-0268 - Response from Lancashire Teaching Hospitals
Open published response
Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised. 8 1 Record the absence of 24/7 thrombectomy provision on the Trust Risk Register and maintain executive risk oversight.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated completedThe respondent said that this action was complete when they made their response on 10 June 2025. View source 2 Develop and operate a cross-organisational reporting system for out-of-hours thrombectomy cases, including specialist harm review and committee reporting.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated completedThe respondent said that this action was complete when they made their response on 10 June 2025. View source 3 Work with NHS England and clinical leaders to improve the resilience of thrombectomy equipment infrastructure.
Stated by Northern Care Alliance NHS Foundation Trust Stated in progressThe respondent said that this action was in progress when they made their response on 10 June 2025. View source 4 Work with NHS England and clinical leaders to expand thrombectomy service capacity.
Stated by Northern Care Alliance NHS Foundation Trust Stated in progressThe respondent said that this action was in progress when they made their response on 10 June 2025. View source 5 Deliver the thrombectomy credentialing programme, including funded training for non-interventional neuroradiologists.
Stated by NHS England Stated in progressThe respondent said that this action was in progress when they made their response on 10 June 2025. View source 6 Discuss Prevention of Future Deaths reports through the Regulation 28 Working Group and share relevant learning across national and regional NHS services.
Stated by NHS England Stated completedThe respondent said that this action was complete when they made their response on 10 June 2025. View source 7 Record the absence of 24/7 thrombectomy provision on the Trust Risk Register and subject it to regular executive risk oversight.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated completedThe respondent said that this action was complete when they made their response on 10 June 2025. View source 8 Operate a cross-organisation reporting and specialist review system for out-of-hours thrombectomy cases to assess harm and report to Trust committees.
Stated by Lancashire Teaching Hospitals NHS Foundation Trust Stated completedThe respondent said that this action was complete when they made their response on 10 June 2025. View source
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Record the absence of 24/7 thrombectomy provision on the Trust Risk Register and maintain executive risk oversight.
Verbatim wording from the response “The absence of a 24/7 thrombectomy service is formally recorded on the Trust Risk Register and is subject to regular review and oversight by the Trust Risk Management Group which is chaired by the Trust Chief Executive Officer.” Source location Response from Lancashire Teaching Hospitals
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Develop and operate a cross-organisational reporting system for out-of-hours thrombectomy cases, including specialist harm review and committee reporting.
Verbatim wording from the response “LTHTR has worked with Governance Teams and Medical Examiners from neighbouring trusts to develop a robust reporting system to ensure that all cases which would have been referred to LTHTR for consideration of thrombectomy out of hours if the service was available, are entered onto incident management systems and communicated across organisations. This allows such cases to be subject to a specialist LTHTR panel review supported by stroke specialists and NIRs to establish the level of harm for each patient and allows for monitoring and reporting to relevant Trust committees.” Source location Response from Lancashire Teaching Hospitals
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Work with NHS England and clinical leaders to improve the resilience of thrombectomy equipment infrastructure.
Verbatim wording from the response “Our thrombectomy service is based at Salford Royal Hospital and is an integral part of stroke services for the population of Greater Manchester. It has developed over many years to ensure quality and resilience; and is the largest service in the country outside London. We are working closely with Professor Stephen Powis (National Medical Director of NHSE England) and Dr David Hargroves (National Clinical Director for Stroke) to further expand capacity and to improve the resilience of equipment infrastructure.” Source location Response from Northern Care Alliance NHS Foundation Trust
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PFD Monitor interpretation Work with NHS England and clinical leaders to expand thrombectomy service capacity.
Verbatim wording from the response “Our thrombectomy service is based at Salford Royal Hospital and is an integral part of stroke services for the population of Greater Manchester. It has developed over many years to ensure quality and resilience; and is the largest service in the country outside London. We are working closely with Professor Stephen Powis (National Medical Director of NHSE England) and Dr David Hargroves (National Clinical Director for Stroke) to further expand capacity and to improve the resilience of equipment infrastructure.” Source location Response from Northern Care Alliance NHS Foundation Trust
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PFD Monitor interpretation Deliver the thrombectomy credentialing programme, including funded training for non-interventional neuroradiologists.
Verbatim wording from the response “Since January 2021, the national stroke programme has been engaging with the General Medical Council (GMC) and Royal College of Radiologists to support the development of a thrombectomy credentialing programme, including enabling non-INRs, such as Neurosurgeons, Stroke Physicians and Cardiologists, to be trained and supported to perform thrombectomy and address the workforce gap. The GMC credential was published in June 2023. A substantial amount of revenue funding has since been made available to deliver the credentialing programme and the first cohort of trainees have already been enrolled and started the credential. The trainees are completing the credential alongside their full-time NHS employment in their main speciality, but it is hoped that some will be signed off within the next year.” Source location Response from NHS England
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PFD Monitor interpretation Discuss Prevention of Future Deaths reports through the Regulation 28 Working Group and share relevant learning across national and regional NHS services.
Verbatim wording from the response “I would also like to provide further assurances on the national NHS England work taking place around the Reports to Prevent Future Deaths. All reports received are discussed by the Regulation 28 Working Group, comprising Regional Medical Directors, and other clinical and quality colleagues from across the regions. This ensures that key learnings and insights around events, such as the sad death of Michelle, are shared across the NHS at both a national and regional level and helps us to pay close attention to any emerging trends that may require further review and action.” Source location Response from NHS England
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PFD Monitor interpretation Record the absence of 24/7 thrombectomy provision on the Trust Risk Register and subject it to regular executive risk oversight.
Verbatim wording from the response “The absence of a 24/7 thrombectomy service is formally recorded on the Trust Risk Register and is subject to regular review and oversight by the Trust Risk Management Group which is chaired by the Trust Chief Executive Officer.” Source location 2025-0268 - Response from Lancashire Teaching Hospitals
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PFD Monitor interpretation Operate a cross-organisation reporting and specialist review system for out-of-hours thrombectomy cases to assess harm and report to Trust committees.
Verbatim wording from the response “LTHTR has worked with Governance Teams and Medical Examiners from neighbouring trusts to develop a robust reporting system to ensure that all cases which would have been referred to LTHTR for consideration of thrombectomy out of hours if the service was available, are entered onto incident management systems and communicated across organisations. This allows such cases to be subject to a specialist LTHTR panel review supported by stroke specialists and NIRs to establish the level of harm for each patient and allows for monitoring and reporting to relevant Trust committees.” Source location 2025-0268 - Response from Lancashire Teaching Hospitals
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