Professor Rudd was the national stroke director from 2013 until last year. Before that he oversaw a major overhaul of stroke services in London, where he was regional clinical lead, and a long-serving consultant at Guy’s and St Thomas’ hospitals.
He shares hard-hitting reflections and suggestions from his time at the centre of service reform in an interview with HSJ editor Dave West.
Professor Rudd’s messages include:
- The link between hospitals and care services has been getting worse not better — it’s time to deliver integration;
- The NHS has failed to shift spending — and research — away from acute care;
- Community hospitals should be closed to invest elsewhere;
- Businesses would fail if they copied the NHS’s inadequate support for quality improvement and clinical data; and
- The NHS has too much local freedom and decision making.
Professor Rudd remains a professor of stroke medicine at King’s College London. He has overseen development of stroke clinical guidelines, and the national stroke audit, for several decades.