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amber - ambulance research repository
Practitioner, patient and public views on
the acceptability of Mobile Stroke Units in
England and Wales: a mixed methods study
Authors Moseley, L.;McMeekin, P.;Price, C.;Shaw, L.;Allen, M.;Ford,
G.A.;James, M.;Laws, A.;McCarthy, S.;McClelland, Graham;Park,
L.J.;Pearn, K.;Phillips, D.;White, P.;Wilson, D.;Scott, J.
Citation Moseley, L. et al, 2024. Practitioner, patient and public
views on the acceptability of Mobile Stroke Units in England
and Wales: a mixed methods study [Poster presentation].
999 EMS Research Forum Annual Conference 2024. http://
hdl.handle.net/20.500.12417/1876
Download date 2026-01-23 23:34:50
Link to Item http://hdl.handle.net/20.500.12417/1876
Repository Link https://amber.openrepository.com
Practitioner, patient and public views on the acceptability of Mobile Stroke Units in England and 
Wales: a mixed methods study 
Moseley, L.1, McMeekin, P.1, Price, C.2, Shaw, L.2, Allen, M.3, Ford, G.A.4, James, M.3, Laws, A.3, McCarthy, S.1, McClelland, G.1, Park, L. J.1, Pearn, K.3, Phillips, D.5, 
White, P.2, Wilson, D.6, Scott, J.1 
1Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK; 2Stroke Research Group, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK ; 3University of Exeter Medical School, Exeter, UK and NIHR South West Peninsula 
Applied Research Collaboration (ARC), Plymouth, UK; 4Oxford University Hospitals NS Foundation Trust, and Division of Medical Sciences, University of Oxford, Oxford, UK; 5East of England Ambulance Service NHS Foundation Trust, UK; 6Stroke Survivor User Voice Group, UK 
 
Introduction 
Mobile stoke units (MSUs), specialist 
ambulance with scanning capabilities, 
point of care testing and the ability to 
give treatment outside of hospital, are 
growing in popularity. There have been 
numerous trials that have shown that 
MSUs can speed up access to treatment. 
This includes thrombolysis (a clot 
busting medication) and in recognising a 
large vessel occlusion, which can benefit 
from mechanical removal 
(thrombectomy).  
Despite the growing evidence for MSUs 
there has been little research about the 
acceptability of them amongst relevant 
stakeholders. Acceptability is an 
important aspect of any new potential 
intervention without which it can fail 
despite evidence of benefits. 
 
Methods 
A concurrent mixed methods study 
design consisting of a  
quantitative cross-sectional survey and 
qualitative workshop,  
focus group and semi-structured 
interviews. Survey participants were 
recruited opportunistically from a  
clinician stroke event. Qualitative 
participants were recruited  
using a combination of purposive, 
opportunistic and snowball sampling.  
Survey data was descriptively analysed 
and qualitative data was thematically 
analysed. Data was then triangulated 
using a convergent coding matrix. 
Results 
 
          
Discussion 
This is the first study to consider 
acceptability of MSUs in the NHS in 
England and Wales. While participants 
had an overall positive perception of 
MSUs a number of concerns about 
implementation were raised. These 
concerns are similar to the only other 
previous work, conducted in Australia, to 
consider stakeholder views on MSUs. It is 
recommended that future modelling 
work into implementation of MSUs in the 
NHS consider how these concerns are 
addressed. Further modelling work 
should also focus on the potential 
economic benefits and disadvantages 
given the potentially high costs of MSUs. 
 
Limitations 
Consideration of responder bias to the 
survey was considered as this was a 
voluntary and anonymous survey. There 
was also a high representation of 
participants from the North East of 
England. 
Sampling of qualitative participants may 
have introduced some bias due to them 
already having an interest, although some 
scepticism that was expressed would 
suggest this was minimal. 
Acknowledgements 
We would like to thank all participants for 
their contribution. We would also like to 
thank to Stroke Association for their 
support with recruitment of PPI 
participants.  
The study was supported by a grant to model the resource 
requirements for implementation of mobile stroke units across 
the English and Welsh National Health Service, their 
effectiveness, cost-
effectiveness, and their impact 
upon equity of access to 
emergency stroke care 
(MUSTER), funded by the 
National Institute for Health 
and Care Research, Health and 
Social Care Delivery Research 
(HSDR) Programme 
(NIHR153982).  
Participants 
• 25 Survey participants including stroke 
consultants, junior doctors, stroke nurses 
and other medical professionals. 
• 21 qualitative participants including PPI 
representatives, stroke consultants and 
ambulance service staff. 
 
Please scan the QR 
code for access to 
the pre-print article 


Practitioner, patient and public views on the acceptability of Mobile Stroke Units in England and  Wales: a mixed methods study

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