Professor David Beverland is the head of the Primary Joint Unit at Musgrave Park Hospital in Belfast. (1-5) Feedback from patients and carers about Musgrave Park Hospital / Orthopaedics This is Care Opinion [siteRegion]. - 16:00, 18:00 angel academy current affairs pdfSunday February 19, 2023 by . Prof Mark Taylor from the Royal College of Surgeons also described the announcement as "another step in the right direction". What languages does Mr Gerry Kelly speak? He has also spent time at the Brisbane Orthopaedic & Sports Medicine Centre, and the Australian Institute of Musculoskeletal Surgery in Australia. The BBC understands, for the first time ever, some trainee orthopaedic surgeons, who were due to qualify this summer, may be unable to complete their training programme. "Now more than ever we need to get trainees trained to a high standard to get them out as fully trained accredited consultants so that they can start treating more patients," he added. Undergraduate at Queens University Belfast with distinctions; Postgraduate MD at Queens University Belfast in Gait Analysis and Botulinum Toxin in cerebral palsy patients; Specialist Orthopaedic and Trauma training Northern Ireland; Overseas Fellowship in Spinal Surgery Brisbane, Australia 2000; Consultant Orthopaedic Spinal Surgeon Royal Victoria Hospital and Musgrave Park Hospital 2001; Examiner to Intercollegiate Specialists Board; Publications in Orthopaedic and Spinal surgery. Special interest, Knee Surgery. Consultant Orthopaedic Spinal Surgeon. Hello, I'm Mr Alistair Wilson. Linked Robin Swann announced a new recovery board to push forward with the rebuilding of these services. The Belfast Trust employs 22,000 staff. BT9 7JB, Trauma & Orthopaedics Kudos Personal Showcase for Mr Luke Ogonda at Musgrave Park Hospital , United Kingdom. Video, Russian minister laughed at for Ukraine war claims, elective surgery hubs were to be established to ensure planned operations would continue through the winter, US-made cheese can be called 'gruyere' - court, AOC under investigation for Met Gala dress, Saving Private Ryan actor Tom Sizemore dies at 61, The children left behind in Cuba's exodus, Walkie Talkie architect Rafael Violy dies aged 78, Alex Murdaugh's legal troubles are far from over, Mother who killed her five children euthanised. Mr Gerry Kelly primarily practices at Kingsbridge Private Hospital Belfast, located at 801-815 Lisburn Road, Belfast, United Kingdom, BT9 7GXSee more locations. We have had enquiries from patients He has several major research and work interests: audit and information, which resulted in the creation and development of the Belfast Orthopaedic Information System; outcomes monitoring, component placement in total hip arthroplasty, for example the use of the transverse acetabular ligament; arthroplasty complications and improving patient satisfaction following total knee arthroplasty. Use feedback from your patients to improve your care. "The college has been calling for surgical hubs across Northern Ireland, which separate planned surgery and emergency care, since the pandemic began," he explained. Download the . Member of the Royal College of Surgeons Edinburgh. Special interests include: Knee surgery and sports knee injuries, arthroscopic knee surgery, meniscal trimming and repair, ACL and multi-ligament reconstruction, total and partial knee replacement and revision, high tibial osteotomy, patellar realignment surgery, adolescent knee problems and primary total hip replacement. My qualifications "In Northern Ireland the problem is elective orthopaedic care pathways are being used as a resource to fund other parts of the health system. Dr. Johnston graduated Queen's University Belfast . The Regional Centre for Orthopaedic Surgery is based at Musgrave Park Hospital. He successfully completed the FRCS (Trauma & Orthopaedics) examination in 2005. Elective orthopaedics has the longest and largest waiting lists in Northern Ireland, By Marie-Louise Connolly & Catherine Smyth, Musgrave Park Hospital in Belfast has been set a new target by the health minister, Orthopaedic surgeon Gavan McAlinden "welcomed" the move by the health minister, Robin Swann has also set out a programme to reform stroke services, Russian minister laughed at for Ukraine war claims. The letter says the "inability to provide training could severely compromise" the emergency orthopaedic trauma service in NI. . Clinical Director - Orthopaedic Surgery Belfast Health and Social Care Trust . Letters have also been sent by the training programme director and orthopaedic consultants raising similar concerns. Eugene J Verzin, S.H.O. Robin Swann announced a new recovery board to push forward with the rebuilding of these services. He practices privately at Kingsbridge Private Hospital Belfast. Can Nigeria's election result be overturned? (1-5), Revision of anterior cruciate ligament reconstruction including autograft/allograft This review is also being used in the NHS in Great Britain. (5-50) Mr Gary Colleary, MB BCh BAO, PhD, FRCS (Tr & Orth) is a Consultant Orthopaedic and Trauma Surgeon at The Royal Victoria Hospital and Musgrave Park Hospital. Her interests include the assessment of the mental health of older adults and the assessment of memory disorders. To the point. Honorary lecturer at Queen's University of Belfast. Orthopaedic and Trauma Surgery; Nearest Orthopaedic and trauma surgeons . He has significant experience with treatment techniques for both early and advanced knee arthritis, including partial knee replacement and total knee replacement. To the point. ", Street fighting in Bakhmut but Russia not in control, Russian minister laughed at for Ukraine war claims. Since his appointment he has consistently been a high volume primary joint surgeon and in 1993 set up a unit to record Outcome following primary hip and knee replacement. Consultant Orthopaedic Surgeon, Musgrave Park Hospital and Royal Victora Hospital since 2006. Ulster Medical Society. Mr. Cosgrove offers a full range of paediatric . When Mr King completed the first hip, he turned the lady over and operated on her other side, which is rarely done these days. Contribute to chinapedia/wikipedia.en development by creating an account on GitHub. Trainee orthopaedic surgeons have written a letter to the Health Minister Robin Swann expressing concern about a significant reduction in elective surgery in Northern Ireland. "It is a major operation that we have learnt to do very well," he said. Ms Beavis said patients and staff got to know each other well as there were 32 patients in each hut, and the secretaries worked in side wards. Could any of you tell me how long you waited to see consultant/surgeon at Musgrave Park and then how long after this surgery followed? Qualifications: About Us. The Clinic offers access to outpatient consultations, modern technology and advanced Surgical procedures in a personal professional! In 2018 he was awarded Fellowship of the Royal College of Surgeons Edinburgh (Trauma & Orthopaedics). "If you're 80 years of age now and going on some of our waiting lists for a hip replacement, there is the potential that you may not survive long enough to get that hip replacement on the NHS and I think that is a shocking indictment of the system of which I am a part.". He added while it had gradually built up again this had not happened in Northern Ireland. He is clinical lead of Carrickfergus Community Mental Health Team. Mr Swann said he welcomed the GIRFT review and hoped it will "help turn the page on a difficult and frustrating chapter for orthopaedic surgery". Explanation was very good and easily understood. Unresolved: Release in which this issue/RFE will be addressed. "I can't overstate how big the step is, that the minister has the support for the ring fencing of staff, ring fencing of beds and ring fencing of the likes of orthopaedic surgery". 1 views . GitHub export from English Wikipedia. Consultant Psychiatrist in Craigavon Area Hospital since 1998. He had two fellowships, the Sir John Charnley Hip Revision Fellowship (Wrightington, England) in 1988 and the Orthopaedic Trauma Fellowship with special interest in pelvic and acetabular surgery (Sunnybrook Hospital, Toronto, Canada) in 1989. Mr Gregory McLorinan (12) 1.1 miles. VideoRussian minister laughed at for Ukraine war claims, The children left behind in Cuba's mass exodus, Xi Jinping's power grab - and why it matters, Snow, Fire and Lights: Photos of the Week. In addition he has completed an honours degree in Anatomical Sciences and a Diploma in Medical education. (1-5), Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral - (5-50), Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral - (1-5), Ulster Independent Clinic secondment in Boston MA, USA 1996. Write by: He currently provides an adult and paediatric limb reconstruction practice at Musgrave Park and the Royal Victoria Hospital, alongside an additional foot and ankle surgery practice. "Everyone was in Nissen huts, the operating theatre was in a solid building but the patients all lay in the huts, some for several months," she recalled. In, My qualifications in line with Department of Health, GMC and appropriate professional bodies In the first year, a dozen operations were carried out. Graham Finlayson, from the British Orthopaedic Trainees Association, told a Royal College of Surgeons Ireland webinar that elective orthopaedic surgery has been "decimated" in Northern Ireland. Musgrave Park Hospital, where he performs a large number of elective soft tissue knee & ligament reconstructive surgery operations, as well as numerous knee and hip replacements . Postgraduate MD Queen's University of Belfast in Quality Assessment and Improvement in Mental Health Services. University of Dundee Medical School, 2005, University of Dundee Medical School, 2000, The Royal College of Surgeons, Edinburgh, 2009, The Royal College of Surgeons, Edinburgh, 2015, OTHER SPECIALISTS IN THIS FIELD ThAT we HOLD REVIEWS FOR, 801-815 Lisburn Road, Belfast, United Kingdom, BT9 7GX, .muiltr-114zrec{text-transform:none;text-decoration:none;font-weight:inherit;color:inherit;}Kingsbridge Private Hospital Belfast, Samuel Sloan is not actively collecting reviews right now. Opening Hours. Roger graduated in medicine from Queens University Belfast, and underwent his specialist orthopaedic training in Northern Ireland. . Can Nigeria's election result be overturned? Article Annals of The Royal College of Surgeons of England, January 2008, Royal College of Surgeons of England. What's the least amount of exercise we can get away with? His NHS practice is based at 2 Belfast hospitals. I should get home later this afternoon - not bad three days after getting a new hip - it's moving away in there very nicely. Sitting alongside his former colleague in the hospital this week, Dr Alexander said it was an exciting time. He specialises in treating all aspects of the spine for spinal conditions in both adult and paediatric (children). (1-5) Department of Trauma and Orthopaedic Surgery, Institute of Medical Research, Queen's University Belfast, Musgrave Park Hospital, Belfast BT9 7JB, United Kingdom Received 16 February 2005; accepted 17 June 2005 Published online 7 October 2005 in Wiley InterScience (www.interscience.wiley.com). His interests include assessment and treatment of depression, anxiety disorders, bipolar disorder, schizophrenia and other psychoses and post-traumatic stress disorder. The information contained on Finder is submitted by consultants, therapists and healthcare services, and is declared by these third parties to be correct and compliant with the standards and codes of conduct specified by their relevant regulatory body. This was an observational fellowship which allowed me to see how a busy UK lower limb arthroplasty . He then went on to successfully complete the world-renowned Liverpool Foot & Ankle surgery fellowship under the guidance of respected professionals Mr Andy Molloy and Prof. Lyndon Mason. & training, My private Consultant Psychiatrist in Craigavon Area Hospital since 1998. During his training he undertook an 18- month fellowship in hip and knee replacement surgery in Musgrave Park Hospital, Belfast under the care of Prof. D Beverland and at this time completed a postgraduate research degree from QUB in 2009. Mr. Andrew Johnston is a Full-time Consultant Orthopaedic Surgeon in the Royal Victoria Hospital and Musgrave Park Hospital. He is a member of the Royal College of Psychiatrists and the Medical Protection Society. "To manage exceptionally high staff absence Belfast Trust may again need to redeploy qualified staff who are currently working in other roles and ask that they to go back into critical community services or on to certain wards," it added. & training, My private At conservative gathering, Trump is still the favourite. The new Duke of Connaught Unit, located within Belfast Trust's Musgrave Park Hospital, will provide a new streamlined day case pathway for the treatment of orthopaedic patients. Before the pandemic about 70% of Northern Ireland's elective orthopaedic activity took place at Musgrave Park Hospital in the Belfast Health Trust. Dr David Swain, a consultant orthopaedic surgeon and professional advisor at the Royal College of Surgeons said there was an urgent need to "ramp up" orthopaedic activity. He has vast experience working with both adults and children, and is widely recognised for his expertise in complex deformity correction and fracture surgery. "Although these patients may not be urgent, as in need to be operated on day one, this is really important treatment that makes a massive difference to patients.". What's the least amount of exercise we can get away with? "I can't overstate how big the step is, that the minister has the support for the ring fencing of staff, ring fencing of beds and ring fencing of the likes of orthopaedic surgery". Very clear about all risks and the treatment and surgery required. When this type of issue is aired in public, many individuals, including patients, become concerned. After training on the Belfast surgical rotation I was awarded Fellowship of the Royal College of Surgeons of Edinburgh (FRCS Ed) in 1994. Ulster Hospital Dundonald. Official information from NHS about Musgrove Park Hospital including contact details, directions, . He specialises in treating all aspects of the spine for spinal conditions in both adult and paediatric (childr. Article Journal of Pediatric Orthopaedics B, September 2004, Wolters Kluwer Health. This shows 90-day mortality following knee surgery for this hospital, based on the type of patients this hospital has seen. And overall I feel good knowing Im in this doctors care, Mr Kelly, took the time to listen and gave me the answers I needed. GMC: 6075104. in line with Department of Health, GMC and appropriate professional bodies The action plan includes timescales for improvements in areas like a seven day assessment service for Transient Ischemic Attacks (known as mini-strokes), a 24/7 Thrombectomy service, the rollout of early supported discharge to all trusts and the development of community-based services for stroke survivors. Dr Tareen, as a private psychiatrist with a special interest in Adult ADHD, offers private ADHD assessments at Musgrave House. Decision making on the consultation was delayed by the pandemic. Mr Sloan has undertaken two fellowships in Spinal Surgery, the first being in Belfast in 2016/17. A spokesperson for the Department of Health said it is "continuing to explore how to increase training opportunities and access to elective activity so as to mitigate the negative impacts of pandemic response to trainees' progression". 2 miles. Bupa cannot guarantee the accuracy of all of the information provided. Companies associated with this officer had at least 832,224 shareholder value in . The GIRFT report said that "given the significant lack of progress in restarting orthopaedic elective surgery in Belfast, Belfast Trust should immediately and prior to any change in the oversight arrangements of Musgrave Park, ringfence the existing staff and beds at Musgrave Park and make a significant restart to orthopaedic elective surgery". All rights reserved. Royal Victoria Hospital & Musgrave Park Hospital Mar 2013 - Present 10 years 1 month. British Orthopaedic Oncology Society In 2003, during his training, he commenced a 1-year Knee and Hip arthroplasty Fellowship with Professor David Beverland, and was awarded an MPhil from Queens University Belfast for his thesis on Total knee replacement. Kingsbridge Private Hospital 811-815 Lisburn 17:00 ", Street fighting in Bakhmut but Russia not in control, Russian minister laughed at for Ukraine war claims. Graduated from Queen's University Belfast in 1980. Ulster Independent Clinic secondment in Boston MA, USA 1996. In 1985 he completed his MD thesis which investigated the . Click an image to enlarge and read a description, Ulster Rugby Medical committee - Match Doctor He explained the problem and the solution very clearly. Ensure patients are able to find accurate information about you online. Meanwhile, the health minister also published an action plan setting out a programme of reform for stroke services. - 19:30, 13:00 Read about our approach to external linking. The positioning of the acetabular component during primary total hip arthroplasty (THA) remains a challenge for the orthopaedic surgeon. There are nine operating theatres and seven orthopaedic wards. Stockmans Lane,Belfast BT9 7JB Click for Map. Search Google Scholar for this author, Simon A Henderson, M.D. - (1-5). Photoelastic techniques have been used for some time to model the stresses in bones and orthopaedic implants. What's the least amount of exercise we can get away with? Rebuilding priorities includes increasing the use of theatres and treatment sessions. Enable patients to see the quality of care you provide. He also announced elective orthopaedic hubs at three health trusts. Kingsbridge Private Hospital Belfast. Orthopaedic surgeon Gavan McAlinden "welcomed" the move by the health minister believing the target set will be a "benefit to patients". - 21:30. Read about our approach to external linking. Background: Treatment for developmental dysplasia of the hip (DDH) varies according to the age of the patient. Mr S A Henderson, Consultant Orthopaedic Surgeon, Musgrave Park Hospital, Belfast, Northern Ireland, Phone: + 44 1232 666291, Fax: + 44 1232 663222, [email protected] PMID: 11128021 Authors. . (1-5). Orthopaedic surgeon Gavan McAlinden "welcomed" the move by the health minister believing the target set will be a "benefit to patients". His right hand man was local trainee surgeon John Halliday. Mr Samuel Sloan is a Consultant Trauma & Orthopaedic Surgeon subspecialising in Spinal Surgery, based at the Royal Victoria, Royal Belfast Hospital for Sick Children & Musgrave Park Hospital. Mr Colm Donaghy (Belfast Health and Social Care Trust): I welcome the opportunity to speak to the Committee and to reassure members and the public that the Belfast Trust does not have an issue with X-rays. There were four secretaries who worked for the orthopaedic surgeons across Northern Ireland. He frequently publishes and presents his findings nationally and internationally. He specialises in treating all aspects of the spine for spinal conditions in both adult and paediatric (childr. BT9 7JA, GMC specialist registration It follows the public consultation undertaken by the department in 2019, which received more than 19,500 responses. Elective orthopaedics has the longest and largest waiting lists in Northern Ireland with 25,526 people waiting for treatment by 31 March 2022. (5-50), Total prosthetic replacement of knee joint, +/- cement, +/- patella "It was a Sunday morning when we were all asked to make a point of coming into the hospital, which was unusual back then, and I was in charge of anaesthetising the patient," he said. Clinic Times: *Clinic Times*. I graduated from Queens University Belfast in 1990 . Stockmans Lane This will free up capacity for the treatment of more complex cases requiring major orthopaedic surgery at the main Musgrave Park Hospital theatre. A surgical trainee, who acts as a representative for his colleagues, has said elective orthopaedic activity in the Belfast Health Trust averaged 5% of pre-Covid levels in the last three months of 2021. Print This Page He successfully completed the Northern Ireland Orthopaedic Higher Surgical Training programme and went on to achieve a higher degree in Trauma & Orthopaedic surgery through the University of Edinburgh. Mr Halliday, who was Musgrave's senior trainee at the time, spoke to the BBC about a day he remembers well - describing it as momentous for Northern Ireland's health service. Errors lead to instability, 1 leg-length inequality, 2 excessive wear and osteolysis 3,4 and occasional dissociation of the liner. Fellowships in Musgrave Park Hospital and In the Avon Orthopaedic Centre in Bristol. belfast, northern ireland Advanced Arthroscopic Shoulder & Elbow Surgery Revision Shoulder & Elbow Arthroplasty Endoprosthetic Surgery . - (1-5), Ulster Independent Clinic Michael McMullan specialises in Orthopaedic Surgery. Such applications of photoelasticity have not been used widely, so their uses and advan. Graduated from Queen's University of Belfast 1985. Secretary Tel: *Secretary Tel*. Consultant Orthopaedic Surgeon, Craigavon Area Hospital since 2018. He regularly teaches on a wide range of knee topics in the UK and Ireland. Son Gncelleme : 26 ubat 2023 - 6:36. It says without it they may be unable to move to a consultant position. - (>50), Kingsbridge Private Hospital . This person was born in July 1965, which was over 57 years ago. However, every aspect of screening an . Mater Hospital. Belfast 02895212293. Prof Mark Taylor from the Royal College of Surgeons also described the announcement as "another step in the right direction". These will include ring-fenced staff and beds. The Royal Victoria Hospital where he runs a Hot knee clinic and treats complex emergency knee trauma referred from all over Northern Ireland. HOSPITALS IN WHICH THE SURGEON HAS ACTIVITY RECORDED IN NJR. His empathy combined with the latest techniques in orthopaedic surgery for the knee has already helped treat National and International athletes from a variety of sports. Fifty years ago this week, Northern Ireland's first hip replacement was performed at Musgrave Park Hospital in Belfast. The setting up of the orthopaedic surgery recovery board follows an external clinically-led review into orthopaedic services in Northern Ireland called a Getting It Right First Time (GIRFT) review. He is Lead Clinician in the Regional Plastic Surgery Unit based at The Ulster Hospital and is part of the Multi-Disciplinary Breast Cancer Team. BELFAST Honorary lecturer at Queen's University of Belfast. heart surgery, dementia, S3 8EN . 418 thejournal ofbone and joint surgery dislocation of total hip replacements acomparative study of standard, long posterior wall and augmented acetabular components richard m. nicholas, john f.orr, raymond a.b.mollan, james w . Terms & Conditions including Cookie Policy It has responsibility for services to over 340,000 patients, provided at various hospitals . About. . The Ulster Independent Clinic 245 Stranmillis 14:00 Head of School, Psychiatry, Northern Ireland Medical and Dental Training Agency. Private Secretary: Shirley Mulhall 02892 668580. Why Alex Murdaugh was spared the death penalty, Why Trudeau is facing calls for a public inquiry, The shocking legacy of the Dutch 'Hunger Winter'. Consultant Orthopaedic Surgeon & Knee specialist The health minister has set a four-month target for orthopaedic surgery at Belfast's Musgrave Park Hospital to be restored to pre-pandemic levels. Belfast, Northern Ireland See all articles by this author. "There is an enormous risk of delays to training progression, but the worst case scenario is that if this doesn't improve the training scheme is not sustainable," he said. That number has risen to more than 1,200 a year. The Orthopaedic Integrated Clinical Assessment and Treatment Service (ICATS): Belfast 54.609149985299, -5.9367799786556 Belfast Health and Social Care Trust - Carlisle Wellbeing and Treatment Centre Musgrave Park Hospital. Ulster Independent Clinic - 17:00. He obtained his medical degree from Queen's University Belfast in 1999 and became a member of the Royal College of Surgeons in Ireland in 2003 and a fellow of trauma and orthopaedics in 2010. Mr Swann said he welcomed the GIRFT review and hoped it will "help turn the page on a difficult and frustrating chapter for orthopaedic surgery". Elective orthopaedics has the longest and largest waiting lists in Northern Ireland with 25,526 people waiting for treatment by 31 March 2022. "They're not getting the number of cases they need to see and be part of to get to the levels where they can qualify at the end.". Roger continues to have an active interest in research & education. Irish Orthopaedic Association The President of the British Orthopaedic Association Professor John Skinner said elective surgery "essentially stopped" throughout the UK at the start of the pandemic. SURGEONS WITH ACTIVITY RECORDED IN NJR. British Association of Surgery of the Knee The action plan includes timescales for improvements in areas like a seven day assessment service for Transient Ischemic Attacks (known as mini-strokes), a 24/7 Thrombectomy service, the rollout of early supported discharge to all trusts and the development of community-based services for stroke survivors. ) Awaiting Roger successfully combined his medical training with a first class rugby career, playing for Ulster 20 times in the 90s, Ireland 7s (Hong Kong -1995), 5 Ireland A caps, and a member of the Ireland squad that toured Australia in 1994. Mr Gerry Kelly generally accepts new patients. Tel: 028 9090 2000. Read about our approach to external linking. Multiple arthroscopic operation on knee (including meniscectomy, chondroplasty, drilling or microfracture) He has been practicing psychiatry locally and internationally since 1995. VideoRussian minister laughed at for Ukraine war claims, The children left behind in Cuba's mass exodus, Xi Jinping's power grab - and why it matters, Snow, Fire and Lights: Photos of the Week. The information contained on Finder is submitted by consultants, therapists and healthcare services, and is declared by these third parties to be correct and compliant with the standards and codes of conduct specified by their relevant regulatory body. comparison of tranexamic acid and topical fibrin spray on blood loss following total knee arthroplasty - a randomised controlled trial The Belfast Health and Social Care Trust (BHSCT) is a health organisation covering Belfast, Northern Ireland.The trust is one of five new trusts which were created on 1 April 2007 by the then Department of Health, Social Services and Public Safety (DHSSPS). Video, Russian minister laughed at for Ukraine war claims, Health service cannot stand still, says Swann, Swann warns over funding despite waiting lists move, Life on a hospital list 'makes you feel forgotten', US-made cheese can be called 'gruyere' - court, AOC under investigation for Met Gala dress, Saving Private Ryan actor Tom Sizemore dies at 61, The children left behind in Cuba's exodus, Walkie Talkie architect Rafael Violy dies aged 78, Alex Murdaugh's legal troubles are far from over, Mother who killed her five children euthanised. The setting up of the orthopaedic surgery recovery board follows an external clinically-led review into orthopaedic services in Northern Ireland called a Getting It Right First Time (GIRFT) review. The health minister has set a four-month target for orthopaedic surgery at Belfast's Musgrave Park Hospital to be restored to pre-pandemic levels. Upon his return he took up his current consultant post in Belfast. Elective orthopaedics has the longest and largest waiting lists in Northern Ireland, By Marie-Louise Connolly & Catherine Smyth, Musgrave Park Hospital in Belfast has been set a new target by the health minister, Orthopaedic surgeon Gavan McAlinden "welcomed" the move by the health minister, Robin Swann has also set out a programme to reform stroke services, Russian minister laughed at for Ukraine war claims.