Nottingham University Business School
Postgradate students having a discussion whilst walking

Dr Raj Krishnan, Executive MBA Healthcare

Consultant Paediatric Nephrologist at the University Hospital of Wales, Dr Rajesh Krishnan wrote a business case for the development of a stroke network in rural Wales for his MBA Healthcare final project.

Students are expected to develop a senior leadership initiative for their Management Project, which can be implemented in their workplace.

Dr Krishnan proposed a new approach to treating patients recovering from strokes in rural Wales.

He explained: “Patient recovery after a stroke has improved in the recent years with the advent of a treatment called thrombolysis. However, thrombolysis treatment is usually given in hospital, which means patients from rural areas have poorer outcomes due to slower access to these services.”

Dr Krishnan proposed a “Mobile Stroke Unit” (MSU) which will enable faster thrombolysis in rural areas of Dyfed. The business case introduced a redesign of the stroke care pathway by partnering relationships with the local Health Board and Welsh Ambulance Service to improve outcomes for stroke patients.

Raj Krishnan

This business case included both a detailed clinical justification for the service, and an economic evaluation. It sought an investment of £1.3 million with savings of £450,000 expected after the first year by increasing the thrombolysis rate by 20%. KPIs were drawn up focussing on performance around acute patient care and experience. 

It is expected patients will benefit from shorter stays in hospital, have improved survival rates and a better patient experience.



Find us on Facebook LinkedIn Twitter YouTube

Nottingham University Business School

Jubilee Campus

Contact us