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4 Shaping Hyper-Acute Stroke Care Plans to redesign hyper-actue stroke care in Tayside have been given the full backing of the Stroke Association which describes the proposed model of care as an exemplar for the rest of Scotland. Good progress is being made towards the target implementation date of November 2019 and the team is working with Scottish Ambulance Service and the Emergency Department to discuss pathways and processes. Plans for a new North of Scotland regional thrombectomy (mechanical removal of blood clot) service are also progressing with a target start date of post April 2020. Transforming Tayside Get involved – create change Our clinical teams and trade union colleagues are working alongside the three Health and Social Care Partnerships in Tayside, and other partners in councils, universities and the third sector to jointly develop services so they improve patient outcomes and the quality of care for people now and in the future. A number of service redesign projects were approved by NHS Tayside Board in May – here is a progress update: Transforming Tayside aims to redesign and improve services. The three-year Transforming Tayside 2019-2022 plan sets out key programmes which will deliver important service changes for the people of Tayside and North East Fife. nsforming side 2019-2022 Shaping Urgent and Emergency Care Models of Urgent and Emergency Care are being reviewed to ensure the right level of expertise is available in the right place, at the right time, for all unplanned patient presentations. The Shaping Urgent and Emergency Care project team is currently developing a governance structure and working to ensure that key stakeholders are invited to engage at the right level. In the next phase, different options will be explored in order to identify a single preferred option. The team will communicate and engage more actively with staff, patients and the public during this stage to develop the best solutions for Tayside.