Standard and available ICU fascilities in pts. required ratio is the mirror of standarity of health services of a country. With out ICU fascilities one can not improve the better Neuroscience output.Every Neurosurgeons also should have training in ICU.After that You make some teams where Some Neurosurgeon Who are actually classic , Innovative and senior most, they will be the team leader.then take some middle class Neurosurgeons, You may also include some new neurosurgeons, then u take some trainee who are absolutely interested to build carrier in Neurosurgery. I dont know the geography of your courntry. you can make some sattle lite Neurosurgical team who can serves the demands in rural area.Many neurosurgical problems can possible to solve by local anaesthesia but peroperative pt. monitoring is extreemly important.Or you can take the model of Country as you like, set it in your country.