The NHS Long Term Plan set outs the ambitions for the NHS over the next 10 years, identifying stroke as a clinical priority. It outlines how we will work with partners to improve stroke care along the full pathway from symptom onset to ongoing care. This includes prevention, treatment and rehabilitation. Meeting the ambitions in the Long Term Plan would result in the NHS having the best performance in Europe for people with stroke.
What is stroke
Stroke is the leading cause of disability and the fourth largest cause of death in the UK.
A stroke is a serious life-threatening medical condition that occurs when the blood supply to part of the brain is cut off. The damage this causes can affect the way your body works, as well as how you think, feel and communicate.
Around 80,000 people a year are admitted to hospital with a stroke, and there are over 1 million stroke survivors in England, more than half of whom have a disability resulting from their stroke.
Some causes of stroke are genetic, however up to 70% of strokes could be prevented by the detection and effective management of hypertension, atrial fibrillation, diabetes, cholesterol and lifestyle factors. Stroke becomes more likely with age but 1 in 4 stroke survivors are working age adults.
NHS England’s work on stroke
The National Stroke Programme has been developed jointly by NHS England and the Stroke Association in consultation with clinical experts and people affected by stroke. The programme will support local organisations to deliver better prevention, treatment and care for the 80,000 people who have a stroke in England each year, and meet the ambitions for stroke set out in the Long Term Plan. It will ensure that the groundwork is laid for change in every area of the country. The programme aims to:
- Improve post-hospital stroke rehabilitation models for stroke survivors
- Deliver a ten-fold increase in the proportion of patients who receive a thrombectomy after stroke so that each year 1,600 more people will be independent after their stroke
- Train more hospital consultants to offer mechanical thrombectomy
- Deliver clot-busting thrombolysis to twice as many patients, ensuring 20% of stroke patients receive it by 2025 – the best performance in Europe
- Enhance the Sentinel Stroke National Audit Programme (SSNAP) to identify further need and drive improvements
- Ensure three times as many patients receiving 6 month reviews of their recovery and needs – from 29% today to 90%
We are working with the Stroke Association, NHS RightCare, Getting it right first time (GIRFT) and the Chartered Society of Physiotherapy, along with other arm’s length bodies (ALBs) and voluntary sector organisations to deliver this national programme of work.
We are also working with the Stroke Association to pilot a clinical network for stroke. If you’re interested in finding out more please contact firstname.lastname@example.org.
If local areas have examples of best practice they believe could be replicated elsewhere, please get in touch with the stroke programme team at email@example.com.
If you would like any more information on the stroke programme, please email firstname.lastname@example.org.
2019-20 CQUIN: Six month reviews for stroke survivors
This practical guidance has been developed to support the delivery of the 2019/20 ‘Six month post-stroke review’ CQUIN.
It will support commissioners and service providers to expand on the guidance supplied in the 2019/20 CQUIN slide deck for implementing the stroke survivor six month review CQUIN.
The CQUIN applies to community service providers of stroke rehabilitation commissioned under the NHS standard contract. These include early supported discharge services and longer term rehabilitation services provided in the community.
- Webinar: Transforming stroke services across the whole patient pathway, September 2018. A recording of this webinar is available by request. Please email email@example.com.
- Long Term Plan case studies demonstrating how partnership work with the Stroke Association is improving care and support for stroke survivors
- The NHS RightCare Stroke Pathway was published in October 2017 to support local commissioners responsible for stroke to improve services for patients in their area.
- The Stroke Specific Education Framework outlines core competencies for a range of professionals working with stroke survivors.
- 7 day rehabilitation service case study from Torbay and Southern Devon Health and Care NHS Trust.
- NHS Improvement’s Guidance on Psychological Support after Stroke provides guidance to support the establishment and development of services for psychological care of people following stroke.
- See an example of using computer modelling to improve acute stroke care in the South West.
- Achieving successful system change – Lessons from stroke reconfiguration in London and Greater Manchester.
- An overview of mechanical thrombectomy services.
- The Stroke Association website.
- Royal College of Paediatrics and Child Health (RCPCH) guideline: Stroke in childhood – clinical guideline for diagnosis, management and rehabilitation.