The NHS Long Term Plan January 2018

Key Points and link to the full document:

1.4. Joined-up and coordinated care,
1.20. Improving the care for dementia and delirium
1.34. Reducing unnecessary delays in discharge home
2. NHS action on prevention and health inequalities
3.74. Cetralization of acute stroke services to specialist units
3.75. Mechanical thrombectomy (10%) and thrombolysis (20%)  
3.76. Modernised stroke workforce with a focus on cross-specialty and (in some cases) cross-profession accreditation of particular competencies.
3.77. Higher intensity care models for rehabilitation.
3.78. Expansion of technology, including CTP and MRI, and use of AI.
4.3. Growing the medical workforce.
5. Digitally-enabled care. 


National and Regional Stroke Audit

Stroke National Audits/a> Sentinel audit, SINAP, SSNAP

SSNAP login page   

WMQRS West Midlands CQC reports Stroke & TIA 2011 

Service Improvement and Commissioning

NICE Quality Standards for Stroke [QS2]

Clinical Commissioning Policy for Mechanical thrombectomy March 2018


Stroke Management

NICE Guidance on mechanical thrombectomy [IPG548]2016

RCP National Clinical Guideline for Stroke 2016

NICE Summary oral anticoagulation 2016

BASP Guidance on standards for mechanical thrombectomy  2015

MHRA report on alteplase 2015

NICE Guidance on AF management [CG180] 2014

NICE Guidance on PFO/ASD Closure [IPG 142] 2013

NICE Guidance on Stroke Rehabilitation long-term rehabilitation after stroke [CG 162]  2013

NICE STA Rivaroxaban to prevent stroke and systemic embolism in AF 2012

NICE TA 249 Dagibatran for stroke prevention in patients with AF

NICE Guidance on clopidogrel and dipyridamole  MR for the prevention of occlusive vascular events [TA 210] Review of NICE TA 90

BASP Stroke Service Standards  2010

The ESO Guidelines on thrombolytic therapy updated 2010

NICE Guidance on preventing VTE [CG92]  2010

NICE guidance on Thrombolysis for stroke 2007 

The Brain Attack Coalition Stroke management guidelines, stroke care pathways, assessment scales, standard medical orders, patient information material by the American Heart Association (The US view).

Management of stroke in children American Heart Association guidance  2008


Evidence Reviews for Stroke Treatments

Cochrane database of systematic reviews contains systematic reviews of the evidence supporting stroke treatments. Click here for free abstracts.


Cardiovascular risk calculators

QRISK Risk Score <>(NICE recommended)

ACC CVD risk tool 2019

GRASP tool for determining if patients with AF should be given warfarin

Risk benefit of carotid endarterctomy <>(recommended by 2012 RCP Guideliens)


Stroke Prevention

NICE Cardiovascular Prevention Overview

Familial hypercholesterolaemia Identification and management (2017)

NICE guidance on smoking cessation and useful resources for smoking cessation

Cardiovascular risk assessment and reduction including lipid management CG181 (2016)

NICE  Extracranial to intracranial bypass<> for intracranial atherosclerosis IPG348

Percutaneous occlustion of the left atrial appendage in non-valvular AF

Guidelines for the management of AF The Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology 2010

EHRA Practical Guide on NOAC use in NVAF 2016

Alcohol<> advice, NICE guidance, resources and screening tools

Stroke Service Standards

BASP Stroke Service Standards 2014 2010

BASP definition of a Stroke Specialist 2011

UK Forum for Stroke Training staffing calculator, which can provide an estimate of staffing levels for a stroke service.  The calculation of staff numbers is based around the throughput of patients, staff working hours and the different tasks that staff perform. 

Stroke Service Specification (useful documents produced by London Healthcare to guide commissioning of Hyperacute Stroke Unit (HASU), stroke Unit (SU),  and TIA services (includes staffing numbers).


Professional organizations

The British Association of Stroke Physicians promotes the advance of Stroke Medicine in Britain.

The National Stroke Nursing Forum requires registration and a fee to join.

Stroke organizations and charities

The Stroke Association website should be the first port of call for people affected by stroke. It provides information on strokes, prevention, research, fundraising, local branches, contacts, campaigns, services, products and much more.

Different Strokes A Charity Set up by Younger Stroke Survivors for Younger Stroke Survivors. It helps stroke survivors to optimise their recovery, take control of their own lives and regain as much independence as possible by offering 'rehabilitative services', information and advice. Look here for survivor stories and information how to get back to work and leisure activities.

Strokes R Us A charity set up for younger individuals with stroke in Stoke on Trent and North Staffordshire. Please check website for contacts, activities, and events.

Information materials for patients ad carers

Information leaflets produced by the Scottish Chest Heart and Stroke Foundation can be downloaded here. Topics covered are: salt, cholesterol, warfarin, communication, Holiday information, sympathetic insurance companies, driving, air travel, mouth care, swallowing, incontinence, eye problems, HRT, risk factors, Just move (exercise), and many more.... .

Personal experiences of stroke Personal stories of individuals who have had a stroke and answers to a number of frequently asked questions.

Stroke News is a free magazine produced by The Stroke Association for people affected by stroke and professionals working with stroke patients.

Patient Plus is a UK source of general health information for patients

Medline Plus is a US source of general health information for patients (National Institute of Health)

EQIP is an information-rich website about strokes and a list of support groups and services related to strokes. Each topic has a section of ‘Useful links’ - these websites have been accredited by staff at NHS West Midlands and are aimed at the public.


Self management

Bridges Stroke Self Management  is a  training designed specifically for individuals after stroke to support the development of self-management skills. The programme includes one-to-one training sessions with a therapist or nurse, and the sessions are supported with an interactive workbook.


Research and Clinical Networks

The Stroke Research Network Click here to get all relevant information about the stroke research network, and to keep up with the latest information.

The West Midlands Stroke Research Network gives up to date information on network research relevant to the West Midlands.

The National Physiotherapy Research Network  provides contacts, access to knowledge and support for physiotherapists interested in research.

The Royal College of Nursing Research and Development Centre provides access to knowledge, support, training resources and career advice for nurses interested in research.

NHS Networks is a means of promoting and connecting the many networks which exist throughout the NHS.

INVOLVE This is a Department of Health website providing information on and support for public involvement in NHS, public health and social care research.

PEOPLE IN RESEARCH helps members of the public make contact with organisations that want to actively involve people in clinical research. It has been developed by the UK Clinical Research Collaboration, INVOLVE and others.

The UKCRN strategy for public and user involvement in research is outlined and updated on the UKCRN site.



Stroke: Practical Management. Eds: Warlow et al. Blackwell Publishing, Oxford 2007 (995 pages). ISBN 978-1-4051-2766-0 [free access for Keele Students and staff]


Stroke Statistics

SEPHO Solutions for Public Health Cardiovascular disease indicators 2011. Data for each PCT /network on stroke and CVD incidence, mortality, and risk factors.