This report from the Sentinel Stroke National Audit Programme (SSNAP) is based on 92,414 patients who were admitted across 250 hospitals, 195 community services and 184 six-month follow-up providers in England, Wales and Northern Ireland with a stroke between April 2024 to March 2025.
Ensuring a greater proportion of patients access the specialist stroke pathway remains a priority
Increasing delays are still evident from the time of stroke onset to hospital arrival, with 2024/25 data showing a further increase, to 4 hours and 11 minutes (compared to 2 hours 25 minutes in 2013/14). SSNAP data from 2019-2023 identify specific patient characteristics associated with delays in the pre-hospital pathway, providing opportunities for targeted interventions.
Other key messages include:
- One of the main elements for increasing thrombectomy access for the whole population is the quality of regional networks, to ensure equity of access no matter where a patient presents
- The proportion of eligible patients with Intracerebral hemorrhage (ICH) receiving an appropriate hyperacute intervention within 1 hour of hospital arrival has increased significantly
- Timely access to specialist acute stroke care has again been challenging this year
- The transition to integrated, needs-based community stroke services continues
- The proportion of patients receiving a 6-month review after stroke has been in steady decline since 2019/20.
This report also contains five recommendations to support improvement, in parallel with the 10 Year Health Plan ambitions.
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