Stroke Care – State of the Nation Report 2025 (SSNAP)

Reports | Published: 13 Nov 2025

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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Stroke Care – State of the Nation Report 2025 (SSNAP)