Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to the Stroke Association's report entitled Unlocking Potential: A Bold Vision for Stroke Care in England, what steps his Department is taking to (a) reduce disability and death from stroke, (b) improve access to stroke care in the community and (c) help tackle social inequalities in stroke outcomes.

The Stroke Association’s report, Unlocking Potential: A Bold Vision for Stroke Care in England, provides comprehensive plan to improve stroke care in England over the next decade highlighting several key areas for improvement, including prevention, digital innovation, and community support. These areas align with the Department's commitment to the 10-Year Health Plan’s three transformative shifts in healthcare: moving more care from hospitals into homes, prioritising prevention over treatment, and advancing from analogue to digital solutions. These strategic shifts are the building blocks to our health mission, namely reducing time spent in poor health, tackling health inequalities and reducing the lives lost from the biggest killers, which includes stroke.

NHS England is prioritising implementation of the National Service Model for an Integrated Community Stroke Service (ICSS model) with delivery of specialist stroke rehabilitation at home and in care homes, as well as improving life after stroke support and six-month follow-up reviews by working closely with the voluntary sector. The ICSS model is vital to support physical, cognitive and psychological recovery, return to work and quality of life. More information on the model is available at the following link:

https://www.england.nhs.uk/publication/national-service-model-for-an-integrated-community-stroke-service/

The ICSS model includes provision of tailored and patient centred reablement care, through joint working between the National Health Service and social care. Provision of peer support and reviews every six months, information, and longer-term support in the community is also achieved through integrated and collaborative working with the voluntary sector.

The National Stroke Quality Improvement in Rehabilitation (SQuIRe) programme is driving implementation of the integrated community stroke services model in England. NHS England funds SQuIRe posts in each NHS region to work with integrated care boards (ICBs) to improve provision of community-based stroke rehabilitation, promote recovery from stroke and improve patient outcomes. ICBs also receive a separate funding allocation to support prevention services which include stroke rehabilitation.