Skip to main content



The purpose of this subgroup is to develop robust capacity and demand models for stroke services across NHS Wales.

These models will aid the Stroke Implementation Network and its membership to develop the most appropriate stroke service model for the people of Wales regardless of location.

The work of the group will be instrumental to appropriate resource allocation, service planning, and policy decisions to enhance the quality of stroke care and patient outcomes and experiences. 

The subgroup will focus on establishing a shared standardised and balanced approach for the analysis of demand and capacity planning for stroke services across the Pathway: Early Intervention and Prevention; Acute and Hyper Acute services; Rehabilitation and Early Supported Discharge; and Life After Stroke.  

This subgroup will focus on baselining our current service provision against the new National Clinical Guidelines for Stroke and the development of nationally agreed and locally delivered service specifications and optimal pathways of care to support the long-term improvement and sustainability of stroke services in Wales.

The national programme will work with regions to identify the areas requiring further work to reach the agreed standards and develop action plans to address the gaps. The work of this group will inform the work of the Innovation and Improvement, Capacity and Demand Modelling and Workforce and Education Groups in particular. 

This subgroup brings together stakeholders from across cardiovascular and neurological disease, respiratory and diabetes primarily to focus on the prevention and early detection of cardiovascular disease (CVD) and stroke in the target population. 

The subgroup will consider measures at both individual and population levels, addressing primary prevention (preventing the initial occurrence of CVD and stroke) and secondary prevention (preventing recurrent events and complications). 

The subgroup will explore interdisciplinary approaches encompassing medical, behavioural, and environmental factors influencing CVD and stroke prevention and early detection.

The Subgroup will support and champion innovation and service improvement both at a national and regional level across the whole stroke pathway by:

  • Developing opportunities for collaboration and joint working  
  • Sharing knowledge and lessons learned 
  • Support each other to achieve personal and common aims  
  • Identifying adoption ready innovative technologies and service improvement projects for spread and scale.

This subgroup sits within a new Operational Delivery Network and provides oversight of the rehabilitation and recovery elements of a patient’s journey following a stroke. This group is currently being formed.

Working with colleagues in Health Improvement and Education Wales, the primary objectives of the subgroup are to:  

  • Define what it means to be a stroke specialist health care professional and what is a stroke specialist workforce
  • Establish the baseline stroke workforce figures, content, and staffing models of service delivery
  • Identify current and future workforce requirements to align to the national guidelines and standards to determine the optimal staffing models for the delivery of appropriate stroke care services across Wales
  • Working with education partners to identify appropriate opportunities for the development and implementation of comprehensive stroke education and training programmes for healthcare professionals
  • Foster collaboration between healthcare institutions and education providers to improve stroke education and training opportunities
  • Monitor and evaluate the effectiveness of stroke education initiatives and workforce developments
  • Recommend and advocate for appropriate workforce policies and funding to support stroke care services
  • To inform the development of the stroke service specification.

The subgroup will focus on developing and implementing comprehensive national communication and engagement strategy and framework that aligns with the Stroke Implementation Network’s objectives, ensuring that key messages reach our target audiences. 

3.1.    Communication and Engagement Strategy: Develop and implement a comprehensive national communication and engagement strategy that aligns with National Stroke Programme’s objectives, ensuring that key messages reach target audiences including healthcare professionals, patients, families, and the public. Including the development and ongoing review of equality impact assessments, stakeholder analysis and other key documents. 

This subgroup sits within a new Operational Delivery Network and provides oversight of the hyper acute services; pre-hospital, first 72 hours of care, including access to thrombolysis and thrombectomy, and acute stroke services. This group is currently being formed.