Stroke is the third largest cause of death in England. One in four stroke patients die.

A stroke could happen to anyone at any time and is caused by either a block in a blood vessel that leads to the brain or by bleeding in or around the brain. Following a stroke some people recover completely, others need rehabilitation and further support, but others do not survive.

A review of the end to end stroke pathway in early 2014 highlighted unacceptable variation in access to services and outcomes for patients. An end to end stroke pathway service specification for Lancashire and South Cumbria was developed by clinically led workstreams and agreed by the Lancashire and South Cumbria Clinical Commissioning Groups (CCGs) in 2015. This has led to the creation of a Stroke programme across the Lancashire and South Cumbria Integrated Care System.


Our Stroke programme aims

  • To work with the population of Lancashire and South Cumbria on improving awareness of stroke and the lifestyle choices that can reduce the risks of experiencing stroke.
  • To deliver high quality, safe, evidence-based treatment and care to those who have experienced stroke, or are at increased risk of experiencing stroke in the future.

Our Stroke programme objectives

  • Improve public awareness and understanding of the signs and symptoms of stroke and opportunities for managing the risk of experiencing a stroke
  • Improve the identification and treatment of people who are at increased risk of stroke in our population
  • Continuously improve the treatment and care provided in all of the acute hospital stroke units across Lancashire and South Cumbria
  • Establish access to Hyper Acute (Specialist) Stroke Care for patients across Lancashire and South Cumbria
  • Implement effective integrated stroke rehabilitation and long term support in the most appropriate settings throughout Lancashire and South Cumbria.

Stroke key messages

The key message briefings aim to keep stakeholders informed and up to date about the work of the Stroke Programme by regularly providing key messages and inviting your comments and views. These key message documents were published prior to the Coronavirus pandemic. 


To support the engagement activities, we have produced a Stroke Information Guide as well as an easy read publication which has been tested with a group of service users working with the Stroke Association.

It describes the progress to date and the next steps in the work taking place to improve patient experience across the whole stroke pathway.

Video - what will the Stroke programme mean for local people

Elaine Day, Stroke Programme Lead for Healthier Lancashire and South Cumbria on what the Stroke Programme will mean for local people and what she is looking forward to as it continues to roll out.

Video - hear from our Patient Representative

Jean Sherrington gives her thoughts on the Healthier Lancashire and South Cumbria stroke programme, her role as Patient Representative and what she wants to see in the future. Jean also shares a message for all staff working in stroke services.

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