<p>The NHS Long Term Plan, published on 7 January 2019, made an assessment of improving stroke services, including better stroke rehabilitation services and increased access to specialist stroke units.</p><p>Following that assessment, the Integrated Community Stroke Service (ICSS) model published in February 2022, coordinates the transfer of care of stroke survivors from hospital, and provides home-based stroke rehabilitation through a specialist multidisciplinary team structure. It provides an integrated seven days per week service, providing early supported discharge, high-intensive and needs-based community stroke rehabilitation and disability management.</p><p>The National Health Service has a robust audit process to monitor and improve acute stroke care within the Sentinel Stroke National Audit Programme. This data is regularly reviewed and informs the programme’s priorities and plays a pivotal role in supporting quality improvement.</p>