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<p>No formal assessment has been made of the potential effect of the expiry of the
National Stroke Strategy in 2017 on stroke patient outcomes. However the quality of
stroke care is continually monitored by the Sentinel Stroke National Audit Programme.</p><p>
</p><p>The National Stroke Strategy remains valid and implementation of it continues.
Action is being taken to ensure the progress made on stroke continues. This includes;</p><p>
</p><p>- ongoing work in virtually all parts of the country to organise acute stroke
care to ensure that all stroke patients, regardless of where they live or what time
of the day or week they have their stroke, have access to high quality specialist
care;</p><p> </p><p>- publication of the Cardiovascular Disease (CVD) Outcomes Strategy
in 2013, which includes many stroke specific strategic ambitions;</p><p> </p><p>-
a CVD collaborative group is being established to bring together relevant stakeholders
in the field of CVD and provide a forum where relevant work being undertaken in this
area and potential new initiatives can be discussed and responsibilities for action
determined;</p><p> </p><p>- NHS England’s National Clinical Director for Stroke is
working with Clinical Networks, Urgent and Emergency Care Networks, Clinical Commissioning
Groups (CCGs) and Sustainability and Transformation Plan footprints on how stroke
care is best delivered to local communities;</p><p> </p><p>- services for the management
of transient ischaemic attack (TIA) are changing in many areas to meet the new standard
that all TIA patients should be seen and assessed within 24 hours, not just high risk
patients; and</p><p> </p><p>- CCGs are being encouraged to increase the geographical
coverage of early supported discharge services.</p><p> </p><p>Prevention of stroke
and CVDs is also a priority for NHS England, particularly attempting to reduce the
very high prevalence of CVD in patients with mental health illness.</p>
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