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<p>The National Stroke Service Model, published by NHS England in May 2021, articulates
optimal evidenced-based stroke care. Patients are expected to be seen by a stroke
specialist clinician within 60 minutes of arrival and have their treatment plan determined.</p><p>From
1 April 2021, 20 Integrated Stroke Delivery Networks (ISDNs) were established giving
full coverage across England. ISDNs include all key stakeholders across the system
including providers, commissioners, clinicians and patient representative across the
whole stroke pathway.</p><p>ISDNs are responsible for delivering optimal stroke pathways,
based on best evidence, which ensures that more people who experience a stroke receive
high-quality specialist care, from pre-hospital, through to rehabilitation and life
after stroke.</p>
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