Working together with colleagues in other organisations, SCN team efforts aimed at helping to improve stroke can be seen across the whole stroke pathway. In Greater Manchester, the SCN work in partnership with the Association of Greater Manchester CCGs to implement a fully centralised model of hyperacute stroke care; this will consolidate the earlier pioneering and innovative work which led to the partial centralisation of GM services. Once in place, there will be equitable access to hyperacute and acute stroke services for all stroke patients in Greater Manchester and part of East Cheshire.

Responding to the challenges of a more dispersed population, Lancashire and South Cumbria (LSC) were the first area in the country to develop 'Telestroke' which has enabled remote assessment of stroke patients for potential clot busting thrombolysis. One of the main areas of focus now for the team is in relation to a whole pathway review of LSC stroke services. This extensive piece of work is being led by the SCN in conjunction with the Midlands and Lancashire Commissioning Support Unit; working closely with clinicians, commissioners and patient and carers to help ensure services are optimized. This large scale piece of work has the potential to contribute to conversations nationally about the best way to plan services outside of large metropolitan areas.

Another piece of work across the whole SCN footprint is an ambitious attempt to develop an integrated stroke rehabilitation model to help inform commissioning plans. This work, as with all other SCN projects, aims to help reduce unwarranted variation and it builds on earlier GM network innovations designed to optimise effective stroke rehabilitation (such as ImpReS and GMASTER projects).


Dr Khaulil Kawafi 

 Dr Khalil Kawafi

Dr Khalil Kawafi

Stroke Clinical Lead