Working towards excellent stroke care in Kent and Medway
Health commissioners from all eight clinical commissioning groups (CCGs) in Kent and Medway have been working in partnership on a review of acute stroke services over the last two years. The review is in response to national evidence, requirements and recommendations specifically for ‘hyper-acute' stroke care, meaning the care people receive in the first 72 hours after having a stroke.

Although hospital staff in Kent and Medway provide the best service they can, the way stroke services are set up currently, along with staff shortages, mean our local hospitals do not consistently meet the national standards for clinical quality.

In addition, evidence shows that to best maintain their skills, specialist stroke staff should treat between 500 and 1,500 strokes every year. None of the seven hospitals in Kent and Medway regularly treats more than 500 stroke patients a year. Around 2,500 people are treated in Kent and Medway for a stroke every year.

National evidence shows people having a stroke do best when they are treated in a specialist stroke unit available 24 hours a day seven days a week and staffed by specialist doctors, nurses and therapists.

Over recent years, a number of areas across the country have reorganised their stroke services to provide such units. They have seen significant improvements in patient outcomes as a result.

Following detailed engagement with patients and stroke doctors and nurses, we are looking at creating hyper-acute specialist stroke units in Kent and Medway. This will lead to a reduction in the number of hospitals admitting stroke patients and an improvement in outcomes for patients, reducing deaths and disability.

Detailed work has been taking place as part of the review. We are currently looking at a number of three-site options for specialist hyper acute stroke services which involve six hospital sites in Kent and Medway.

The possible site options being considered at this stage are all combinations of three hospital sites which could provide the future service for residents in Kent and Medway.

Evaluation criteria have been developed to test which of the possible options will most successfully meet what’s required of the new service.

We need your help to check whether these criteria include everything that’s important to you.

We are testing these through this survey and through focus groups with a variety of audiences connected to stroke.

We will then use the evaluation criteria to draw up a shorter list of options which will be used for a formal public consultation.

Please complete this survey to give us your feedback by 22 August.   If you have any queries or want any further information, please do contact us, either by emailing or calling 03000 424903.

You can read our Stroke Review Frequently Asked Questions (FAQ) ( to find out more about the review.

1. Please tell us your postcode so that we can compare results by area. All results will be anonymised but it will help us know a little bit more about you.


2. Please tell us whether you are responding as: