This guidance for commissioners and resource for providers will assist in developing a shared approach in achieving an improved quality of life for stroke survivors.

The guidance is about whole system commissioning and recognises that achieving excellence across the whole service is challenging, will not be immediate and that one size does not fit all. World Class Commissioning is about expecting excellence and evidence suggests there are unacceptable variations in services for stroke survivors. The guidance also recognises the potential within the system and that a courageous approach is needed to really make a difference, viewing the pathway as a ‘year of care’ to optimise opportunities for ‘adding life to years, and years to life’ of stroke survivors.