Intracerebral Haemorrhage

This information is aimed at professionals supporting stroke survivors in the region.

Acute Bundle of Care for Intracerebral Haemorrhage (ABC-ICH) project

ABC-ICH is a Quality Improvement (QI) project which aims to reduce death and disability in patients after intracerebral haemorrhage (ICH) across Greater Manchester. This scale up project follows a successful QI project, which ran at Salford Royal Hospital from June 2015 – December 2016, where the implementation of a care bundle has now resulted in reduction of 30 day case fatality by 10.5 percentage points.

ICH causes around 10-15% of all strokes and is associated with poor patient outcomes with a case fatality of around 30-40%. Greater Manchester sees around 700 incidents of ICH per year, with the majority of patients presenting at a Hyper Acute Stroke Unit (HASU).

The ABC-ICH project aims to save an additional 6 lives a month across the three HASUs in the region i.e. Salford Royal, Fairfield General and Stepping Hill Hospitals.

The bundle of care aims to consistently and effectively deliver three main interventions which have been shown to improve patient outcomes:

  • Fast reversal of Anticoagulants
  • Intensive Blood pressure lowering
  • Care pathway – ensuring all appropriate patients are transferred to their local HASU and those meeting referral criteria are referred to neurosurgery


Find out more

Slides summarising results of introducing the bundle at Salford

Care pathway Standard Operating Procedure and referral guidelines

Participating centres

How do I calculate ICH volume?

Summary of ABC bundle


Funding and support

The project is funded by the Health Foundation and Connected Health Cities and supported by Haelo, a not for profit improvement science centre based in Salford, through funding provided by the Manchester Academic Health Sciences Centre.