Stroke care

In 2015, Greater Manchester (including Eastern Cheshire) re-designed its hospital services for stroke patients.

The change was made after research showed that patients with a recent onset of stroke benefited from being treated at specialised centres called Hyper Acute Stroke Units (HASUs). These centres provide clot busting treatments and urgent assessments like brain scans, and have teams of specialist staff –¬†factors shown to increase the chances of survival and recovery from stroke.

You can find out what type of stroke care each of our local hospitals provides using our interactive map of the region.

Community rehabilitation for stroke survivors in Greater Manchester is not yet standardised, and patients receive different types of services after they leave hospital depending on where they live.

You can find out more general information about stroke by visiting the Stroke Association website.

pre hospital phase

1. Pre-hospital phase

Patients who have had a recent stroke (i.e. <48 hours ago) are taken by ambulance to one of our three Hyper Acute Stroke Units. Patients who have had a stroke after this time will be seen at their District Stroke Centre.

acute hospital phase

2. Acute hospital phase

Patients taken to a Hyper Acute Stroke Unit are reviewed by a specialist stroke team who assess whether they have had a stroke and order tests such as a brain scan to confirm a diagnosis. Patients diagnosed with a stroke <4 hours ago may be suitable to receive a clot busting treatment called thrombolysis.

transfer to local hospital

3. Transfer to local hospital

Patients brought to a Hyper Acute Stroke Unit are normally transferred (also called repatriation) to their District Stroke Centre within 3 days, although some may remain if too unwell to move

discharge and rehabilitation

4. Discharge and rehabilitation

Some patients may be well enough to be discharged home from the Hyper Acute Stroke Unit after a short stay. Others who have been transferred to their District Stroke Centre may need continued rehabilitation support before they are discharged. This is usually under the care of an Early Supported Discharge or Community Rehabilitation team who work closely with the hospital team and also voluntary sector organisations who may offer extra support.