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Stroke IMPaCT Roundtable

What is the Stroke IMPaCT Roundtable?

Our Stroke IMPaCT Roundtable provides an overview of what’s happening in stroke care across the North West Coast. It has been successful in bringing together individuals from different organisations involved in stroke care delivery and research, and intends to have impact on patient care and outcomes at a strategic level. We have had discussions on a variety of topics related to improving the delivery of care for stroke patients (e.g. quality improvement methods, accurately capturing patient experience, integrating care across an entire pathway, and the role of data to measure change).

Who is part of the Stroke IMPaCT Roundtable?

Chaired by Programme Director and Chair of the Funding Committee for NIHR Health Services and Delivery Research Programme, Professor Jo Rycroft-Malone, the Stroke IMPaCT Roundtable brings together individuals with expertise in stroke care and/or implementation, and members of the public with lived experience of stroke services.

Current membership includes;
• Health and care organisations
• Lancashire and South Cumbria Health and Care Partnership
• Lancashire Teaching Hospitals
• East Lancashire Hospitals
• Countess of Chester Hospital
• Getting It Right First Time

Wider NIHR Infrastructure
• Applied Research Collaboration North West Coast (ARC NWC)
• Clinical Research Network (CRN)
• Innovation Agency (AHSN)

Third sector organisations
• Stroke Association

Local universities
• Lancaster University
• University of Central Lancashire
• University of Liverpool

Members of the public
• NIHR ARC NWC Public Advisers

Local authorities
• Lancashire County Council

Patient and public involvement

A key element of the Stroke IMPaCT Roundtable is patient and public involvement. We have three ARC NWC Public Advisers as members of the Roundtable. In their role, they attend the meetings and contribute a patient, carer, and public voice to the discussions. With the ARC NWC Implementation team, they have recently supported the development of a role description that defines their roles and responsibilities as members of the Roundtable. This has also successfully led to the development of a Member Organisation role description. Our Public Advisers act as a link between the Roundtable and other key public involvement structures in the ARC NWC and beyond (e.g. ARC NWC Public Adviser Forum, newly appointed ARC NWC Theme Co-Leads, Patient and Carer Assurance Group).

Some quotes from ARC NWC Public Adviser Roundtable members

“The advantage and benefit of being included from the onset of work which not only sets outs to achieve significant value to patient and family care and support but also provide a template for future similar roundtables. This is a rare opportunity to work on such a ‘big picture’ project where you are going to be able to see the entire spectrum of services/research come together.”

“The Roundtable has facilitated discussion and collaboration between researchers, academics and public representatives and demonstrated how everyone is there on an equal footing.”
“Everyone taking part has been alerted to the controlled use of acronyms and the importance of using plain English in all documents.”

“An important benefit has been the opportunity to bring a patient and user perspective to what is a complex clinical condition and recognise that stroke brings long-term physical, psychological and social implications.”

Aims, objectives and outputs of the Stroke IMPaCT Roundtable

Governance arrangements for the Stroke IMPaCT Roundtable

Mapping stroke research, innovation and implementation activities in the North West Coast

The Stroke IMPaCT Roundtable are currently working together to develop a way of mapping stroke research, innovation and implementation activities across the North West Coast to facilitate knowledge exchange and identify any potential gaps. It is hoped that this will be an accessible resource to reduce duplication of effort and support collaboration across the region.

Help us gather this information – we would like to know about activities, however big or small, in research, innovation and implementation taking place across the North West Coast Region. A database has been created and added to the FutureNHS
Collaboration Platform for people to complete so that we can collate this information, encourage collaboration and identify gaps. To access this, you need to register with the FutureNHS collaboration platform, and request access to the Lancashire and South Cumbria – Integrated Stroke Clinical Network workspace and their Research folder through the platform.

We are also developing links with other networks across the North West Coast to discuss future research ideas to address the gaps we identify (e.g. local Integrated Stroke Delivery Networks, ARC NWC Care and Health Informatics).

If you have any questions or would like to know more, please contact us at

Quality improvement collaboratives (QICs) in implementing change in stroke care

The ARC NWC IMPaCT and MIDAS cross-cutting themes have undertaken a systematic review of the use of QICs in improving stroke care, their effectiveness, and the facilitators and barriers to their implementation, with a view to informing quality improvement activities in establishing Integrated Stroke Delivery Networks.
A copy of our published review in the Implementation Science journal can be found here.
A link to our presentation of the review at the Health Services Research Conference 2021 can be here.

Additional links and resources

Stroke IMPaCT Roundtable presentation at ARC Fest June 2021 – link
NHS England National Stroke Service Model: Integrated Stroke Delivery Networks – link
Lancashire and South Cumbria Health and Care Partnership: Stroke – link
Cheshire and Mersey Integrated Stroke Delivery Network – link