Welcome to the new home of the National Clinical Guideline for Stroke


The National Clinical Guideline for Stroke aims to improve the quality of care delivered to everyone who has had a stroke in the United Kingdom and Ireland regardless of age, gender, type of stroke, location or any other feature. The guideline is an initiative of the Intercollegiate Stroke Working Party (ICSWP) and is regularly updated in a process governed by the ICSWP. The fifth edition of the guideline was published in 2016. A sixth edition is in preparation.


The sixth edition will be a limited update of the fifth edition. The ICSWP decided in early 2021 to restrict the update to those areas where expert consensus from each specialty identified that evidence and practice have changed, rather than to undertake a comprehensive update of the entire fifth edition.


As the guideline’s sponsor, the ICSWP determines the membership of the Guideline Development Group (GDG). The ICSWP’s remit is limited to England, Wales and Northern Ireland. The scope of the sixth edition includes Scotland and the Republic of Ireland. The GDG therefore consists of almost all members of the ICSWP, in addition to two representatives from the Scottish Intercollegiate Guidelines Network (SIGN) (one clinical and one allied health professional) and two representatives from the Irish National Clinical Programme for Stroke (one clinical and one allied health professional). A representative from the ongoing update of the NICE stroke rehabilitation guideline (CG162) attends as a co-opted member.
This membership means that the GDG has sufficient representation from all British and Irish nations and from relevant professional groups, as well as participation of patients and appropriate voluntary organisations, to facilitate ownership of the guideline development process and sign off the resulting recommendations. Click here to download the GDG membership and affiliations.


The update is being facilitated by the guideline project team hosted by the Sentinel Stroke National Audit Programme (SSNAP), in collaboration with SIGN and the Irish National Clinical Programme for Stroke. SIGN and the Irish National Clinical Programme for Stroke are providing support via sharing of good practice, and contributing to project guidance and supporting documentation; and SIGN are supporting the literature searching process.

Peer review and public consultation on draft updated guideline

Peer review of the draft updated guideline by invited organisations, and an open public consultation, will be hosted on this site from late November 2022 to early January 2023.


For more information about the project to update the guideline please email strokeguidelineteam@kcl.ac.uk