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Improving hospital stroke care



The NHS in Knowsley, Liverpool, South Sefton, Southport & Formby, and West Lancashire has been looking at how it can improve local hyper-acute stroke services – ‘hyper-acute’ is the care you receive in the first 72-hours after having a stroke.

Between 22 November 2021 and 14 February 2022, we held a public consultation about proposals for a Comprehensive Stroke Centre at Aintree University Hospital, which would bring together the hyper-acute care currently provided at Aintree, the Royal Liverpool, and Southport hospitals.

For more details about these proposals and why they are being made, please read this information booklet. You can also read a shorter summary version here. Information in British Sign Language (BSL) and Easy Read formats can be found in the resources section below.

You can also visit our frequently asked questions (FAQ) page for answers to common queries about this piece of work.


What happens next?

Public consultation is an opportunity to share views and help ensure we have all the information we need to make a final decision about how services should look in the future.

Now that this consultation has finished, we will take all the feedback we’ve gathered and use it to write a report. We will publish this report when it is ready, and it will be used as part of the final decision-making process.


How we involved



People could share their views by filling out a short online questionnaire. People could request this in a different language or format by emailing, calling (0151) 247 6406 or texting 07920 206 386.

Speech and language therapists at local hospitals helped us to develop an aphasia-friendly survey, to help people with additional language or communication needs to share their views. People could get in touch if they wanted a copy of this version.

People could also contact us for further information about the proposals and to leave us their feedback as an alternative to completing the survey.

NHS Liverpool CCG organised this consultation on behalf of all the CCGs involved (Knowsley, Liverpool, Southport and Formby, South Sefton, and West Lancashire), so we were the point of contact for all enquiries, not just those from Liverpool residents.


Online events

We held an online public event using Microsoft Teams on Thursday 9 December, 6pm – 8pm. This was a chance to hear from the people involved in the review of hyper-acute stroke services talk about the proposals.



Below are materials that were used to help inform members of the public about the proposals and help to promote the survey during the consultation period.



English print version



Consultation booklet

Consultation booklet (Easy Read)

Consultation overview

Pre-consultation business case (PCBC) for hyper-acute stroke services




Consultation overview

British Sign Language (BSL) video



Communications toolkit

Social media assets

Web banners


Previous engagement

During autumn 2019 we worked with the Stroke Association to visit a number of local groups for stroke survivors, to talk about the review and gather feedback from those with experience of hospital stroke services. You can read a report about this engagement here.

The information gathered from discussions with stroke survivors, their families and carers were used to help develop the proposals for a single Comprehensive Stroke Centre which form the basis of the current consolation.

Although our discussions during autumn 2019 were about hospital services, we also received feedback about other parts of stroke care, including people’s experience of rehabilitation and support services once they left hospital. In January 2020, NHS England published a new national service specification for early supported discharge and community care following a stroke. This document describes the care that people can expect to receive, but currently there are different levels of service in place both locally and nationally. The Cheshire and Merseyside Integrated Stroke Delivery Network has since set up a group to review rehabilitation services and make recommendations for improving services and reducing inequities between areas.