Abstract
In England alone, over 100 000 people a year have a stroke. Three-quarters of them are over the age of 65 years. More than one in five of those individuals will die in the period immediately after their stroke. The survivors return to the community and every practice in the UK has a median prevalence of 14.7 patients who have had a stroke or transient ischaemic attack (TIA) per 1000 patients registered ( Fig. 1 ). Ninety per cent of those who survive will be left with some permanent disability as a result of their stroke, making stroke the most common cause of adult onset disability, and costing the nation more than £7 billion every year. This figure is set to rise as the population of the UK ages and people survive in a disabled state for longer.
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