World Stroke Day

I beg to move,

That this House has considered World Stroke Day 2025.

It is a pleasure to serve under your chairmanship, Ms Vaz. I thank all the hon. Members who have come to Westminster Hall today to mark World Stroke Day, which is tomorrow. This year, recovery is in the spotlight, and this debate provides a timely opportunity to consider the life-changing impact a stroke can have both on a survivor and their loved ones and how the NHS can better support patients’ recovery beyond the acute phase of treatment in the early days following a stroke.

Every day in the UK, another 240 people wake up to the catastrophic impact of a stroke. There are currently more than 1.4 million stroke survivors in the UK. On 9 May this year, my mother was one of those people, and that is the primary reason why I secured this debate. Her experiences over the past six months are still too raw and too devastating for us as a family for me to talk about today. Sadly, too many stories shared with me in recent weeks reflect exactly what my mum has been through and is still going through.

I will endeavour to use the short time available to highlight some of those stories and to call on the Minister to prioritise stroke rehabilitation in particular. Not only is that the right thing to do for the patient and for their family, but it makes a lot of financial sense. Ultimately, it would save the taxpayer money in healthcare and social care costs and enable those of working age to continue to work and to be active in their communities.

The Stroke Association estimates that, without Government action, stroke is expected to cost £75 billion by 2035. Approximately 100,000 people have a stroke each year in the UK, with 59% of them occurring in older generations. There are 38,000 stroke-related deaths every year, which makes it the fourth single leading cause of death in the UK. It is also the leading cause of complex adult disability in the UK, with around 60% of stroke patients leaving hospital with a disability. Stroke causes brain damage and can leave survivors unable to move, see, speak or even swallow. It can leave people doubly incontinent and lead to personality changes as well as depression. The NHS is rightly lauded for the care it provides, particularly in hospital, often delivering world-class support to those who need it when the unexpected happens.

In my constituency, Manchester royal infirmary’s ward 31 provides outstanding acute and rehabilitative stroke care, supported by dedicated community health champions who promote prevention and early intervention to reduce the risk of stroke. Will the hon. Member join me in thanking both our dedicated hospital staff and community health champions, and support sustained investment in prevention, staffing and rehabilitation so that we can save lives and help survivors recover fully?

Of course I am very happy to congratulate the staff in the hon. Gentleman’s local hospital. Through my personal experience with my mother, I have seen how amazing hospital staff are, and where community services are available, I am sure those staff are brilliant, but the crux of my speech is about how poor the rehab services are in some parts of the country and how we really need to staff and boost them if we want to help people to have a good quality of life.

I have heard time and again from those who have lived experience that support for community rehabilitation is simply not good enough and often collapses six weeks post discharge from hospital. In some cases, support even six weeks post discharge is not available, depending on which integrated care board or local authority is responsible.

In Torbay, in Devon, we have the third highest prevalence of strokes in the United Kingdom, and yet, within the last 12 months, we have seen cuts to support for the local stroke association. That has left people who are suffering from strokes feeling isolated and abandoned. Does my hon. Friend agree that we need to see more investment at the grassroots to support sufferers of strokes?

I 100% agree. The post-stroke support is critical, and I will share some stories about people who have felt abandoned and isolated in exactly the way that my hon. Friend describes.

Despite guidelines from the National Institute for Health and Care Excellence, the Chartered Society of Physiotherapy says that 20% of people do not receive the minimum specialist rehabilitation required in the first five days following a stroke, and 68% do not have an assessment for rehabilitation, which is required after discharge. The reality is that those who want to regain a level of independence need to be able to fund support privately.

I pay tribute to Richard Sealy, who runs the Neuro Rehab Practice in Hampton, which is in my constituency. He and his whole team are doing brilliant work in trying to fill that gap. Over the summer, I had the privilege of visiting the practice and speaking to stroke survivors and their carers about their experiences. What runs through so many of their stories—I am sure Members will have heard similar—is the cliff edge that people fall off when they leave hospital, and the devastating knock-on impact that can have.

I would like to share some of their testimonies. One stroke survivor said:

“I felt lost, like I had been thrown out of the boat, not knowing what to do or where to find help”.

Another survivor’s family member said:

“Although the NHS took care of her while she was in hospital, we felt that after the six weeks had finished, it was very much goodbye. You’re now on your own”.

Another, when asked what happened when the NHS rehab ended and whether they were given any further options, simply replied, “Nothing.”

Those survivor stories are far from unique, and that is unacceptable. According to the Stroke Association, only 17% of community-based rehab services have appropriate access to each core therapy—physiotherapy, speech and language therapy and occupational therapy. The Right to Rehab campaign argues for the simple idea that rehabilitation should be accessible to everyone who needs it, for as long as they need it.

The hon. Member is making a powerful speech. Family friend Hannah Garrity, who is now in her 20s, took her stroke at the age of eight. She was a little girl, who woke up one day and took a severe headache, and out of that, she had a very severe stroke. She is an inspiration. She is now teaching art in schools. She is a Sunday school teacher in her local church, and she gives so much back to society. Would the hon. Member agree that more research is needed, particularly in relation to strokes in young people and children, given the increase in the number of them who are taking strokes?

Absolutely. I am sure that in stroke, as in so many other areas of medicine, more research would be welcome, particularly into how we can prevent stroke in younger people. It is shocking to hear that a child so young suffered a stroke.

The stories that I have shared today demonstrate the impact that good care and rehab can have on quality of life, regaining independence and restoring people’s identity. The moral, social, health and economic cases for better rehab support are overwhelming. Will the Minister therefore commit to expanding the Government target to cut deaths caused by stroke and heart attack to include reducing disability? With stoke and cardiovascular disease a trailblazer for the modern service framework, what discussions is he having in the Department and with the Treasury to resource implementation and ensure there is a lead in the Department on this area? With 40% of physiotherapists saying that insufficient staffing is leading to their patients experiencing increased levels of pain and ill health, what work is he undertaking to expand the physio workforce? Will he look at ensuring that integrated care boards’ data plans capture and report on performance and rehabilitation, including in relation to populations who are not accessing rehabilitation?

On this World Stroke Day, stroke survivors and their carers are not asking for the impossible: a concrete plan to make stroke rehabilitation accessible across the country, no matter what someone earns or where they live. As the Secretary of State himself said only at the start of this year,

“Whether in the NHS or in social care, we definitely need to do more on rehabilitation, because rehabilitation is often secondary prevention.”—[Official Report, 6 January 2025; Vol. 759, c. 608.]

He was right, and now that needs to be delivered. I look forward to the Minister’s response. I would welcome the opportunity to meet him to discuss these issues alongside patient groups and representatives.

I thank the hon. Member for Twickenham (Munira Wilson) for securing such an important debate ahead of World Stroke Day. I send her mum our best wishes; I know how hard it is to speak about these personal issues in the House.

A stroke happens every five minutes. That means that each year 100,000 people in Britain will have a stroke. One in seven of those stroke patients die in hospital, and six in 10 will leave hospital with a disability. Until last year, those were all simply statistics to me. I knew that stroke was a major cause of disability and that people suffered strokes, but to me those people were always much older.

Since then, my understanding has changed drastically. Last year, on my first day in Parliament, my husband, Jacob, suffered a stroke. While other colleagues were queuing to be sworn in, I raced across London to find him in an intensive care ward. Learning what had happened was terrifying. It was totally unexpected. Jacob is young and healthy, and does not drink or smoke, but stroke does not discriminate. I learned quickly that what happened to him is not as rare as we thought: one in four strokes happen to people of working age. Stroke has the ability to turn someone’s life upside down. Simple, everyday tasks become difficult, and the jobs people once did may become alien to them. Stroke does not discriminate in who it strikes or where it strikes, but the care stroke patients receive across the country does. There are severe inequalities, and we must end the postcode lottery in access to treatment and rehabilitation.

When it comes to acute treatment, we absolutely know what works. Thrombolysis and thrombectomy save lives. The Prime Minister has spoken about the power of artificial intelligence to help doctors find blood clots in seconds. We also know that, too often, where someone lives impacts the quality of care and their quality of life after a stroke.

Currently, no Scottish hospital offers 24/7 emergency thrombectomy. For example, there is no night-time provision of mechanical thrombectomy, and in Glasgow emergency thrombectomy is available only Monday to Friday. There are severe gaps in the system. Does my hon. Friend agree that that is just not good enough?

I absolutely agree with my hon. Friend. Thrombectomy is highly effective and can transform recovery, massively reducing the chances of a disability. I hope that the Minister will respond to that point about care in my hon. Friend’s community.

Recent statistics show that while in London more than 10% of patients receive a thrombectomy, in the east of England, only 1% of stroke patients underwent this potentially lifesaving treatment. I apologise that I do not have the statistics for Scotland.

Will my hon. Friend give way?

Does my hon. Friend have the statistics?

I do. I thank my hon. Friend for giving way, and wish her husband well—I am sure that he is incredibly proud of her. In Scotland in 2024, only 212 thrombectomies took place, which accounts for 2.2% of all eligible cases. Those are statistics that should shame us. If we compare it with Ireland, a comparably sized country, the number is five times higher. Does my hon. Friend agree that we can always do better?

I absolutely agree with my hon. Friend, and thank him for having the statistics and always being a voice for Scotland. As we discussed, these inequalities have real-world consequences. Gaps in care and inequality in access jeopardise lives—in the most extreme cases they cost lives. While previous Governments have left stroke care underfunded and under-prioritised, I am proud to see this Labour Government tackling it head on. They are getting on with delivering the changes that we need to see so that the NHS can prevent strokes, and act fast when they strike, making the most of digital innovation, and delivering the best quality care for everyone as they recover.

While I am pleased to say that, after heart surgery this summer, Jacob is fully recovered, his stroke has absolutely transformed our family’s life—it changed it forever. But every day, hundreds of families across the UK face the same reality. That is why I can say that this Government’s target to slash stroke mortality in a decade is not just a statistic; it is lives saved and lives changed. I use this opportunity to thank the Minister, my hon. Friend the Member for Glasgow South West (Dr Ahmed), for both his professional and personal support to Jacob and I during this time in our lives. We will never forget his kindness and fast thinking.

I join hon. Members from across the House in calling on this Government to do all they can to ensure that their 10-year health plan delivers for stroke patients, no matter their age, postcode or what region they live in. Every stroke survivor must get the care that they need to thrive.

Order. If Members stick to between three and four minutes, we should be able to get all the listed speakers in—there are a few more standing. There will be a Division at 5 pm.