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The Scottish Government has not calculated the likely savings resulting from the provision of thrombectomy procedures. However, academic research suggests that thrombectomy is cost-effective and likely to result in long-term savings.

As part of the Scottish Stroke Improvement Programme Board review process, Boards are expected to demonstrate rehabilitation provision in a variety of settings, and at a range of intensities, as well as outlining a robust rehab assessment process and the availability of symptom-specific rehabilitation pathways.

Boards must also demonstrate that there is a clear pathway for people who have had strokes to re-engage with stroke rehabilitation services as appropriate.

Where rehabilitation provision is found not to fully align with these criteria, the Scottish Stroke Improvement Programme works with stroke services to develop action plans for improvement.

A robust governance process is one important aspect of delivering effective care and meeting the Scottish Stroke Care Standards measured in the Scottish Stroke Care Audit.

That is why NHS Board reviews conducted by the Scottish Stroke Improvement Programme explicitly ask NHS Boards to set out their governance structure and any plans to improve this.

We have also asked every NHS Board to nominate an accountable individual to take overall responsibility of stroke care, including meeting the Scottish Stroke Care Standards.

A tool for collection of empirical data relating to various stroke rehabilitation outcomes - such as time to rehabilitation assessment, creation of rehabilitation plans, commencement of rehabilitation, input from various Allied Health Professional specialities and time to commencing community rehabilitation - has been developed. Data collection with this tool is currently being trialled in two NHS Boards, with the aim of using this across Scotland once this has been assessed.

We are in the process of developing a tool to capture and publish patient experience of rehabilitation in each NHS Board.

The Scottish Stroke Care Audit already tracks the number of beds by health board as part of the Scottish Stroke Improvement Programme. This information will be added to the dashboard of the most recent annual report within the next two weeks.

We will continue to work with Public Health Scotland on the most effective methods of capturing and reporting organisational data, including staffing levels.

The revised criteria assessing NHS Boards requires more rigorous reporting on stroke service governance structures and data reporting, and these will take time to fully implement.

I expect NHS Boards to prioritise their stroke governance structures and have scheduled a roundtable meeting with the accountable individuals from all NHS Boards where the importance of service governance will be emphasised.

The Scottish Stroke Care Standards are designed to enhance service delivery and improve patient outcomes. Monitoring performance against these standards through the Scottish Stroke Care Audit allows us to identify where challenges are being faced in the delivery of stroke care and implement quality improvements where required.

We recognise the standards are challenging and continue to expect Health Boards to identify aspects of their stroke services which do not meet these standards and to work to improve their standards of care locally to meet the Scottish Stroke Care Standards.

We expect staff providing care for individuals who have had a stroke to be fully trained in providing stroke care. However, in smaller Health Boards, it is not always possible to maintain a dedicated stroke unit.

A range of online stroke care competency training programmes are available and as part of the Scottish Stroke Improvement Programme review process all NHS Boards are asked to complete an education template highlighting the training stroke staff have undertaken.

We expect staff providing care for individuals who have had a stroke to be fully trained in providing stroke care. However, in smaller Health Boards, it is not always.

The cost incurred to date in relation to the planned National Treatment Centre in NHS Ayrshire and Arran, NHS Grampian, NHS Lanarkshire, NHS Lothian and NHS Tayside is as follows.

The Scottish Stroke Improvement Programme team works closely with stroke services in all NHS boards to use learning from the Scottish Stroke Care Audit to support improvement across the whole stroke pathway, including timely access to thrombolysis.

We have established a National Stroke Engagement Forum, with representation from every NHS Board, with the aim of tackling common challenges in the delivery of stroke care and sharing best practice and novel approaches to care delivery. Improving thrombolysis times will be a focus of the National Stroke Engagement Forum.