Stroke patients left waiting as Scottish Government fails to deliver
Despite a clear commitment to deliver round-the-clock treatment, hundreds of patients are still being denied access to thrombectomy, one of the most effective and time-critical stroke interventions available. This procedure, which removes blood clots from the brain, can triple a patient's chance of regaining independence after an ischaemic stroke. Yet access to it remains severely restricted.
Currently, only NHS Lothian offers the service seven days a week. That means a patient in Edinburgh may be treated within hours, while someone in nearby Fife may have to wait until Monday, missing the critical window for intervention and facing a much greater risk of lifelong disability.
In 2023, only 153 patients in Scotland received a thrombectomy, despite clinical estimates suggesting nearly 1,000 people were eligible. That's not a system under pressure; that's a system failing by design.
I questioned the Scottish Government on this issue, but we are still awaiting meaningful answers. More than two years have passed since the Stroke Improvement Plan was published, and implementation has stalled. Most health boards remain limited to weekday hours, a shocking shortfall when stroke outcomes are measured in minutes.
I recently met with the Stroke Association, whose tireless advocacy has been central to the campaign for a fully funded, nationwide thrombectomy service. They report that the procedure could save the NHS up to £47,000 per patient in long-term care, underscoring both its clinical and economic value.
Meanwhile, other nations are moving ahead. In Ireland, nearly 9% of stroke patients receive a thrombectomy, six times the rate in Scotland. Clinicians across NHS Scotland say they have the expertise and are ready to expand the service, but lack the necessary resources, infrastructure, and national coordination.
Stroke survivors shouldn't face worse outcomes because of their postcode or the day they fall ill. The time for reviews is over. The Scottish Government must act because the longer we wait, the more lives we put at risk.
Foysol Choudhury MSP signs the pledge
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