Health Education England, working across the East of England: Stroke Medicine


Recent advances in stroke have made it an exciting speciality in which to work. Advances in acute care such as thrombolysis have had a major impact on patient outcome and transformed the way stroke services operate with an increasing focus on hyperacute care. Organised stroke rehabilitation care has also been shown to markedly improve outcome and this has led to the widespread creation of specialist stroke recovery units. It is now recognised that transient ischaemic attacks (TIAs) and minor strokes are associated with a high early completed stroke risk and this has led to the widespread establishment of rapid access TIA services.

Stroke is increasingly managed in specialist stroke units by a multidisciplinary group of consultants with training in neurology, healthcare of the elderly and acute medicine.  In many parts of the country there has been a centralisation of stroke services with major centres hosting Regional Hyperacute Stroke Units, which provide the full range of services including intravenous thrombolysis and interventional neuro-radiological and neurosurgical procedures.

Due to the rapid expansion in stroke services there are excellent opportunities for career progression with large numbers of consultant posts becoming available.

Training Programme

The Specialist Stroke Training Programme provides trainees with a one to two year programme covering all aspects of stroke care.  Stroke is a sub-specialty and therefore trainees undertake the programme in addition to training in a parent specialty.  The most common parent specialties from which individuals apply for stroke training are Geriatric Medicine, Neurology, and Acute Medicine although there are other suitable parent specialties (see essential qualifications for entry).

The training programme covers the full range of stroke care, including hyperacute care, stroke rehabilitation, and management of patients with minor stroke and transient ischaemic attack.  The duration of the training programme is tailored to the previous experience of the trainee.  In most instances, because the trainee will have had extensive exposure to stroke care in his/her parent specialty, a one year training programme is all that is necessary. A two year programme is available for those with less experience

Essential qualifications for entry

Applicants must have a national training number in one of the parent specialties (geriatric medicine, neurology, rehabilitation medicine, clinical pharmacology and therapeutics, cardiology, general internal medicine or acute internal medicine)

Details of local posts

Stroke training placements are available in four sites in the East of England: Norfolk and Norwich, Watford, Southend and Addenbrookes Hospitals; the distribution of these posts is subject to review as part of a more general review of the delivery of training in medical specialties in Health Education England's Eastern region.

There are exceptional opportunities for undertaking research in stroke medicine in the Department of Clinical Neurosciences in the University of Cambridge

Further Advice

Further Advice



Dr Eoin O’Brien

Chairman of Regional Training Committee and Training Programme Director

Addenbrookes Hospital

Professor Hugh S Markus

Academic Lead

University of Cambridge
Department of Clinical Neurosciences
Neurology Unit

Dr Fraz Mir 

Head of School of Medicine

Health Education England, working across the East of England 

Joseph Crowe  School of Medicine Administrator  Norfolk and Norwich University Hospitals NHS Foundation Trust 
Upcoming Multi - Speciality Training Days and Study Courses:

For a full list of upcoming training events and study courses aimed at all medical specialties within the region - Please visit the following links: