ABSTRACT NUMBER: ESOC2026A1517 UNDERSTANDING INTERCONNECTIONS BETWEEN HEALTHCARE PROFESSIONALS THROUGHTOUT THE END TO END STROKE PATHWAY TO ENHANCE PATIENT OUTCOMES IN THE EAST OF ENGLAND, UK

Abstract Background and aims The stroke pathway involves a myriad of healthcare professionals and organisations. Literature encompassing interdependencies and influence of professionals across the pathway regarding patient outcome is scarce. We aim to explore the insights of healthcare professionals throughout the stroke pathway to identify opportunities to optimise patient experience and outcome. Methods A survey was developed and distributed to healthcare professionals across the stroke pathway. Quantitative and qualitative data were analysed for recurring themes. Results 86% answered that their role is stroke specific with the majority of responses from clinicians working in the hyperacute phase (0-72 hours post stroke). There was equal representation for the pre-hospital, in-patient (acute) and stroke rehabilitation services (6 weeks – 6 months). There were strong indications for optimisation pre and post hospital that could support outcome improvement. 50% of those working in stroke rehabilitation identified referral processes from General Practitioners and escalation to hospital could be optimised. Furthermore, a gap was highlighted in the education of prehospital clinicians regarding community stroke rehabilitation services and the complex needs of stroke survivors who can re-present to emergency services following stroke. Greater knowledge could reduce unnecessary hospital admissions maximising care efficiencies. Conclusions Recommendations for optimisation of the stroke pathway have been identified, with a clear need to improve understanding and awareness of the stroke rehabilitation services. This will ensure those working in the pre-hospital and hyperacute phases are better equipped to support patient recovery. A larger survey is planned for early 2026 to strengthen our understanding of the end-to-end stroke pathway and inform change. Conflict of interest Brittany Farthing: nothing to disclose Joanna Clayden: nothing to disclose Charlotte Dorer: nothing to disclose