A stroke is a medical emergency: call 999 if you notice signs such as a face drooping on one side, weakness in one arm or slurred speech. Treatment in the first hours may include medicine to dissolve a blood clot (thrombolysis) or a procedure to remove it (thrombectomy).
In London, ambulances take people with a suspected stroke to a hyperacute stroke unit (HASU) for the first days, then to a stroke unit closer to home. The Sentinel Stroke National Audit Programme (SSNAP) gives every team a level from A to E each quarter, based on how well it meets national standards.
London hospitals
29 London stroke teams with published figures. Sorted by name. This is not a ranking: read how to read this first.
| Stroke team | Volume bandStroke patients, January to March 2026 (SSNAP) | Key outcomeSSNAP level (A to E) | Waiting timeWhole trust | Patient experience | CQC rating |
|---|---|---|---|---|---|
| Barnet General HospitalStroke team · NHS · Royal Free London NHS Foundation Trust | Fewer than 7561 stroke patients in January to March 2026 (one quarter) | Level DScore 47.6 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | Worse than expectedInpatients rated their overall experience 7.7 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for Barnet General Hospital) |
| Charing Cross HospitalHyperacute stroke unit · NHS · Imperial College Healthcare NHS Trust | 250 or more332 stroke patients in January to March 2026 (one quarter) | Level DScore 54 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | About the same as other trustsInpatients rated their overall experience 8.4 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Good (CQC report for Charing Cross Hospital) |
| Chelsea and Westminster HospitalStroke team · NHS · Chelsea and Westminster Hospital NHS Foundation Trust | Fewer than 7543 stroke patients in January to March 2026 (one quarter) | Level DScore 58.8 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | About the same as other trustsInpatients rated their overall experience 8.2 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Good (CQC report for Chelsea and Westminster Hospital) |
| Croydon University HospitalStroke team · NHS · Croydon Health Services NHS Trust | 75 to 14996 stroke patients in January to March 2026 (one quarter) | Level EScore 37.5 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | Worse than expectedInpatients rated their overall experience 7.6 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for Croydon University Hospital) |
| The Hillingdon HospitalStroke team · NHS · The Hillingdon Hospitals NHS Foundation Trust | Fewer than 7566 stroke patients in January to March 2026 (one quarter) | Level EScore 31.2 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | About the same as other trustsInpatients rated their overall experience 8 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for The Hillingdon Hospital) |
| Homerton University HospitalStroke team · NHS · Homerton Healthcare NHS Foundation Trust | Fewer than 7544 stroke patients in January to March 2026 (one quarter) | Level DScore 55.8 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | About the same as other trustsInpatients rated their overall experience 7.9 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Outstanding (CQC report for Homerton University Hospital) |
| King's College HospitalHyperacute stroke unit · NHS · King's College Hospital NHS Foundation Trust | 250 or more282 stroke patients in January to March 2026 (one quarter) | Level CScore 61.2 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | About the same as other trustsInpatients rated their overall experience 8.1 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for King's College Hospital) |
| King's College HospitalStroke unit · NHS · King's College Hospital NHS Foundation Trust | Fewer than 7549 stroke patients in January to March 2026 (one quarter) | Level DScore 58.7 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | About the same as other trustsInpatients rated their overall experience 8.1 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for King's College Hospital) |
| Kingston HospitalStroke team · NHS · Kingston and Richmond NHS Foundation Trust | 75 to 14989 stroke patients in January to March 2026 (one quarter) | Level EScore 30 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | About the same as other trustsInpatients rated their overall experience 8 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Good (CQC report for Kingston Hospital) |
| Newham University HospitalStroke team · NHS · Barts Health NHS Trust | Fewer than 7551 stroke patients in January to March 2026 (one quarter) | Level CScore 60.1 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | About the same as other trustsInpatients rated their overall experience 8.2 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for Newham University Hospital) |
| North Middlesex University HospitalStroke team · NHS · Royal Free London NHS Foundation Trust | Fewer than 7553 stroke patients in January to March 2026 (one quarter) | Level EScore 37.2 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | Worse than expectedInpatients rated their overall experience 7.7 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for North Middlesex University Hospital) |
| Northwick Park HospitalHyperacute stroke unit · NHS · London North West University Healthcare NHS Trust | 250 or more323 stroke patients in January to March 2026 (one quarter) | Level DScore 57.5 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | Worse than expectedInpatients rated their overall experience 7.6 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for Northwick Park Hospital) |
| Northwick Park HospitalStroke unit · NHS · London North West University Healthcare NHS Trust | 150 to 249181 stroke patients in January to March 2026 (one quarter) | Level DScore 59.5 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | Worse than expectedInpatients rated their overall experience 7.6 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for Northwick Park Hospital) |
| Princess Royal University HospitalHyperacute stroke unit · NHS · King's College Hospital NHS Foundation Trust | 150 to 249235 stroke patients in January to March 2026 (one quarter) | Level CScore 61.2 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | About the same as other trustsInpatients rated their overall experience 8.1 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for Princess Royal University Hospital) |
| Princess Royal University HospitalStroke unit · NHS · King's College Hospital NHS Foundation Trust | 75 to 149141 stroke patients in January to March 2026 (one quarter) | Level CScore 62.2 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | About the same as other trustsInpatients rated their overall experience 8.1 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for Princess Royal University Hospital) |
| Queen's HospitalHyperacute stroke unit · NHS · Barking, Havering and Redbridge University Hospitals NHS Trust | 250 or more342 stroke patients in January to March 2026 (one quarter) | Level DScore 59.4 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | Worse than expectedInpatients rated their overall experience 7.6 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for Queen's Hospital) |
| Queen's HospitalStroke unit · NHS · Barking, Havering and Redbridge University Hospitals NHS Trust | 75 to 149120 stroke patients in January to March 2026 (one quarter) | Level DScore 49.3 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | Worse than expectedInpatients rated their overall experience 7.6 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for Queen's Hospital) |
| The Royal Free HospitalStroke team · NHS · Royal Free London NHS Foundation Trust | Fewer than 7560 stroke patients in January to March 2026 (one quarter) | Level DScore 52.3 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | Worse than expectedInpatients rated their overall experience 7.7 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for The Royal Free Hospital) |
| The Royal London HospitalHyperacute stroke unit · NHS · Barts Health NHS Trust | 250 or more304 stroke patients in January to March 2026 (one quarter) | Level DScore 41.6 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | About the same as other trustsInpatients rated their overall experience 8.2 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for The Royal London Hospital) |
| The Royal London HospitalStroke unit · NHS · Barts Health NHS Trust | 75 to 149139 stroke patients in January to March 2026 (one quarter) | Level DScore 57.2 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | About the same as other trustsInpatients rated their overall experience 8.2 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for The Royal London Hospital) |
| St George's Hospital, TootingHyperacute stroke unit · NHS · St George's University Hospitals NHS Foundation Trust | 250 or more333 stroke patients in January to March 2026 (one quarter) | Level DScore 41.6 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | About the same as other trustsInpatients rated their overall experience 8.3 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for St George's Hospital, Tooting) |
| St George's Hospital, TootingStroke unit · NHS · St George's University Hospitals NHS Foundation Trust | Fewer than 7523 stroke patients in January to March 2026 (one quarter) | Level DScore 49.5 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | About the same as other trustsInpatients rated their overall experience 8.3 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for St George's Hospital, Tooting) |
| St Helier Hospital and Queen Mary's Hospital for ChildrenStroke team · NHS · Epsom and St Helier University Hospitals NHS Trust | Fewer than 7553 stroke patients in January to March 2026 (one quarter) | Level EScore 35.7 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | About the same as other trustsInpatients rated their overall experience 7.9 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for St Helier Hospital and Queen Mary's Hospital for Children) |
| St Thomas' HospitalStroke team · NHS · Guy's and St Thomas' NHS Foundation Trust | Fewer than 7551 stroke patients in January to March 2026 (one quarter) | Level DScore 53.2 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | Better than expectedInpatients rated their overall experience 8.8 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Good (CQC report for St Thomas' Hospital) |
| University College Hospital & Elizabeth Garrett Anderson WingHyperacute stroke unit · NHS · University College London Hospitals NHS Foundation Trust | 250 or more283 stroke patients in January to March 2026 (one quarter) | Level BScore 71.2 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | Better than expectedInpatients rated their overall experience 8.7 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Good (CQC report for University College Hospital & Elizabeth Garrett Anderson Wing) |
| University College Hospital & Elizabeth Garrett Anderson WingStroke unit · NHS · University College London Hospitals NHS Foundation Trust | Fewer than 7527 stroke patients in January to March 2026 (one quarter) | Level DScore 41.2 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | Better than expectedInpatients rated their overall experience 8.7 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Good (CQC report for University College Hospital & Elizabeth Garrett Anderson Wing) |
| University Hospital LewishamStroke team · NHS · Lewisham and Greenwich NHS Trust | 75 to 149105 stroke patients in January to March 2026 (one quarter) | Level DScore 47.9 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | About the same as other trustsInpatients rated their overall experience 7.9 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for University Hospital Lewisham) |
| West Middlesex University HospitalStroke team · NHS · Chelsea and Westminster Hospital NHS Foundation Trust | Fewer than 7552 stroke patients in January to March 2026 (one quarter) | Level DScore 53.8 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | About the same as other trustsInpatients rated their overall experience 8.2 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Good (CQC report for West Middlesex University Hospital) |
| Whipps Cross University HospitalStroke team · NHS · Barts Health NHS Trust | Fewer than 7543 stroke patients in January to March 2026 (one quarter) | Level DScore 41 out of 100Levels by area of care
More measures
| Not applicable (emergency care) | About the same as other trustsInpatients rated their overall experience 8.2 out of 10 (CQC Adult Inpatient Survey 2025, whole trust) | Requires improvement (CQC report for Whipps Cross University Hospital) |
How stroke teams across England, Wales and Northern Ireland were placed in this quarter: A - 0 teams (0.0%); B - 17 teams (7.9%); C - 20 teams (9.3%); D - 117 teams (54.7%); E - 60 teams (28.0%).
How to read this
- Not a ranking. The table is in alphabetical order. A higher volume does not on its own mean better care, and we do not combine the columns into a score.
- Volume bands. Cut points are the lower quartile, median and upper quartile of all 172 stroke teams in the SSNAP January to March 2026 results in the published table, rounded. So about a quarter of stroke teams in the SSNAP January to March 2026 results fall in each band. The exact number is shown under the band.
- Risk adjustment. Where a figure says “adjusted”, the audit has allowed for differences in the patients each hospital treats, such as age and other illnesses. Hospitals that take on more complex cases can still look different for reasons the adjustment does not capture.
- Bands and limits. We only say a result is higher or lower than expected when the source itself says so (for example NJR outlier status, NELA funnel limits, SSNAP levels, CQC survey bands). Where the source publishes a rate without limits we show the rate and the national figure, and say “No banding published”.
- Small numbers. A small hospital can have 0% or a high percentage by chance. Figures the source suppresses are shown as “Not published (small numbers)”.
- Trust or hospital. Volumes and outcomes here are for each hospital or team, but waiting times and the CQC inpatient survey are for the whole trust.
- Different periods. Each figure has its own period, shown next to it. Audit results describe operations done one to three years ago; waiting times are updated monthly.
- Talk to your GP or consultant about what the figures mean for you. If you are referred for planned care in England, you can usually choose your hospital.
Full definitions: methodology and data dictionary.
Data sources and licences
- Sentinel Stroke National Audit Programme (SSNAP) Full Results Portfolio, January to March 2026, SSNAP (King's College London) for HQIP. Source: Sentinel Stroke National Audit Programme (SSNAP), licensed under CC BY 4.0. Creative Commons Attribution 4.0
- CQC Adult Inpatient Survey 2025 (trust benchmark results), Care Quality Commission. Source: Care Quality Commission, NHS Patient Survey Programme, Adult Inpatient Survey 2025. Contains public sector information licensed under the Open Government Licence v3.0. Open Government Licence v3.0
- CQC ratings, Care Quality Commission. CQC ratings: Care Quality Commission. Contains public sector information licensed under the Open Government Licence v3.0. Open Government Licence v3.0
- Healthcare-associated infections: annual counts and rates by trust (financial year 2025 to 2026), UK Health Security Agency. Source: UK Health Security Agency, healthcare-associated infection annual data. Contains public sector information licensed under the Open Government Licence v3.0. Open Government Licence v3.0
Data last updated 22 October 2026. We do not change the published figures; we only group volumes into bands. Spotted a mistake? Tell us.
Sources
We checked this guide against these official pages on 22 October 2026.
- Stroke (NHS website)
- Treatment for a stroke (NHS website)
- Sentinel Stroke National Audit Programme results (data.gov.uk) (SSNAP)
- Adult inpatient survey (Care Quality Commission)
Spotted something out of date? Tell us.
