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Senior professional bodies and a national audit have warned that shortages of rehabilitation staff across the NHS are limiting stroke survivors’ chances of recovery.
A survey of physiotherapists working in 159 NHS services and the 2025 Stroke Physiotherapy Workforce Survey found widespread gaps: community stroke services had about 26% fewer physiotherapists than guidance recommends, acute stroke teams 15% fewer and community rehabilitation support workers 36% below recommended levels.
National guidance recommends three hours of therapy a day, five days a week; patients typically receive rehab three to four days in hospital and only one to two days once discharged.
A 2025 audit found not a single community team in England met required staffing levels; community waiting lists stood at about 1.1 million in January 2025.
Patient accounts describe being discharged without adequate support and paying for private therapy.
The Chartered Society of Physiotherapy, ACPIN and the Stroke Association say immediate investment and workforce action are needed.
The Department of Health and Social Care says it is rolling out specialist home rehabilitation and has set standards while aiming to cut stroke deaths by a quarter over ten years.





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