Joint response to the EU Cardiovascular Health Plan Consultation
The European Stroke Organisation (ESO) and the Stroke Alliance for Europe (SAFE) have jointly responded to the European Commission’s public consultation on the forthcoming EU Cardiovascular Health (CVH) Plan.
With stroke being one of Europe’s leading causes of death and disability, we believe that it must be central to the EU’s strategy. Building on the Stroke Action Plan for Europe (SAP-E), we outline clear priorities to ensure that stroke is fully addressed within the EU CVH health plan to ensure that the people in the EU are supported at every stage, from prevention and acute care to recovery, research and life beyond.
Read the full consultation submission here.
EU Cardiovascular Health Plan consultation // Deadline 15 September 2025
The EU Commission has launched its Consultation on the EU CVH plan. The deadline is 15 September 2025.
The consultation strategy aims to ensure that all stakeholders concerned, and citizens have an opportunity to express their views and share insights on the problem to be solved, the key action areas proposed, and the likely impacts. It is a critical opportunity to ensure that stroke, from prevention and acute care to rehabilitation and life after stroke, is fully integrated into the EU’s future cardiovascular strategy.
Cardiovascular diseases, including stroke, remain the leading cause of death and disability in Europe. The CVH Plan aims to:
- Prevent disease by addressing unhealthy behaviours and reducing risk factors
- Improve early detection and screening through EU-wide protocols, digital tools, and personalised treatment
- Enhance management, care, and rehabilitation, including non-medical long-term support for survivors
The plan will also explore the potential of emerging technologies, data-driven approaches, artificial intelligence and the European Health Data Space to create more predictive, personalised and equitable care.
Your input can help highlight the burden of stroke in your country and the urgent need for stronger EU action.
Submit your feedback by 15 September 2025 by selecting “Give Feedback” on this page.
Congratulations to Kyrgyzstan on signing the Stroke Action Plan for Europe Declaration!
Congratulations!
Kyrgyzstan has become the 15th country to endorse the Declaration for Action on Stroke and enact the Stroke Action Plan for Europe, bringing the country another step closer to guaranteeing the highest standard of care and support for stroke patients.
The document summarises the aims of the implementation of the Stroke Action Plan for Europe and by signing it, the governmental bodies in each country manifest their commitment to acknowledge that cerebrovascular diseases, including stroke, are among the major causes of premature death long term disability, and cognitive decline in the adult population of Europe, and that many strokes are preventable and treatable with evidence-based and cost-effective strategies ; support the Stroke Action Plan for Europe with the four overarching targets for 2030 and align with the WHO Global Action Plan for Prevention and Control of Noncommunicable Diseases 2013-2020.
Find out more about the Declaration on this page.
2024 SAP-E Annual Status Report : Achievements, Challenges, and Future Directions
The Stroke Action Plan for Europe provides a basic road map and sets targets for the implementation of evidence-based preventive actions and stroke services covering the whole stroke pathway until 2030. The 2024 status report will dive into this year’s achievements, and provide an overview of the current status and latest updates:
- Organisation of the second in-person National Coordinators meeting in Lisbon
- Publication of the half-time achievements and success stories from the Stroke Action Plan
- The EU MEP Election Manifesto 2024 asking MEP candidates to support improving health across the EU
- Continuous work on the update of the “Action Plan for Stroke in Europe” to a 2.0 version with the support of all Domain group members
- Signature of the SAP-E Declaration by two new countries
- Communication campaign and joint ESO-SAFE statement on 2024 European Stroke Awareness Day
Read the Annual Report here.
Bulgaria in the fight against stroke: Overcoming the challenges to achieve progress
On the occasion of the third in-person SAP-E National Coordinators workshop, held on 20-22 January 2025 in Sofia (Bulgaria), a press conference was organised by the Association for Stroke and Aphasia and the Bulgarian Society of Neurology.
The main topic was the presentation of the updated Stroke Action Plan for Europe 2018-2030 and Bulgaria’s progress to overcome the burden of stroke.
Half-time achievements and success stories from the Stroke Action Plan
Stroke is one of the most enormous burdens to healthcare services. Despite all combined efforts, it affects more than one million people annually in Europe.
Although there is abundant knowledge regarding stroke prevention and treatment, still remains a significant gap between the theory and real-world stroke care, even in the most developed European countries. The Stroke Action Plan-Europe (SAP-E) demonstrated in its first 5 years a massive inequality in providing stroke care in Europe. The disparity exists not only among different countries, but also inside every respective country in different regions.
To know more about how the SAP-E has been advocating for better stroke care outcomes since its inception and playing a crucial role in shaping stroke care practices in Europe, read the latest update here.
Malta becomes the 14th country to sign the Stroke Action Plan for Europe Declaration
Congratulations!
We are very pleased to announce that Malta is the 14th country to endorse the Declaration for Action on Stroke and enact the Stroke Action Plan for Europe, bringing the country another step closer to guaranteeing the highest standard of care and support for stroke patients.
Stroke remains one of the leading causes of death and disability in Europe, and projections show that with a ‘business as usual’ approach, the burden of stroke will continue to increase by 25 % in the next decade and beyond. To drastically reduce the burden of stroke and its long-term consequence, we convened to review the scientific evidence and the state of current services and to set targets for the development of stroke care for the decade to follow. The SAP-E Declaration lists all 12 Key Performance Indicators in order to monitor and facilitate change.
Find out more about the Declaration on this page.
Prevent, treat and support: An EU election manifesto for stroke survivors
The Stroke Alliance for Europe (SAFE) and the European Stroke Organisation (ESO) today launch their joint EU MEP Election Manifesto 2024. For the elections in June we are asking MEP candidates to support improving health across the EU with a focus on improving prevention, care and support of those affected by stroke across Europe.
Every year, nearly 1.5 million people suffer a stroke in 32 European countries1. Stroke can be devastating – leading to death or life-long disability2, shattering the lives of victims and their loved ones. Those who survive will join the more than 9 million European stroke survivors who live with long term health, social, and financial impacts3.
The EU Non-Communicable Disease Initiative, Healthier Together, launched by the European Commission in 2022, provides opportunities for policy action that both EU-level and national policymakers should build on. We call upon all EU level policymakers, to prioritise stroke in health policies, to support member states to develop national stroke plans and lead research into the under-examined areas of stroke.
Following the principles of the Stroke Action Plan for Europe, SAFE and ESO are calling for the implementation of the following policy proposals:
- Prior to a stroke
- Primary prevention and risk factor control
- Implement legislation for public health interventions
- Implement risk factor screening and treatment programmes
- Amidst the stroke
- Quality of care and stroke management
- Ensure equal access to acute stroke care
- Establish a quality improvement system for stroke services
- Life after stroke
- Prevent further stroke and take care of those who had one
- Implement post-rehabilitation personal care plans that offer non-medical support
- Provide sufficient secondary prevention services
- Guarantee equitable access to rehabilitation prior and post discharge
- Develop a European framework of reference for stroke care quality
- Empower a dignified life after stroke
- Understanding stroke
- Provide sufficient research funding
- Improve stroke services with better data
- Encourage research into under-examined areas of stroke
Click here for the full manifesto:
References:
- At what cost: The economic impact of stroke in Europe. University of Oxford for the Stroke Alliance for Europe (SAFE).
- Sudharsanan, N., Deshmukh, M., & Kalkonde, Y. (2019). Direct estimates of disability-adjusted life years lost due to stroke : a cross-sectional observational study in a demographic surveillance site in rural Gadchiroli, India. BMJ open, 9(11), e028695.
https://doi.org/10.1136/bmjopen-2018-028695. - Wafa, H. A., Wolfe, C. D. A., Emmett, E., Roth, G. A., Johnson, C. O., & Wang, Y. (2020). Burden of Stroke in Europe: Thirty-Year Projections of Incidence, Prevalence, Deaths, and Disability-Adjusted Life Years. Stroke, 51(8), 2418–2427. https://doi.org/10.1161/STROKEAHA.120.029606.
The Czech Republic signs the Stroke Action Plan for Europe declaration
Congratulations!
We are very pleased to announce that the Czech Republic is the 13th country to endorse the Declaration for Action on Stroke and enact the Stroke Action Plan for Europe, bringing the country another step closer to guaranteeing the highest standard of care and support for stroke patients.
The document summarises the aims of the implementation of the Stroke Action Plan for Europe and by signing it, the governmental bodies in each country manifest their commitment to
- acknowledge that cerebrovascular diseases, including stroke, are among the major causes of premature death long term disability, and cognitive decline
in the adult population of Europe, and that many strokes are preventable and treatable with evidence-based and cost-effective strategies ; - support the Stroke Action Plan for Europe with the four overarching targets for 2030: (1) to reduce the absolute number of strokes in Europe by 10%, (2) to
treat 90% or more of all patients with stroke in Europe in a dedicated stroke unit as the first level of care, (3) to have national plans for stroke
encompassing the entire chain of care, (4) to fully implement national strategies for multisector public health interventions - align with the WHO Global Action Plan for Prevention and Control of Noncommunicable Diseases 2013-2020 that aims for a 25% relative reduction in
premature mortality from cardiovascular diseases, cancer, diabetes, or chronic respiratory diseases by 2025.
Find out more about the Declaration on this page.
2023 SAP-E Annual Status Report
The 2023 Status Report emphasizing this year’s Stroke Action Plan-Europe achievements by the European Stroke Organisation (ESO) and Stroke Alliance for Europe (SAFE) is now available.
With the participation of 42 delegates representing 34 countries, the first on-site SAP-E National Coordinators’ meeting in Riga, Estonia in March has been one of the highlights of the year. The two-day programme included sharing experiences, workshops’ discussions and introduction of the new leadership structure, including regional spokespersons.
The SAP-E Steering Committee maintains its momentum by extending the successes attained in the present year:
- Establishment of elected regional spokespersons to support National Coordinators and optimise communication
- Presentation of the Stroke Service Tracker (SST) data and regional status update by regional spokespersons during ESOC 2023
- Relaunch of the SAP-E website in May and continuous updates throughout the year to facilitate visualisation of yearly stroke data
- Publication of the lay version of the Essentials of Stroke Care listing primordial evidence-based steps during pre-hospital, hospital stroke care and life after stroke
- Signature of the SAP-E Declaration by 12 countries
- Communication campaign and joint ESO-SAFE statement on 2023 European Stroke Awareness Day
The end of 2023 will be dedicated to strengthening our presence and advocacy activities at the EU level, starting the 2022 data collection for the SST and preparing the second on-site National Coordinators meeting in January 2024.
View the full status report here.