Reducing mortality via the ‘ABC’ care bundle for intracerebral haemorrhage (ICH)

Impact: Health and wellbeing


Based on underpinning research from the University of Manchester, the ‘ABC’ care bundle was developed and implemented at Salford Royal NHS Foundation Trust from 1 June 2015 to 31 May 2016, with the aim of improving stroke care. During this period, 30-day case fatality fell by a third (35.5% to 24.2%), equivalent to 2 less  deaths per month. The care bundle was then scaled up to the hyperacute stroke unit at Stockport and Bury NHS Foundation Trust from 1 April 2017, leading to a similar reduction in deaths (34.3% to 26.8%).

A phased scale-up of the ABC-ICH project across the North of England commenced in 2021, covering 27 hospitals and a population of 11 million. A Stroke Association project grant (2021-23) will allow us to determine the reduction in long term disability.

National projects to implement ABC bundle are being planned with collaborators in Norway and Sweden.

In September 2022 ABC-ICH was 'highly commended' in the Innovation Spread Award category at the Innovate Awards from the AHSN Network and NHS Confederation.
Impact date2015
Category of impactHealth and wellbeing
Impact levelBenefit