Eligibility Criteria:
Participants will be eligible if they meet the following criteria:
8.1.1 Inclusion criteria stroke survivors
* Adults (aged 18+) who have experienced a stroke. No time limit since stroke
* Able to provide informed consent
* Sufficient communication abilities (verbal or non-verbal, with or without support) to participate in co-design activities
* Received inpatient stroke rehabilitation after their stroke
* Has or has not previously participated in a stroke rehabilitation clinical trial during their hospital-based stroke rehabilitation
* Willing to participate in co-design activities and share their perspectives.
8.1.2 Inclusion criteria family member/friend of stroke survivor
* Adults (aged 18+) who are a family member, friend, or informal caregiver of a stroke survivor.
* Able and willing to provide informed consent.
* Willing to participate in co-design activities and share their perspectives.
8.1.3 Inclusion criteria stroke rehabilitation staff
* Registered staff currently working in stroke rehabilitation who routinely prescribe and/or supporting stroke rehabilitation activities (e.g., physiotherapist, occupational therapist, rehabilitation nurses, rehabilitation physician)
* ≥6 months of experience in hospital-based stroke rehabilitation settings
* Employed in an organisation that provides NHS hospital-based stroke rehabilitation services
* Willing to participate in co-design activities and share their perspectives.
8.1.4 Inclusion criteria healthcare leaders (e.g., Managers, Administrators, Policy Makers)
* Individuals who are accountable and responsible for the operational, clinical, and/or strategic delivery of stroke rehabilitation, rehabilitation and/or therapy services within a NHS hospital
* Individuals working in an Integrated Care Board with rehabilitation and/or research in their portfolio
* Experience in implementing/influencing stroke rehabilitation policy/service delivery
* Willing to participate in co-design activities and share their perspectives.
8.1.5 Inclusion criteria stroke rehabilitation researchers
* Active researchers with experience in designing, conducting and evaluating stroke rehabilitation or physical rehabilitation research
* Affiliated with academic or research institutions
* Willing to participate in co-design activities and share their perspectives.
8.1.6 Inclusion criteria for funders
* Currently employed, contracted to, or formally affiliated with a research funding organisation that reviews, commissions or funds stroke rehabilitation research (e.g., NIHR, Stroke Association, research councils, medical research councils, professional bodies or research charities)
* Direct involvement in decision-making, monitoring or governance of stroke rehabilitation research within the past two years
* Experience with funding processes related to stroke rehabilitation, rehabilitation or clinical trial oversight
8.2 Exclusion Criteria
Participants will not be eligible if they meet any the following criteria:
8.2.1 Exclusion criteria for stroke survivors
* Significant cognitive and/or communication impairment that preclude meaningful participation, even with support
* Exhibiting aggression or other behaviour issues that put themselves and others at risk
* Medical instability that would make participation unsafe or overly burdensome
* Currently enrolled in another research study that could confound participation or data collection
* Non-English speaking (research study does not offer language support).
8.2.2 Exclusion criteria for family member/friend of stroke survivor
* Not family member or friend of a stroke survivor
* Significant emotional distress or trauma that would be exacerbated by participation.
* Non-English speaking (research study does not offer language support).
8.2.3 Exclusion criteria for stroke rehabilitation staff
* Currently under disciplinary review or leave of absence.
* ≤6 experience in NHS inpatient stroke rehabilitation
* Inability to commit time to the study activities.
8.2.4 Exclusion criteria for healthcare leaders (e.g., Managers, Administrators, Policy Makers)
* Not in a leadership or decision-making role within an organisation that provides NHS inpatient stroke rehabilitation or rehabilitation/therapy services
* Not working in an Integrated Care Board/System
* No experience in implementing or influencing stroke rehabilitation policy or service delivery
* Conflict of interest with study funders or researchers.
8.2.5 Exclusion criteria for stroke rehabilitation researchers
* No direct experience with stroke or rehabilitation research in the past two years.
* No experience of hospital-based stroke or physical rehabilitation research in the past two years
* Participation that would lead to conflicts of interest with the research team or funders.
8.2.6 Exclusion criteria for funders
* Not employed by or formally affiliated with a research funding organisation that reviews, commissions or funds stroke rehabilitation research (e.g., NIHR, Stroke Association, research councils, medical research councils, professional bodies or research charities)
* No direct involvement in decision-making, monitoring or governance of stroke rehabilitation research within the past two years
* Conflict of interest with the research team or institutions delivering this study