The ANGELS Initiative

ESO promotes the Stroke Quality Improvement Programme

“As ESO’s mission is to foster greater adherence to current ESO guidelines throughout Europe on stroke management, ESO fully shares the declared objectives outlined in the Angels Project. ESO congratulates the organisers for this desirable initiative and will actively monitor and support its progress.” Valeria Caso, ESO President Urs Fischer, ESO Secretary General


Our mission is simple. To increase the number of patients treated in stroke ready hospitals and to optimise the quality of treatment in all existing stroke centres. We are building a community of at least 1,500 stroke centres and stroke ready hospitals, working every day to improve the quality of treatment for every stroke patient.



RES-Q is the stroke care quality registry initiated by ESO-EAST (European Stroke Organisation – Enhancing and Accelerating Stroke Treatment) to help all participating countries improve their stroke care system.  The registry was designed to capture the essential metrics for quality improvement, while minimising your workload for participation. By registering your centre, users, and data with RES-Q, we can provide you with continuous monitoring, evaluation, and improvement of stroke care quality.



SITS offers a world leading platform for high quality stroke patient data (>180 000 patients in >1600 stroke centres). The SITS quality registry protocol (SITS-QR) can be used by all SITS centres, including those participating in the ESO-Angels Award Programme. Reperfusion data for Angels can also be brought from SITS thrombolysis/thrombectomy registries. By using SITS registries, you will be able to follow outcomes, prepare reports for local presentation, compare with national and international partners, use your own data for research and share access to a global stroke research platform.


The European Stroke Organisation strongly supports participation of stroke centres in quality improvement programmes in stroke care.  The ESO Angels Awards is a quality improvement programme by the ESO that is supported by the Angels Initiative.

With the ESO Angels Awards, quality measures can be captured in either the RES-Q registry, the SITS-Quality Registry (SITS-QR) or in your National Registry if it has been approved by the ESO Angels Steering committee. Your participation in this quality improvement programme will be recognised by ESO. Based on your performance in the various measures your hospital may achieve Gold, Platinum or Diamond status and be acknowledged with a corresponding ESO Angels Award.

The ESO Angels Awards quality improvement programme is complementary to the stroke unit certification system run by ESO, the stroke care guidelines developed and published by ESO, and the educational activities coordinated by ESO.

Aims and Objectives

European Angels Committees

How to Qualify


ESO is proud to present the new ESO Stroke Unit and Stroke Centre Certification Platform for European institutions. The certification platform was recently launched during the ESOC 2016 in Barcelona, Spain and is currently accepting applications for certification.

Certification is a key part of improving the quality of patient care by establishing a consistent approach to care, reducing the risk of error. Documenting the patient pathway provides a benchmark for quality, an objective assessment of clinical excellence, and an opportunity to develop skills and knowledge in your efforts to provide the highest quality service to your patients. European institutions can fill in detailed information about their own stroke unit or stroke centre on the ESO Certification Platform. The submission will be evaluated by Auditors, and will be included in a database.