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The British Association of Stroke Physicians (BASP) was set up almost 10 years ago to incorporate all medical specialties involved in stroke care. The aim was to drive up stroke service standards across the United Kingdom. BASP now has a membership of over 340 consultants and 240 trainees and has overseen substantial progress in the areas of training in stroke medicine, stroke research, educational meetings, stroke service development and the provision of advice and lobbying to government agencies. BASP members have been central to service improvements in recent years. Many challenges remain for stroke medicine in the United Kingdom but BASP is well placed to address these challenges.