This article presents the experience of healthcare decision-makers who used simulation to better understand the impact of adopting best practice in stroke care, as outlined in the National Stroke Strategy. It describes the process of developing a simulation model and how stakeholders were involved in testing the key questions, which they needed to answer in order to adopt a new commissioning strategy for stroke care. It outlines what simulation is and discusses how it can be used to support evidenced-based decision-making.
Keywords: care pathway; evidence-based decision-making; simulation; stroke.