This document discusses the use of Stroke Managed Clinical Networks (MCNs) in Scotland to improve stroke care quality. It outlines how MCNs were established and have contributed to implementing the national Stroke Action Plan. Key activities of MCNs include using quality measures to drive local improvement, facilitating information sharing between boards, and engaging boards to prioritize stroke. The ultimate goals are creating a shared vision for high quality stroke services and demonstrating the value of MCNs in coordinating care and improvements.