The diverse population of India has challenges with receiving comprehensive and accessible healthcare. The shortcomings of India's healthcare system are highlighted in this editorial by looking at the important topics of accessibility, patient and practitioner behaviors, and clinical governance difficulties. Regional differences, inadequate infrastructure, a lack of qualified workers, and cultural issues all have an impact on how easily accessible healthcare is in India. Gender norms, social shame, religious views, and language problems can all have an impact on how people seek healthcare, functioning as barriers to access. In India, clinical governance is challenged by a disjointed healthcare system and insufficient regulatory frameworks.To address these barriers, it is crucial to enhance healthcare infrastructure, strengthen regulatory mechanisms, promote a culture of quality improvement, provide training on clinical governance, and leverage technology for data collection and analysis. To reduce gaps in culture and promote access to healthcare, collaborations with local organizations, religious institutions, and community leaders are crucial. In India, efforts are being made to increase access to healthcare through programs like infrastructure development, the expansion of the healthcare workforce, health insurance coverage, and telemedicine. To improve the availability, affordability, and caliber of healthcare services, sustained efforts are required. To reduce the gaps and attain universal and equitable healthcare in India, a complex strategy comprising policy interventions, investments, reforms, and community engagement is required.

Background- Stroke rehabilitation involves a multidisciplinary team providing comprehensive care to the patient.(1) The functioning of Stroke Units (SU), the highest evidence available for stroke care, is guided by the World Stroke Organisations (WSO) roadmap of core recommendations and key quality indicators.(2) Objectives- To evaluate the quality of stroke rehabilitationin comparison to the WSO core recommendations at a tertiary care centre in India Methodology-A mixed method design with an exploratory research model was used. The study was conducted in 2 phases including retrospective data extraction from medical records and telephonic follow-up on the patients functional status and adherence to physiotherapy post-discharge. 84 patient records (those admitted between Jan –June 2021) were screened. Data was extracted from 49 patient files that fulfilled inclusion criteria. 35 patients were excluded due to unavailability of patient files, non-stroke related hospital admissions. In Phase 2, qualitative data was gathered using telephonic interviews, from 7 patients who consented for the same. Results- The mean age of the sample was 56.9 ±13years with approximately two third being males and a predominance towards ischaemic strokes (62%). Those with severe impairment on Fugl Meyer assessment were 28% of the sample. It was observed that there was inconsistent documentation of various core recommendations provided by WSO (<20%) while 16% of the services provided were not documented at all. Only two of the five key quality indicators of stroke rehab were documented.