The concept of frailty relates to the ability to cope with acute stressors being limited and susceptibility to decline having a relationship to intrinsic “reserve.” Frailty is a distinct clinical syndrome from age and multimorbidity [1]. Frailty has emerged as a crucial clinical risk factor for stroke and has independent associations with poorer clinical outcomes. There is a strong desire with an ageing population to quantify the burden of frailty amongst populations with cerebrovascular disease. This will require a greater understanding as to the most pragmatic assessment tools and optimisation of procedures linked to utilization in acute, sub-acute, and rehabilitation settings