Background Providing recommended amounts of rehabilitation for stroke and neurological patients is challenging. Telerehabilitation is viable for delivering rehabilitation and an acceptable adjunct to in-person therapy. NeuroRehabilitation OnLine (NROL) was developed as a pilot and subsequently operationalised as a regional innovation embedded across four National Health Service (NHS) Trusts. Objective To describe the NROL innovation to assist future implementation and replication efforts. Methods The Template for Intervention Description and Replication (TIDieR) checklist, with guidance from the TIDieR-Telehealth extension, was used to describe NROL. The description was developed collaboratively by clinical academics, therapists, managers, and researchers. Updated Consolidated Framework for Implementation Research domains were used to describe the context in which the innovation was delivered. Results NROL delivers online group-based real-time neurorehabilitation with technology assistance provided, incorporating multidisciplinary targeted therapy and peer support. Procedures, materials and structure are detailed to demonstrate how NROL is embedded within a healthcare system. NROL uses existing NHS therapy workforce alongside dedicated NROL roles, including an essential technology support role. Selection of NROL groups is dependent on patient need. The NROL innovation is modified over time in response to patient and staff feedback. NROL described here is situated within a regional stroke and neurorehabilitation network in North-West England, aligns with local and national strategies, and capitalises on an existing clinical-academic partnership. Conclusion This comprehensive description of a regional NROL innovation, and clarification of core components, should facilitate other healthcare settings to adapt and implement NROL for their context. Continuous evaluation alongside implementation will ensure maximal impact for neurorehabilitation.

The authors have declared no competing interest.

NROL was supported by a generous donation from the charity SameYou (Charity number 1170102).

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All data produced in the present study are available upon reasonable request to the authors