This framework provides a set of standards for the recognition of medical specialists with the appropriate training and experience to deliver safe and efficacious percutaneous stroke intervention (PSI) (including mechanical thrombectomy) in Australia and New Zealand. The framework maps a pathway for medical specialists, in centres located more than two hours travel time from a networked centre, and with a demonstrated need for additional workforce support. The pathway is designed to complement the Conjoint Committee for the Recognition of Training in Interventional Neuroradiology (CCINR).