Scottish Stroke Care Audit:
2011 National Report
Stroke Services in Scottish Hospitals.
During further analysis of 2010 data it came to our attention that errors had been made in the published SSCA 2011 National Report and Public Summary. We have rectified these errors and published the revised versions of the reports and documents below. For detailed information regarding the errors please refer to the Revisions Log below. (Please note that the original versions of the National Report, Public Summary and Tables and Charts have been removed from the website)
Revisions Log
Paper editions of the above are available, please contact Hazel Dodds for a copy.
SSCA
National Report Tables and Charts (only available on-line)
Introduction
The Scottish Stroke Care Audit (SSCA) 2011 Annual National Report includes data describing the quality of stroke care in each acute hospital, grouped by NHS Board, during 2010, measuring each hospital against current NHS QIS standards. The report also notes trend data from 2005 to 2010 and baseline data relating to the Stroke HEAT Target implemented on 1st April 2011. The full report can be found at http://www.strokeaudit.scot.nhs.uk/Reports.html from 0930hrs on Tuesday 28th June 2011.Key Points
The five key NHS QIS quality standards for stroke are:
1. At least 60% of patients should be admitted to a Stroke Unit on day of admission (Day 0) and 90% by the day following admission (Day 1) to hospital. In 2010 39% (2009 - 37%) admitted to a Stroke Unit on Day 0 and 63% (2009 - 61%) by Day 1.*
2. All patients should have a swallow screen on the day of admission. In 2010 61% (2009 - 62%) of patients had a swallow screen recorded on the day of admission.
3. At least 80% should have a brain scan on the day of admission. In 2010 52% (2009 - 49%) of patients had a brain scan on the day of admission.
4. All patients with ischaemic stroke should receive aspirin on the day of admission or the day after unless contraindicated. In 2010 73% (2009 - 68%) of ischaemic stroke patients received aspirin by the day after admissionR
5. 80% should be seen within 7 days from referral. In 2010 82% (2009 - 81%) of patients seen in neurovascular clinics were seen within 7 days.
*Only two Scottish hospitals have achieved the admission to Stroke Unit standard despite the implementation of the NHS QIS standards being a legal requirement. Therefore, a HEAT Target related to Stroke Unit admission was implemented on 1st April 2011.
“To improve stroke care, 90% of all patients admitted with a diagnosis of stroke will be admitted to a Stroke Unit on the day of admission or the day following presentation by March 2013.”
RA revision has been made to the aspirin figure because of an error in the percentage figures in brackets for 2009. These included, incorrectly, patients with aspirin contraindications where aspirin would have been inappropriate. This increased the denominator and, therefore, reduced the percentages.
A ‘bundle analysis’ for patients who would have been eligible for the HEAT target in 2010 is presented in the 2011 National Report and confirms that patients admitted to a Stroke Unit within one day of presentation achieve more standards than those admitted after this or those never admitted to a Stroke Unit.
Background
The Scottish Stroke Care Audit monitors the quality of care provided by the hospitals in all NHS Boards by collating data collected by the Managed Clinical Networks (MCNs). These data are used by the Scottish Government Health Department to monitor progress against the NHS QIS standards for stroke and the Better Heart Disease and Stroke Care Action Plan also published in 2009.
NHS Boards are expected to identify aspects of their stroke services which do not meet National Standards and to work with their stroke MCNs to improve their standards of care.
Contacts
| Name/email | Telephone | |
|---|---|---|
| Professor Martin Dennis | SSCA Clinical Lead | 0131 537 1719 |
| Hazel Dodds | National Clinical Coordinator | 0131 275 7184 |
| David Murphy | Senior Information Analyst | 0131 275 6624 |
Further Information
Further information can be found in the full SSCA 2011 National Report at http://www.strokeaudit.scot.nhs.uk/Reports.html or on the ISD website