Scottish Stroke Care Audit:
2012 National Report
Stroke Services in Scottish Hospitals.
Paper editions of the above are available, please contact Hazel Dodds for a copy.
Data tables/charts from the Report (only available on-line)
SSCA 2012 National Report Tables and Charts
SSCA 2012 National Report RAG Health Board Charts
SSCA 2012 RAG Hospital Charts
Introduction
The Scottish Stroke Care Audit (SSCA) 2012 Annual National Report includes data describing the quality of stroke care in each acute hospital, grouped by NHS Board, during 2011, measuring each hospital against current NHS QIS standards. The report also notes trend data from 2005 to 2011 and 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 10th July 2012.
Key Points
The five key NHS QIS quality standards for stroke are :
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 2011 45% (2010 - 40%) admitted to a Stroke Unit on Day 0 and 72% (2010 - 63%) by Day 1.*
2. All patients should have a swallow screen on the day of admission. In 2011 65% (2010 - 61%) 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 2011 57% (2010 - 53%) 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 2011 72% (2010 - 72%) of ischaemic stroke patients received aspirin by the day after admission.
5. 80% should be seen within 7 days from referral. In 2011 83% (2010 - 82%) of patients seen in neurovascular clinics were seen within 7 days.
* The Stroke Admission HEAT Target 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.”An interim of target of 80% by 31st March 2012 was achieved by the majority of the Health Boards. These data are presented in chart 1 of the 2012 National Report.
A ‘bundle analysis’ for patients who would have been eligible for the HEAT target in 2011 is presented in the 2012 National Report (chart 2) 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 to monitor progress against the NHS QIS standards for stroke (2009), the Stroke Admission HEAT Target (2011) and the Better Heart Disease and Stroke Care Action Plan 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 |
| Alan Reekie | Senior Information Analyst | 0131 275 6705 |
Further Information
Further information can be found in the full SSCA 2012 National Report at http://www.strokeaudit.scot.nhs.uk/Reports.html or on the ISD website