Scottish Stroke Care Audit: 2014 National Report of 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 2014 National Report Tables and Charts |  |
Download | 1572kb |
About this Release
The Scottish Stroke Care Audit (SSCA) 2014 Annual National Report includes data describing the quality of stroke care in each acute hospital, grouped by NHS Board, during 2013, measuring each hospital against Scottish Stroke Care Standards (2013).
Key Points
The four key inpatient Scottish Stroke Care Standards and the performance in Scotland against these standards are detailed in the table below:
Scottish Stroke Care Standard (2013) |
Required Standard | 2012 | 2013 |
Percentage admitted to a Stroke Unit within 1 day of admission. |
90% | 78% | 82% |
Percentage with swallow screen on day of admission. |
90% | 67% | 72% |
Percentage with brain scan within 24 hours of admission. |
90% | 83% | 87% |
Percentage of ischaemic stroke patients given aspirin within 1 day of admission. |
100% | 76% | 85% |
Since November 2013 the SSCA has monitored performance against a Stroke Care Bundle. The current bundle consists of the four inpatient standards noted above, i.e. timely Stroke Unit admission, swallow screen, brain imaging and aspirin administration. This Stroke Care Bundle is included in the 2014-15 Health Board Local Delivery Plans and trajectories for improvement have been set locally. The proportion of individuals receiving the appropriate bundle has increased from 48% to 58% between 2012 and 2013. The wide variation between NHS Boards suggests that there is still large potential for improvements in ‘bundle performance’.
Further Scottish Stroke Care Standards relating to attendance at specialist neurovascular clinic, thrombolysis and carotid intervention are also monitored by the SSCA.
Scottish Stroke Care Standard (2013) |
Required Standard | 2012 | 2013 |
Percentage seen at neurovascular/ stroke clinic within 4 days of receipt of referral. (Day of receipt = day 0) |
80% | 67% | 79% |
Percentage receiving (thrombolysis) bolus within one hour of arrival at hospital. |
80% | 29% | 34%*1 |
Percentage undergoing carotid endarterectomy for symptomatic carotid stenosis within 14 days of the event that first led to seeking medical assistance. |
80% | ~ | 42%*2 |
*1 All Health Boards will focus on improving the door to needle time for thrombolysis during 2014/15.
*2 It should be noted that this is the first full year that the SSCA has collected carotid intervention data and it is known that these data are incomplete and should be interpreted with caution.
Background
The SSCA monitors the quality of care provided by the hospitals in all NHS Boards by collating data collected by the stroke Managed Clinical Networks (MCNs). These data are used by the Scottish Government to monitor progress against the Scottish Stroke Care Standards (2013) and the Better Heart Disease and Stroke Care Action Plan (2009).
NHS Boards are expected to identify aspects of their stroke services which do not meet the Scottish Standards and to work with their stroke MCNs to improve their standards of care locally.
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 |
| Moranne MacGillivray | Quality Assurance Manager | 0131 275 7615 |
| Neil Perkins | Senior Information Analyst | 0131 275 6684 |