Scottish Stroke Care Audit: 2015 National Report of Stroke Services in Scottish Hospitals.
Paper editions of the above are available, please contact Moranne MacGillivray for a copy.
Data tables/charts from the Report (only available on-line)
SSCA 2015 National Report Tables and Charts 
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About this Release
The Scottish Stroke Care Audit (SSCA) 2015 Annual National Report includes data describing the quality of stroke care in each acute hospital, grouped by NHS Board, during 2014, measuring each hospital against Scottish Stroke Care Standards (2013). The full report can be found at http://www.strokeaudit.scot.nhs.uk/Reports/Reports.html from 0930hrs on Tuesday 14th July 2015
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 | 2013 | 2014 |
| Percentage admitted to a Stroke Unit within 1 day of admission | 90% | 81% | 80% |
| Percentage with swallow screen on day of admission | 90% | 72% | 77% |
| Percentage with brain scan within 24 hours of admission | 90% | 87% | 90% |
| Percentage of ischaemic stroke patients given aspirin within 1 day of admission | 100% | 85% | 87% |
The SSCA monitors 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 was included in the 2014-15 Health Board Local Delivery Plans and trajectories for improvement were set locally. The proportion of individuals receiving the appropriate bundle increased from 58% in 2013 to 65% in 2014. 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 | 2013 | 2014 |
| Percentage seen at specialist stroke/TIA clinic within 4 days of receipt of referral (Day of receipt = day 0) | 80% | 79% | 83% |
| Percentage receiving (thrombolysis) bolus within one hour of arrival at hospital | 80% | 34% | 43% * 1 |
| Percentage undergoing carotid endarterectomy for symptomatic carotid stenosis within 14 days of the event that first led to seeking medical assistance | 80% | 41% | 38% |
* 1 All Health Boards will focus on improving the door to needle time for thrombolysis during 2014/15.
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 Scottish Stroke Improvement Plan (2014).
NHS Boards are expected to identify aspects of their stroke services which do not meet the Scottish Standards and to work with stroke MCNs to improve their standards of care locally.
Contacts
| Name/email | Telephone | |
|---|---|---|
| Professor Martin Dennis | SSCA Clinical Lead | |
| Moranne MacGillivray | National Clinical Coordinator | 0131 275 7615 |
| David Murphy | Senior Information Analyst | 0131 275 6624 |
| Debbie Hamilton | Regional Coordinator | 0131 275 7169 |