Scottish Stroke Care Audit


Scottish Stroke Improvement Programme Report - 2017

Download PDF file Scottish Stroke Improvement Programme National Report 2017 [4.5 Mb]

Download PDF file Scottish Stroke Improvement Programme Summary 2017 [200 Kb]

Tableau Dashboards

The Tableau based dashboards summarises information about performance against the current Scottish Stroke Care Standards for inpatients and outpatients.  In addition it shows how Health Boards have rated themselves against each component of the Scottish Stroke Improvement Plan. Data is presented at hospital and Health Board level.

Compare Indicators
Compare Hospitals

Shows, for individual hospitals or health boards, how performance has changed from 2015 to 2016 across all nine Scottish Stroke Care Standards.

Shows, for each Scottish Stroke Care Standard, how hospitals compare to each other for 2016.

RAG Status 1
RAG Status 2

Shows each health board’s status with regard to the components of the Scottish Stroke Improvement Plan.

Shows, by status and health board, the components of the Scottish Stroke Improvement Plan.

Data tables/charts from the Report

SSCA 2017 National Report Tables and Charts Download Excel [1.2 Kb]

About this Release

The Scottish Stroke Improvement Programme 2016 Annual National Report includes data, from the Scottish Stroke Care Audit, describing the quality of stroke care in each acute hospital, grouped by Health Board, during 2015, measuring each hospital against Scottish Stroke Care Standards (2013).

Key Points

Scottish Stroke Care Standard (2013)
Required Standard
2015
2016
Percentage admitted to a Stroke Unit within 1 day of admission.
90%
78%
82%
Percentage with swallow screen within 4 hours of arrival at hospital (this measure has changed from 1 day to 4 hours)
100%
72%
Percentage with brain scan within 24 hours of admission.
95%
91%
93%
Percentage of ischaemic stroke patients given aspirin within 1 day of admission.
95%
90%
90%

Changes to the measurement of components of the Stroke Care Bundle this year (a new requirement for a swallow screen within 4 hours, as opposed on day of admission), means that we have no direct comparison with previous years’ Stroke Care Bundle results. However, there have been significant improvements in time to stroke unit admission and percentage of stroke patients receiving a CT scan within 24 hours of admission over this time. Aspirin use within 1 day has been unchanged between the two years at 90%.

Further Scottish Stroke Care Standards relating to attendance at specialist stroke/TIA clinic, thrombolysis and carotid intervention are also monitored by the SSCA.

Scottish Stroke Care Standard (2013)
Required Standard
2015
2016
Percentage seen at specialist stroke/TIA clinic within 4 days of receipt of referral. (Day of receipt = day 0)
80%
83%
82%
Percentage receiving (thrombolysis) bolus within one hour of arrival at hospital.
80%
51%
55%
Percentage undergoing carotid endarterectomy for symptomatic carotid stenosis within 14 days of the event that first led to seeking medical assistance.
80%
41%
45%

Background

The SSCA monitors the quality of care provided by the hospitals in all Health 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).

Health 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   
Neil Muir Clinical Coordinator 0131 275 6089
David Murphy Senior Information Analyst 0131 275 6624
Iain McDermid Information Analyst 0131 275 6684