Sentinel Stroke National Audit Programme (SSNAP):

Apr – Jun 2013 Key Indicators

Yorkshire and The Humber Strategic Clinical Network and Senate

November 2013

2

Aireda

le

Barns

ley

Calder

dale

Chest

erfie

ld

Donca

ster

Grimsb

y

Harro

gate

Leed

s

Mon

tagu

Rothe

rham

Scarb

orou

gh

Scunt

horp

e

Sheffi

eld York

0

10

20

30

40

50

60

20.3

38.2

21.7

38.7

26.8

34.3

41

29.9

40.7

16.7

30.428.4

50.5

23.2

Scanned within 1 hour of clock start

Provider

National Average 41.5%

Old ASI Target 50%

Hospital

%

3

Aireda

le

Barns

ley

Calder

dale

Chest

erfie

ld

Donca

ster

Grimsb

y

Harro

gate

Leed

s

Mon

tagu

Rothe

rham

Scarb

orou

gh

Scunt

horp

e

Sheffi

eld York

0

10

20

30

40

50

60

70

80

90

100

65.8

72.7

60.8

89.9

82.687.1

69.2

90.8

81.5

95.6

69.6

81.1

90.7

65.2

Scanned within 12 hours of clock start

Provider

Hospital

%

4

Aireda

le

Barns

ley

Calder

dale

Chest

erfie

ld

Donca

ster

Grimsb

y

Harro

gate

Leed

s

Mon

tagu

Rothe

rham

Scarb

orou

gh

Scunt

horp

e

Sheffi

eld York

0

10

20

30

40

50

60

70

80

90

100

42.1

47.7

35.3

62.2

31.4

47.1

65.4 64.3

33.3

70

55.8

65.8

88.7

77.1

First ward is Stroke Unit and SU within 4 hours of clock start (%)

Provider

National Average 58.6%

Old ASI Target 90%

Hospital

%

5

Aireda

le

Barns

ley

Calder

dale

Chest

erfie

ld

Donca

ster

Grimsb

y

Harro

gate

Leed

s

Mon

tagu

Rothe

rham

Scarb

orou

gh

Scunt

horp

e

Sheffi

eld York

0

10

20

30

40

50

60

70

80

90

100

75.9

90.986.7

82.4

75.4

81.479.5

88.6

77.8

91.1

84.8

94.6

88.392

Assessed by a nurse trained in stroke management within 24 hours of clock start

Provider

National Average 86.5%

Hospital

%

6

Aireda

le

Barns

ley

Calder

dale

Chest

erfie

ld

Donca

ster

Grimsb

y

Harro

gate

Leed

s

Mon

tagu

Rothe

rham

Scarb

orou

gh

Scunt

horp

e

Sheffi

eld York

0

10

20

30

40

50

60

70

80

90

100

88.6

41.8

83.3

45.4

54.3

64.3

78.2

83.7

66.7

50

38

70.3

83.279.5

Assessed by a stroke specialist consultant physician within 24 hours of clock start

Provider

Hospital

%

7

Aireda

le

Barns

ley

Calder

dale

Chest

erfie

ld

Donca

ster

Grimsb

y

Harro

gate

Leed

s

Mon

tagu

Rothe

rham

Scarb

orou

gh

Scunt

horp

e

Sheffi

eld York

0

20

40

60

80

100

120

88.191.3

75.680.6

91 89.7

98.4

65.5

92.6 92.8

38.3

98.5

90.193.1

If applicable, assessed by occupational therapist within 72 hours of clock start

ProviderNa-tional Aver-age 86.1%

Hospital

%

8

Aireda

le

Barns

ley

Calder

dale

Chest

erfie

ld

Donca

ster

Grimsb

y

Harro

gate

Leed

s

Mon

tagu

Rothe

rham

Scarb

orou

gh

Scunt

horp

e

Sheffi

eld York

0

20

40

60

80

100

120

93.3 92.2

80

92.2 92.687.9

95.5

89.8

96.2 96.5

84.4

98.5

92.996.9

If applicable, assessed by physiotherapist within 72 hours of clock start

ProviderNa-tional Aver-age 92.6%

Hospital

%

9

Aireda

le

Barns

ley

Calder

dale

Chest

erfie

ld

Donca

ster

Grimsb

y

Harro

gate

Leed

s

Mon

tagu

Rothe

rham

Scarb

orou

gh

Scunt

horp

e

Sheffi

eld York

0

20

40

60

80

100

120

0

20

40

60

80

100

120

46.7

54.5

62.1

70.4

29.8

78.4

87.5 89.1

27.8

96.2

20.8

97.8

59.8

91.1

If applicable, assessed by speech and language therapist within 72 hours of clock start

Provider

Hospital

%

10

Aireda

le

Barns

ley

Calder

dale

Chest

erfie

ld

Donca

ster

Grimsb

y

Harro

gate

Leed

s

Mon

tagu

Rothe

rham

Scarb

orou

gh

Scunt

horp

e

Sheffi

eld York

0

10

20

30

40

50

60

70

80

62

38.2

68.3

46.2

26.1

38.6

52.6

62.5

22.2

53.3

32.9

62.2

43.9

47.3

Swallow screening within 4 hours of clock start

Provider

Hospital

%

11

Aireda

le

Barns

ley

Calder

dale

Chest

erfie

ld

Donca

ster

Grimsb

y

Harro

gate

Leed

s

Mon

tagu

Rothe

rham

Scarb

orou

gh

Scunt

horp

e

Sheffi

eld York

0

20

40

60

80

100

120

0

20

40

60

80

100

120

94.890.7

96.6

90.4

62.6

86.8

95.6100

63

97.6

91.595.9

91.8

99

Swallow screening (if applicable) within 72 hours of clock start

Provider

Hospital

%

12

Aireda

le

Barns

ley

Calder

dale

Chest

erfie

ld

Donca

ster

Grimsb

y

Harro

gate

Leed

s

Mon

tagu

Rothe

rham

Scarb

orou

gh

Scunt

horp

e

Sheffi

eld York

0

2

4

6

8

10

12

14

16

11.4

7.3

12.5

4.2

9.4

8.6

6.46

14.8

2.2

12.7

4.1

8.9 8.9

Patients Thrombolysed (%) All stroke types

Provider

Hospital

%

13

Aireda

le

Barns

ley

Calder

dale

Chest

erfie

ld

Donca

ster

Grimsb

y

Harro

gate

Leed

s

Mon

tagu

Rothe

rham

Scarb

orou

gh

Scunt

horp

e

Sheffi

eld York

0

20

40

60

80

100

120

88.9 88.9

50

100

68.8

50

80

22.9

80

100 100

22.2

70.4

52.9

Thrombolysed if eligible according to RCP SSNAP min-imum threshold criteria

Provider

National Average 72.9%

Hospital

%

14

Aireda

le

Barns

ley

Calder

dale

Chest

erfie

ld

Donca

ster

Grimsb

y

Harro

gate

Leed

s

Mon

tagu

Rothe

rham

Scarb

orou

gh

Scunt

horp

e

Sheffi

eld York

0

10

20

30

40

50

60

70

80

90

100

42.1

47.7

30.3

62.2

31.4

37.1

61.5 61

33.3

70

55.8

64.4

87.8

75.2

If applicable, directly admitted to SU within 4 hours of clock start AND either receive thrombolysis, or have a "no but" reason for why

thrombolysis was not given

Provider

National Average 56.9%

Hospital

%