August 2015

Stroke Sentinel National Audit Program (SSNAP) Annual Portfolio Results: April 2014-March 2015

South West Strategic Clinical Network

Results Outline: The following results are sourced from the second SSNAP Annual Portfolio, and include results and information for both 2013/14 and 2014/15 to enable comparison. The South West SCN has used a Red, Amber, Green rating to illustrate levels of achievement. The Red, Amber, Green rating is used as follows:

Green: At Target or better Amber: Within 5% of target Red: More than 5% from target

Arrows indicate when the 2015 results represent a relative change (improvement or decline) of 10% or more in

comparison to 2014 results, or an improvement to within 5% of the target.

Data Source: https://www.strokeaudit.org/results/Clinical-audit/Regional-Results.aspx

GRH Gloucestershire Royal Hospital PHT Plymouth Hospitals Trust Salis Salisbury District Hospital WAH Weston General Hospital GWH Great Western Hospital Swindon RCH Royal Cornwall Hospital SDH South Devon Hospital Torbay YDH Yeovil District Hospital NBT North Bristol Hospitals RDE Royal Devon & Exeter Hospital MPH Musgrove Park Hospital Taunton NDH North Devon District Hospital RUH Royal United Hospital Bath UHB Bristol Royal Infirmary

Year GRH GWH NBT NDH PHT RCH RDE RUH Salis SDH MPH UHB WAH YDH National

1

% stroke patients being admitted directly to ASU from ED <4 hours of clock start Target: 75% Source: SSNAP H7.18

2014 51.9 58 31.6 54.5 51.8 42.8 64.7 42.7 70.9 41.4 69.1 34.6 32.9 65.8 58

2015 40.4 45.3 44.9 53.2 53.7 25.5 62.4 44.1 69 27.7 66.4 46.7 55.5 59.4 56.8

2

% stroke patients who spend 90% of their stay on a stroke unit (acute spell/team-centred) Target: 85% Source: SSNAP K32.11

2014 81.3 78.2 82.1 73.1 68 67.4 85.9 81.8 92.8 82.4 87.6 77.1 77.7 88.2 83.9

2015 74.9 72.8 86.8 77.5 75.2 56.7 81.4 82.4 89.7 73.3 82.3 80.8 81.7 84.1 83.2

3

% of all stroke patients given thrombolysis Target: 15% Source: SSNAP H16.3

2014 6.9 8.7 14.6 9.4 6.9 6.3 13.8 13.8 10.3 7.3 9.2 11.3 4.8 14.2 11.6

2015 8 10.8 13.8 4.4 8 9.4 13.7 13.7 9.1 7.3 8.6 12.2 6.6 14.6 11.6

4

Proportion of therapy target delivered (superspell/ patient-centred) Target: 75%

a. OT SSNAP J3.10

2014 43.2 47.2 44.5 78.5 46.4 85.6 35.2 45.9 34.8 73.9 69 57.1 36.2 72.9 55.8

2015 34.3 45 45.8 113.1 71.2 53 70 64.2 82.9 114.6 62.1 61.4 51.8 94.1 72.1

b. PT SSNAP J4.10

2014 24.6 51 46.6 80.5 68.5 52.4 32 43.3 29.2 54.6 79.4 49.9 52.4 63.8 53.3

2015 26 54.5 52.5 112.6 84 46.8 79.1 62.4 68.8 80 84.4 45.5 60.1 104.3 68.7

c. SLT SSNAP J5.10

2014 10.4 26.6 28.5 35.5 27.4 43.7 14.5 27.1 10.3 41.1 21.5 24.3 30 21.5 24.2

2015 8.2 18.9 46.5 54.7 45.5 41.2 23.8 34.8 23.7 57.5 33.4 33.7 37.2 44.5 35.6

5

% of patients admitted with cardioembolic stroke not receiving anticoagulants Target: reduce to 25%

Source: SSNAP F6.15

2014 36 59.4 40.4 44.3 46.1 59.4 36.8 56.3 33.3 48.4 34 32.7 38.5 48 49.4

2015 31.7 63.9 6 23.4 43.9 64.6 38.7 48.4 12.3 45 35.3 33.7 41.5 40 44.2

Stroke SSNAP Annual Portfolio: 2014 – 2015 Acute results for SW CV SCN Green: At Target or better Amber: Within 5% of target Red: More than 5% from target

* Organisations that participate in SSNAP ¹ In November 2014, Crediton and Exmouth Stroke Rehabilitation Units merged to form East Devon Stroke Rehabilitation Unit (Results from each Unit

reflect part year)

Year

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Target: 75%

Source: SSNAP K3.15.1

2014 33.3 100 13.9 100 0 - 0 - 18.8 65.5

2015 - - - - - - 66.7 0 0 - 50 100 44.4 74.2

2

Continence plan within 3 weeks of clock start (where applicable) Target: 85%

Source: SSNAP K11.3

2014 96.7 98.1 56.8 97.4 100 100 87.9 100 88.6 75.2

2015 88.7 100 100 94.1 100 91.5 100 93.5 89.7 93 100 100 84.8

3

Mood and cognition screening before discharge

Target: 85%

Source: SSNAP K14.3

2014 39.1 93.5 72.9 59.9 35.8 0 77.1 100 66.5 78.6

2015 50 96.1 91.7 100 100 80.2 59.5 24 72.7 98.8 100 93.6 86

4

Proportion of therapy target delivered (superspell/ patient-centred)

Target: 75%

a. OT SSNAP J3.10

2014 44.6 81.5 110.3 70.6 47.3 58.1 60.5 56.3 81.4 55.8

2015 53.2 96.7 113.4 74.4 72.3 98.2 41.8 72.1 65.3 84.9 117.7 121.4

72.1

b. PT SSNAP J4.10

2014 50.3 76.8 82.5 107.1 57.7 58.2 58.6 71.6 72 53.3

2015 63.1 93.2 82.4 73.3 82.2 96.9 53 59.4 64.8 109.4

120.9 110.3

68.7

c. SLT SSNAP

J5.10

2014 34.1 69.5 71.2 53.4 31.8 66.5 24.4 71.1 59.8 24.2

2015 31.5 61.7 24 34.5 43.1 65.5 28.2 59.3 28.3 55.2 58.4 96.4 35.6

Stroke SSNAP Annual Portfolio: 2014 – 2015 Rehab results for SW CV SCN Green: At Target or better Amber: Within 5% of target Red: More than 5% from target

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2014 34.2 0.9 28.2 55.1 34.7 43.6 18.1 12.2 9 63.2 32.3 28.1 5 32 0 62.3

45.2 62.5 0 40 54.2 61.1 77.9 24.7

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85 79.4 28.2

% of patients receiving 6-month review Target: 75% Source: SSNAP M4.6

6 Month Review Provider

National Gloucestershire

6 Month Assessment

Provider

Wiltshire 6 Month

Assessment Provider

North Somerset DARRT - 6

Month Assessment

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Plymouth (Stroke

Association)

Cornwall and Isles of Scilly ESD Team

Somerset 6 Month

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Somerset Partnership ESD

Team

2014 92.8 78.6 82 37.2 12.6

2105 93.7 97.6 58.8 52.2 31.1 31.5 55.8

Stroke SSNAP Annual Portfolio: 2014 – 2015 ESD results for SW CV SCN Green: At Target or better Amber: Within 5% of target Red: More than 5% from target

Stroke SSNAP Annual Portfolio: 2014 – 2015 6 Month Review results for SW CV SCN Green: At Target or better Amber: Within 5% of target Red: More than 5% from target