SINAP Results First Quarterly Public Report July 2010 – June 2011 admissions An interactive slideshow allowing you to click on links to take you to the.

SINAP Results First Quarterly Public Report

July 2010 – June 2011 admissions

An interactive slideshow allowing you to click on links to take you to the key indicators that you want to see.

For example, you can click on a key indicator link on the next page to take you to its description. Then you can click on “Graph” to see a graph of national figures for that indicator.

ContentsAnnual dataQuarterly data

Box plots

Key Indicator 1

Key Indicator 2

Key Indicator 3

Key Indicator 4

Key Indicator 5

Key Indicator 6

Key Indicator 7

Key Indicator 8

Key Indicator 9

Key Indicator 10

Key Indicator 11

Key Indicator 12

Average of 12 KIs

Feedback

Number of patients

Key Indicator 1 Key Indicator 2 Key Indicator 3 Key Indicator 4 Key Indicator 5 Key Indicator 6

Number of patients scanned within 1 hour of arrival at

hospital

Number of patients scanned within 24 hours of arrival at

hospital

Number of patients who arrived on stroke bed

within 4 hours of hospital arrival (when hospital

arrival was out of hours)

Number of patients seen by stroke

consultant or associate specialist within 24h

Number of patients with a known time of

onset for stroke symptoms

Number of patients for whom their

prognosis/diagnosis was discussed with

relative/carer within 72h where applicable

5149 (29%) 15944 (91%) 4511 (47%) 14520 (75%) 10064 (52%) 15310 (85%)

Annual data July 2010 – June 2011

• The above table shows key indicators 1-6 across all hospitals, with the number (and percentage) of patients who received each standard.

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Key Indicator 7 Key Indicator 8 Key Indicator 9 Key Indicator 10 Key Indicator 11 Key Indicator 12 Average

Number of patients who had

continence plan drawn up within

72h where applicable

Number of potentially eligible patients

thrombolysed

Bundle 1: Seen by nurse and one

therapist within 24h and all relevant

therapists within 72h (proxy for NICE QS 5)

Bundle 2: Nutrition screening and

formal swallow assessment within

72 hours where appropriate

Bundle 3: Patient's first ward of admission was

stroke unit and they arrived there within four hours of hospital arrival

Bundle 4: Patient given antiplatelet within 72h where appropriate and had adequate fluid and

nutrition in all 24h periods

Average of 12 key

indicators

4221 (57%) 1050 (49%) 7905 (48%) 14161 (82%) 8917 (48%) 9257 (56%) 60

Annual data July 2010 – June 2011

• The above table shows key indicators 7-12 across all hospitals, with the number (and percentage) of patients who received each standard. It also shows the average of the 12 key indicators.

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Key Indicator 1 Key Indicator 2 Key Indicator 3 Key Indicator 4 Key Indicator 5 Key Indicator 6

Number of patients scanned within 1 hour of arrival at

hospital

Number of patients scanned within 24 hours of arrival at

hospital

Number of patients who arrived on stroke bed

within 4 hours of hospital arrival (when hospital

arrival was out of hours)

Number of patients seen by stroke

consultant or associate specialist within 24h

Number of patients with a known time of

onset for stroke symptoms

Number of patients for whom their

prognosis/diagnosis was discussed with

relative/carer within 72h where applicable

1791 (33%) 5050 (92%) 1735 (54%) 4830 (79%) 3262 (54%) 5010 (87%)

Quarterly data April – June 2011

• The above table shows key indicators 1-6 across all hospitals, with the number (and percentage) of patients who received each standard.

Next part of table

Contents

Key Indicator 7 Key Indicator 8 Key Indicator 9 Key Indicator 10 Key Indicator 11 Key Indicator 12 Average

Number of patients who had

continence plan drawn up within

72h where applicable

Number of potentially eligible patients

thrombolysed

Bundle 1: Seen by nurse and one

therapist within 24h and all relevant

therapists within 72h (proxy for NICE QS 5)

Bundle 2: Nutrition screening and

formal swallow assessment within

72 hours where appropriate

Bundle 3: Patient's first ward of admission was

stroke unit and they arrived there within four hours of hospital arrival

Bundle 4: Patient given antiplatelet within 72h where appropriate and had adequate fluid and

nutrition in all 24h periods

Average of 12 key

indicators

1406 (62%) 362 (52%) 2734 (53%) 4502 (85%) 3187 (55%) 3275 (63%) 64

• The above table shows key indicators 7-12 across all hospitals, with the number (and percentage) of patients who received each standard. It also shows the average of the 12 key indicators.

Quarterly data April – June 2011

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Number of stroke patients per month

Contents

Key Indicator 1Key indicators• Number of patients scanned within 1 hour of

arrival at hospital– This is for stroke patients only. Patients who

were already in hospital at the time of stroke are not included, as arrival time is irrelevant here. This indicator is for Accelerating Stroke improvement (ASI) Metric 4 (and is also linked to NICE Quality Standard 2).

Contents

Graph

Key Indicator 1Key indicators• Number of patients scanned within 1 hour of

arrival at hospital

Information

Contents

Key Indicator 2Key indicators• Number of patients scanned within 24 hours of

arrival at hospital– This is for stroke patients only. Patients who

were already in hospital at the time of stroke are not included as arrival time is irrelevant here. This indicator is for ASI Metric 4.

Graph

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Key Indicator 2Key indicators• Number of patients scanned within 24 hours of

arrival at hospital

Information

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Key Indicator 3Key indicators• Number of patients who arrived on stroke bed

within 4 hours of hospital arrival (when hospital arrival was out of hours) – This is based on stroke patients who arrived out of

hours. Out of hours means the patient arrived after 6pm or before 8am Monday-Friday, or at the weekend or on a Bank Holiday. Patients who were already in hospital at the time of stroke are not included as arrival time is irrelevant here. This indicator is used to distinguish hospitals which have well organised direct admission to stroke units 'out of hours'.

Graph

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Key Indicator 3Key indicators• Number of patients who arrived on stroke bed

within 4 hours of hospital arrival (when hospital arrival was out of hours)

Information

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Key Indicator 4Key indicators• Number of patients seen by stroke consultant or

associate specialist within 24 hours– This is for stroke patients only. Patients already

in hospital at the time of stroke are included (onset time would be the ‘0’ hour here, whereas for newly admitted patients the ‘0’ hour is the time of arrival at hospital).

Graph

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Key Indicator 4Key indicators• Number of patients seen by stroke consultant or

associate specialist within 24 hours

Information

Contents

Key Indicator 5Key indicators• Number of patients with a known time of onset

for stroke symptoms– This is based on stroke patients only. It includes

patients who were already in hospital at time of stroke. This is included as a key indicator to reward those services which are putting effort into establishing the onset time for more of their patients. Also, it contributes to higher quality and more useful data, as more standards can be measured according to onset time.

Graph

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Key Indicator 5Key indicators• Number of patients with a known time of onset

for stroke symptoms

Information

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Key Indicator 6Key indicators• Number of patients for whom their

prognosis/diagnosis was discussed with relative/carer within 72 hours where applicable– This is for stroke patients only. Patients already

in hospital at the time of stroke are included. This is used as a key indicator as it is a measure which looks at whether hospitals are involving carers/relatives.

Graph

Contents

Key Indicator 6Key indicators• Number of patients for whom their

prognosis/diagnosis was discussed with relative/carer within 72 hours where applicable

Information

Contents

Key Indicator 7Key indicators• Number of patients who had a continence plan

drawn up within 72 hours where applicable– This is for stroke patients only. This includes

patients already in hospital at the time of stroke. The management of continence is consistently highlighted by patients as being one of the most important aspects of care.

Graph

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Key Indicator 7Key indicators• Number of patients who had a continence plan

drawn up within 72 hours where applicable

Information

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Key Indicator 8Key indicators• Number of potentially eligible patients

thrombolysed– Eligible patients are those with infarction; aged 80 and

under; whose onset of stroke to arrival at hospital time was less than 3 hours or who had their stroke in hospital; who did not refuse treatment; and who were not contra-indicated due to co-morbidity, medication or another reason. This is linked to NICE Quality Standard 3.

Graph

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Key Indicator 8Key indicators• Number of potentially eligible patients

thrombolysed

Information

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Key Indicator 9Key indicators• Bundle 1: Seen by a nurse and one therapist

within 24 hours and all relevant therapists within 72 hours (proxy for NICE Quality Standard 5)– This is for stroke patients only. This includes

patients already in hospital at the time of stroke. This is linked to NICE Quality Standard 5 but does not have 'documented multidisciplinary goals agreed within 5 days' which is part of the NICE Quality Standard. (This is because this is outside of SINAP’s 72 hour remit).

Graph

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Key Indicator 9Key indicators• Bundle 1: Seen by a nurse and one therapist

within 24 hours and all relevant therapists within 72 hours (proxy for NICE Quality Standard 5)

Information

Contents

Key Indicator 10Key indicators• Bundle 2: Nutrition screening and formal swallow

assessment within 72 hours where appropriate– This is for stroke patients only. This includes

patients already in hospital at the time of stroke.

Graph

Contents

Key Indicator 10Key indicators• Bundle 2: Nutrition screening and formal swallow

assessment within 72 hours where appropriate

Information

Contents

Key Indicator 11Key indicators• Bundle 3: Patient's first ward of admission was

stroke unit and they arrived there within four hours of hospital arrival– This is for stroke patients only. Patients who

were already in hospital at the time of stroke are not included as arrival at hospital time is irrelevant here. This is ASI Metric 2 (and is also linked to NICE Quality Standard 3).

Graph

Contents

Key Indicator 11Key indicators• Bundle 3: Patient's first ward of admission was

stroke unit and they arrived there within four hours of hospital arrival

Information

Contents

Key Indicator 12Key indicators• Bundle 4: Patient given antiplatelet within 72

hours where appropriate and had adequate fluid and nutrition in all 24 hour periods– This is for stroke patients only. This includes

patients already in hospital at the time of stroke.

Graph

Contents

Key Indicator 12Key indicators• Bundle 4: Patient given antiplatelet within 72

hours where appropriate and had adequate fluid and nutrition in all 24 hour periods

Information

Contents

Average 12 Key Indicators

• This is an unweighted average (mean) of the key indicators.

• This is a guide for benchmarking across all hospitals.

• This average may also provide a useful indication of how the stroke service is performing over time.

Graph

Contents

Information

Average 12 Key Indicators

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Key to box plots

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Lowest* value of the data range

Lower quartile*(25 percentile, i.e. the value at 25% of the ordered data set)

Median*(the ‘middle’ value)

Upper quartile*(75 percentile)

Highest* value of the data range

Anomalies: these are data values that are significantly outside the data range and are hence discounted from statistical calculations.

*Excluding anomalous data values

Key to the box plots

Box plots

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Feedback• We are keen to have feedback on this

presentation, and particularly if you have used it for quality improvement purposes.

• Please send feedback to: [email protected]

• For more information, please visit:www.rcplondon.ac.uk/sinap

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