Comparisons between hospitals Many hospitals which are currently collecting data are not included because too few data are available.

How can these data help improve patient care? By identifying methods which increase performance? By highlighting services requiring more investment or re design

A normal distribution No. Mean = 10 Median = 10 Days

A skewed distribution No. Mean = 7.3 Median = 6 Days

A very skewed distribution No. Mean = 4.9 Median = 3 Days

Inpatients

Dates of Data Collection

No. of Stroke admissions available for analysis

Measures of Access to Stroke Unit Proportion admitted to any stroke unit Proportion of in patient stay spent on stroke unit Delay from admission to entry to stroke unit Could add Proportion entering stroke unit within 1 day of admission

Proportions admitted to Stroke Unit

Mean Delay in accessing SU

St Johns Hospital St Johns had only 47% accessing stroke unit have now obtained funding to increase beds from 11 to 17 Have employed a staff grade doctor and therapists to help run additional beds

Proportions scanned within 2 days of admission

Length of Stay in Hospital Mean Median

Proportion of ischaemic stroke discharged on secondary prevention

Proportions of patients with ischaemic stroke and AF discharged on Warfarin

Royal Infirmary of Edinburgh Low rates of discharge on secondary prevention Need to check some notes to see if contraindicated Need to introduce a secondary prevention protocol and police it

Neurovascular clinics

Dates of Data Collection

No. of Neurovascular Clinic patients available for analysis

Diagnoses in Neurovascular clinic

Median delay from referral to assessment (days)

Delays from Assessment to Duplex (days)

Delays from Assessment to Brain scan for stroke (days)

Delays from Assessment to Echo for stroke/TIA (days)

Delays to investigation WGH has got Duplex system sorted DGRI - have got CT scanning sorted St Johns has got echo system sorted

Treatment of Definite Ischaemic events with aspirin

Treatment of Definite Ischaemic events with dipyridamole

Treatment of Definite Ischaemic events with clopidogrel

Treatment of Neurovascular clinic patients with definite ischaemic events with BP lowering