1. October 2014 Sentinel Stroke National Audit Programme (SSNAP) Acute Organisational Audit

2. Trust level summary of results

3. Domain 1 - Acute care organisation Summary of domain scoresABCDE D1 Acute care21 sites (11%) scored 90.0- 100% 15 sites (8%) scored 80.0- 89.9% 45 sites (25%) scored 65.0- 79.9% 86 sites (47%) scored 50.0- 64.9% 16 sites (9%) scored <50.0% My site’s score:

4. Domain 1 - Acute care organisation Maximum score if,My site Quality of care of stroke units treating patients within the first 72 hours of stroke applying seven acute features* 7 features Level of thrombolysis provision – hours per day and days per week on- and off-site 24/7 Ratio of nurses per ten beds on duty at 10am on weekends 3 or more nurses per 10 beds Score domain 1100 * Continuous physiological monitoring (ECG, oximetry, blood pressure), Immediate access to scanning for urgent stroke patients, direct admission from A&E/front door, specialist ward rounds on 7 days a week, acute stroke protocols/guidelines, nurses trained in swallow screening, nurses trained in stroke assessment and management

5. Domain 2 - Specialist roles Summary of domain scoresABCDE D2 Specialist roles45 sites (25%) scored 90.0-100% 40 sites (22%) scored 80.0- 89.9% 51 sites (28%) scored 65.0- 79.9% 39 sites (21%) scored 50.0-64.9% 8 sites (4%) scored <50.0% My site’s score:

6. Domain 2 - Specialist roles Maximum score if, My Site Frequency of consultant ward rounds per week*7 days a week Presence of senior nurses and therapists (band 7 or above) on the SUYes Access within 5 days to social work expertise, orthotics, orthoptics, podiatryYes to all four specialties Palliative care patients treated on the SUYes Access to clinical psychologists and provision of following aspects of psychological care i.mood assessment ii.higher cognitive function assessment iii.mood treatment iv.higher cognitive function treatment v.non-cognitive behavioural problems assessment and/or treatment Access and all five aspects of psychological care provided for inpatients and outpatients i.Provision of service which supports stroke patients to remain in, return to or withdraw from work and/or i.Provision of educational or vocational training Yes to either services provided Patients stay in bed until assessed by physiotherapistNo Score domain 2100 *16 sites which do not treat patients in the first 72 hours are removed from the denominator for this element of the domain i.e. they are scored out of 8 rather than 10.

7. Domain 3 - Interdisciplinary services (stroke unit) Summary of domain scoresABCDE D3 Interdisciplinary services7 sites (4%) scored 85.0-100% 42 sites (23%) scored 70.0- 84.9% 45 sites (25%) scored 60.0- 69.9% 65 sites (36%) scored 45.0- 59.9% 24 sites (13%) scored <45.0% My site’s score:

8. Domain 3 - Interdisciplinary services (stroke unit) Maximum score* if,My Site Qualified nurses on duty at 10 am weekdays per 10 SU beds2.308 or more Care assistants on duty at 10 am weekdays per 10 SU beds1.702 or more Qualified therapy staff availability in WTE (Whole Time Equivalents) per 10 SU beds: Clinical psychology 0.192 or more Dietetics 0.286 or more Occupational Therapy 1.500 or more Physiotherapy 1.632 or more Speech & Language Therapy 0.750 or more Pharmacy 0.238 or more 6 or 7 day working for occupational therapy, physiotherapy, speech and language therapy 6 or 7 day working for at least 2 disciplines Frequency of formal team meetings more than twice a week Members of the team** 8 members Score domain 3100 * The scoring and position in the quartiles for each of the specialties is based on the 2014 site variation. ** Clinical psychology, Dietetics, Medicine (senior doctor), Nursing, Occupational Therapy, Physiotherapy, Social Work and Speech and Language Therapy.

9. Domain 4 - TIA/ Neurovascular clinic Summary of domain scoresABCDE D4 TIA/Neurovascular clinic88 sites (48%) scored 90.0- 100% 45 sites (25%) scored 80.0- 89.9% 37 sites (20%) scored 70.0- 79.9% 5 sites (3%) scored 60.0- 69.9% 8 sites (4%) scored <60.0% My site’s score:

10. Domain 4 - TIA/ Neurovascular clinic Maximum score if, My Site TIA service can see, investigate & initiate treatment for ALL HIGH- RISK patients within 24 hours Same or next day (7 days a week) TIA service can see, investigate & initiate treatment for ALL LOW- RISK patients within one week Within a week Usual waiting time to get carotid imaging (HIGH-RISK TIA) Same or next day (7 days a week) Usual waiting time to get carotid imaging (LOW-RISK TIA)Within a week Score domain 4100

11. Domain 5 - Quality improvement, training & research Summary of domain scoresABCDE D5 Quality improvement, training & research 55 sites (30%) scored 85.0- 100% 30 sites (16%) scored 75.0- 84.9% 48 sites (26%) scored 65.0- 74.9% 26 sites (14%) scored 50.0- 64.9% 24 sites (13%) Scored <50.0% My site’s score:

12. Domain 5 - Quality improvement, training & research Maximum score if,My Site Report on stroke service produced for trust board (e.g. on audit results)Yes Members of strategic group responsible for stroke Ambulance trust representativeYes ClinicianYes Patient representativeYes PCT commissionerYes Social servicesYes Stroke Network representativeYes Trust board memberYes Funding for external courses available for nurses & therapists and at least 10 study days funded between April 2013 and March 2014 Yes Clinical research studies 5 or more Formal links with patients and carers organisations on ALL of the following: services provision, audit, and service reviews and future plans (Q8.4). Yes Patient/carer views sought on stroke services (Q7.6) Continuous or more than 4 times a year Report produced within past 12 months which analysed views of patients (Q7.7)Yes Score domain 5100

13. Domain 6 – Planning and access to specialist support Summary of domain scoresABCDE D6 Planning & access to specialist support 94 sites (51%) scored 90.0-100% 37 sites (20%) scored 75.0- 89.9% 15 sites (8%) scored 60.0- 74.9% 12 sites (7%) scored 50.0-59.9% 25 sites (14%) scored <50.0% My site’s score:

14. Domain 6 – Planning and access to specialist support Maximum score if, My Site Stroke units Outpatients Availability of patient information on each of the following topics for stroke units & outpatients (Q8.2)  Patient version of national or local guidelines/standards  Social services  Benefits agencies  Secondary prevention advice Yes on both Patients are given a personalised rehabilitation discharge plan (Q8.3) Yes Access to a stroke/neurology specialist early supported discharge (ESD) multidisciplinary team Yes Access to a stroke/neurology specialist community team for longer term management Yes Score domain 6 100

15. Total Organisational Score In 2012 my site was in Band A/B/C/D/E My total organisational score =

16. Total Organisational Score Summary of domain scores ABCDEMy site D1 Acute care 21 sites (11%) scored 90.0- 100.0% 15 sites (8%) scored 80.0- 89.9% 45 sites (25%) scored 65.0- 79.9% 86 sites (47%) scored 50.0- 64.9% 16 sites (9%) scored <50.0% D2 Specialist roles 45 sites (25%) scored 90.0- 100.0% 40 sites (22%) scored 80.0- 89.9% 51 sites (28%) scored 65.0- 79.9% 39 sites (21%) scored 50.0- 64.9% 8 sites (4%) scored <50.0% D3 Interdisciplinary services 7 sites (4%) scored 85.0- 100.0% 42 sites (23%) scored 70.0- 84.9% 45 sites (25%) scored 60.0- 69.9% 65 sites (36%) scored 45.0- 59.9% 24 sites (13%) scored <45.0% D4 TIA/Neurovascular clinic 88 sites (48%) scored 90.0- 100.0% 45 sites (25%) scored 80.0- 89.9% 37 sites (20%) scored 70.0- 79.9% 5 sites (3%) scored 60.0- 69.9% 8 sites (4%) scored <60.0% D5 Quality improvement, training & research 55 sites (30%) scored 85.0- 100.0% 30 sites (16%) scored 75.0- 84.9% 48 sites (26%) scored 65.0- 74.9% 26 sites (14%) scored 50.0- 64.9% 24 sites (13%) Scored <50.0% D6 Planning & access to specialist support 94 sites (51%) scored 90.0- 100.0% 37 sites (20%) scored 75.0- 89.9% 15 sites (8%) scored 60.0- 74.9% 12 sites (7%) scored 50.0- 59.9% 25 sites (14%) scored <50.0% Organisational audit total score 12 sites (7%) scored 90.0- 100.0 46 sites (25%) scored 80.0- 89.9% 61 sites (33%) scored 70.0- 79.9% 44 sites (24%) scored 60.0- 69.9% 20 sites (11%) scored <60.0%

17. General Audit Information Data collection period: 16 June to 18 July 2014 Snapshot of stroke services as on: 1 July 2014 Reports: to trusts: 8 th October 2014 public report: 2 nd December 2014 There was 100% participation in England, Wales and Northern Ireland.

18. Types of stroke beds: 2 sites 17 sites74 sites Type 2 beds Type 1 beds Type 3 beds My site Type 1: Beds solely for first 72 hours of careYES/ NO Type 2: Beds solely for beyond 72 hours of careYES/ NO Type 3: Beds for both first 72 hours of care and post 72 hour careYES / NO 55 sites 10 8 sites

19. Presentation, assessment and initial treatment AmbulanceNationalMy Site FAST-Track arrangements with ambulance 99%Yes/No Patients transferred directly to SU by ambulance clinicians 34%Yes/No

20. Telemedicine NationalMy Site Use of Telemedicine70%Yes/No If YES: Remote viewing for brain imaging is used97%Yes/No/NA Video enabled clinical assessment is used71%Yes/No/NA Telemedicine rota in operation with other hospitals60% Yes/No/NA Types of patients assessed by telemedicineNationalMy Site Only patients potentially eligible for thrombolysis68% Some patients (regardless of eligibility for thrombolysis) 21% All patients (who require assessment during times when telemedicine is in use) 10%

21. Thrombolysis

22. Thrombolysis Provision My site’s provision = Source: SSNAP Organisational Audit, October 2014

23. Decision making for thrombolysis – Normal Hours NationalMy Site Consultant physician in person 99% Yes/No Consultant physician via telemedicine 8% Yes/No Consultant physician via telephone 17% Yes/No Registrar 11% Yes/No Lower grade doctor 2% Yes/No Stroke nurse band 8 0% Yes/No Stroke nurse band 7 2% Yes/No Stroke nurse band 6 4% Yes/No Stroke nurse band 5 0% Yes/No Consultant as most senior 99% Yes/ No

24. Decision making for thrombolysis – Out of Hours NationalMy Site Consultant physician in person 50% Yes/No Consultant physician via telemedicine 61% Yes/No Consultant physician via telephone 32% Yes/No Registrar 10% Yes/No Lower grade doctor 0% Yes/No Stroke nurse band 8 0% Yes/No Stroke nurse band 7 1% Yes/No Stroke nurse band 6 2% Yes/No Stroke nurse band 5 0% Yes/No Consultant as most senior 94% Yes/ No

25. Thrombolysis Rota National Median My Site Number of Consultant level doctors on thrombolysis rota 6 Consultant speciality on thrombolysis rotaNationalMy Site Stroke physician85%Yes/No Neurologist29%Yes/No Care of the elderly34%Yes/No Cardiologist4%Yes/No General medicine physician9%Yes/No A&E7%Yes/No Acute physician15%Yes/No Other2%Yes/No No consultant1%Yes/No

26. Interventional Neuroradiology results *on site or by referral to another site Interventional NeuroradiologyAll sites (167)My Site % of sites currently using intra-arterial treatment (e.g. thrombectomy) to treat patients with acute stroke* 54%

27. Stroke Units Service provided on stroke units in the first 72 hours Type 1 beds and Type 3 beds

28. Patient admission to stroke unit Type 1 BedsType 3 Beds NationalMy SiteNationalMy Site All patients are always directly admitted16% (12)10% (11) All patients are directly admitted except if another predominant acute condition 48% (36)39% (43) All patients are directly admitted except when no bed available 35% (26)45% (49) Only those who may be eligible for thrombolysis are directly admitted 0% (0) Only those who receive thrombolysis are directly admitted 0% (0) Some patients are directly admitted but not as outlined in any of the categories above 1% (1)3% (3) Patients are never directly admitted0% (0)3% (3)

29. Exclusion from stroke unit Type 1 and Type 3 beds Type 1 BedsType 3 Beds NationalMy SiteNationalMy Site Any of the types of exclusion criteria: <1%Yes/No/NA0%Yes/No/NA Age-related0Yes/No/NA0 Stroke severity0Yes/No/NA0 Pre-existing dementia0Yes/No/NA0 No rehabilitation potential 1 siteYes/No/NA0 End of life care2 sitesYes/No/NA0

30. 7 Acute Criteria Type 1 BedsType 3 Beds NationalMy SiteNationalMy Site Continuous physiological monitoring 72% monitor 100% of beds Yes/No/NA 88% monitor at least one bed Yes/No/NA Immediate access to scanning99% Yes/No/NA 99% Yes/No/NA Admission procedure64% Yes/No/NA 50% Yes/No/NA Specialist ward rounds 7 days a week 64% Yes/No/NA 30% Yes/No/NA Acute stroke protocols/guidelines99% Yes/No/NA 99% Yes/No/NA Nurses trained in swallow screening 99% Yes/No/NA 96% Yes/No/NA Nurses trained in stroke assessment and management 100% Yes/No/NA 95% Yes/No/NA

31. Acute Stroke Care Type 1 BedsType 3 Beds National (n=75) My SiteNational (n=109) My Site Stroke unit with all 7 acute criteria 37%Yes/No/NA17%Yes/No/NA Stroke unit with 5 or more acute criteria 93%Yes/No/NA90%Yes/No/NA

32. Stroke Units Service provided on stroke units in post 72 hours Type 2 beds

33. Exclusion from the stroke unit Type 2 beds Type 2 Beds NationalMy Site Any of the types of exclusion criteria: 8%Yes/No/NA Age-related1 siteYes/No/NA Stroke severity1 siteYes/No/NA Pre-existing dementia1 siteYes/No/NA No rehabilitation potential6 sitesYes/No/NA End of life care5 sitesYes/No/NA

34. Ward Rounds Type 2 beds Frequency of stroke consultant ward rounds NationalMy Site 7 days per week9%Yes/No/NA 5-6 days per week60%Yes/No/NA Less than 5 days per week31%Yes/No/NA

35. Staffing on the Stroke Unit

36. Nursing levels Registered nurses usually on duty at 10am National – total stroke units My Site Median per 10 bedsPer 10 beds Weekdays1.9 Saturdays1.8 Sundays/Bank Holidays1.8 Registered nurses usually on duty at 10pm National – total stroke units My Site Median per 10 bedsPer 10 beds Weekdays1.3 Saturdays1.3 Sundays/Bank Holidays1.3

37. Banding of nurse establishment of stroke unit bed Total establishment of WTE nurses (bands 1-8c) for all stroke beds Total stroke unit beds (183 Sites) Type 1 beds (75 Sites) Type 2 beds (99 Sites) Type 3 beds (109 Sites) Band 1 Median number per 10 beds0.0 My site per 10 beds Band 2 Median number per 10 beds4.65.34.64.8 My site per 10 beds Band 3 Median number per 10 beds0.40.0 0.5 My site per 10 beds Band 4 Median number per 10 beds0.0 My site per 10 beds Band 5 Median number per 10 beds7.310.36.86.9 My site per 10 beds Band 6 Median number per 10 beds1.22.70.9 My site per 10 beds Band 7 Median number per 10 beds0.40.60.4 My site per 10 beds Band 8a Median number per 10 beds0.0 My site per 10 beds Band 8b Median number per 10 beds0.0 My site per 10 beds Band 8c Median number per 10 beds0.0 My site per 10 beds

38. Specialist swallow screening nurses Nurses trained in swallow screening and usually on duty at 10am National – total stroke units My Site Median per 10 beds Per 10 beds Weekdays1.4 Saturdays1.4 Sundays/Bank Holidays1.3

39. Specialist stroke assessment and management nurses Nurses trained in stroke assessment and management usually on duty at 10am National – total stroke units My Site Median per 10 beds Per 10 beds Weekdays1.5 Saturdays1.5 Sundays/Bank Holidays1.5

40. 6 or 7 day therapy working 34% of sites have 6 or 7 day working for at least two of: physiotherapy, occupational therapy, and speech and language therapy. My site is/is not one of these sites Source: SSNAP Organisational Audit, October 2014

41. Staffing – Access to clinical psychologists NationalMy Site Access to clinical psychologist(s) 61%YES/NO If YES, within 5 days 81%YES/NO/NA

42. Palliative Care NationalMy Site Palliative care patients are treated on the stroke unit 100%YES/NO If YES, hospital has documented policy/guidance for clinicians on palliative and end of life care 96%YES/NO

43. Prevention of venous thromboembolism First line treatment for preventing venous thromboembolism National My site Short or long compression stockings1% (1) Intermittent pneumatic compression device42% (77) Low molecular weight heparin35% (64) None of the above22% (41)

44. Frequency of team meetingsNationalMy Site Less than once a week0% Once a week 100% Twice a week 80% More than twice a week 69% Regularly attend meetings:NationalMy Site Clinical Psychology 31% Yes/No Dietetics 62% Yes/No Medicine (Senior Doctor) 98% Yes/No Nursing 99% Yes/No Occupational Therapy 100% Yes/No Physiotherapy 100% Yes/No Social Work 57% Yes/No Speech & Language Therapy 88% Yes/No Team Meetings

45. Team meetings – Patients discussed NationalMy Site All stroke unit patients are discussed in team meetings 99% Yes/No SOME stroke inpatients on other wards are discussed in these meetings 77% Yes/No/NA ALL stroke patients on other wards are discussed in these meetings 59% Yes/No/NA

46. Stroke Unit Trialists’ Collaboration (SUTC)

47. 5 SUTC criteria CriteriaNationalMy Site ClinicianClinician formally recognised as having principle responsibility for stroke services 99%Yes/No Formal links with patients and carers Service provision Audit Service reviews & future plans 51%Yes/No Multidisciplinary team meetings at least once a week100%Yes/No Patient informationPatient information displayed in unit/ward94%Yes/No Continuing education Funding for external courses At least one staff day paid for between 1 April 2012 and 31 March 2013 88%Yes/No

48. Number of SUTC criteria achieved SUTC criteriaNationalMy Site 2 1% (2) Yes/No 3 10%(18) Yes/No 4 45%(83) Yes/No 5 44% (80) Yes/No

49. Management of stroke services

50. Investment in stroke specialist staff by ban d Band 7Band 8a8b8c National Median WTE(% Yes) My SiteNational Median WTE(% Yes) My SiteNational Median WTE (% Yes) My SiteNational Median WTE(% Yes) My Site Clinical Psychologists 0.0 (14%)Yes/N0 (WTE) 0.0 (27%)Yes/N0 (WTE) 0.0 (8%)Yes/N0 (WTE) 0.0 (8%)Yes/N0 (WTE) Dietitian 0.0 (29%)Yes/N0 (WTE) 0.0 (2%)Yes/N0 (WTE) 0.0 (0%)Yes/N0 (WTE) 0.0 (0%)Yes/N0 (WTE) Nurses 1.0 (93%)Yes/N0 (WTE) 0.0 (22%)Yes/N0 (WTE) 0.0 (10%)Yes/N0 (WTE) 0.0 (2%)Yes/N0 (WTE) Occupational Therapists 1.0 (78%)Yes/N0 (WTE) 0.0 (12%)Yes/N0 (WTE) 0.0 (3%)Yes/N0 (WTE) 0.0 (0%)Yes/N0 (WTE) Physiotherapists 1.0 (86%)Yes/N0 (WTE) 0.0 (25%)Yes/N0 (WTE) 0.0 (2%)Yes/N0 (WTE) 0.0 (2%)Yes/N0 (WTE) Speech and Language Therapists 0.6 (69%)Yes/N0 (WTE) 0.0 (16%)Yes/N0 (WTE) 0.0 (2%)Yes/N0 (WTE) 0.0 (1%)Yes/N0 (WTE)

51. Staffing – Whole Time Equivalents NationalMy Site % YesMedian WTE per 10 beds Yes/NoWTE per 10 beds 0.0 0.2 1.1 1.3 0.5 0.2 % of sites with each type of profession working on the stroke unit

52. Specialist nursing across stroke service – Band 7-8c Specialist nurse numbersNational My Site (Per 10 beds) Band 7 Number of WTE (median) % nurses routinely on duty on stroke unit* 2.0 43% Band 8a Number of WTE (median) % nurses routinely on duty on stroke unit* 1.0 6% Band 8b Number of WTE (median) % nurses routinely on duty on stroke unit* 1.0 5% Band 8c Number of WTE (median) % nurses routinely on duty on stroke unit* 0.6 0% *sites were asked to specify if each individual nurse was included in their earlier response to the question about the number of nurses on duty at 10am/pm

53. Programmed Activities (PAs) assigned to stroke consultant physician posts NationalMy Site Unfilled consultant posts26% (48 sites)Yes/No If YES How many PA’s do these posts coverMedian = 10 For how many months have these posts been funded but unfilled? Median = 8

54. Workforce Planning: Existing stroke consultant posts Existing stroke consultant postsNational (median) My Site Number of PAs for Stroke Consultant Physicians22 Number of consultants PAs are divided between3 Number of PAs which are allocated to DCC17

55. Existing stroke consultant posts – Distribution of PAs and allocation of DCC Distribution of Direct Clinical Care PA’sNational % Yes (n) My Site Accredited specialityGeriatrics72% (470) Neurology16% (108) Internal Medicine6% (40) Other6% (38) Estimate of consultant DCC PA’s for strokeMedian n = 6 Contributions of consultant Stroke unit92% (606) TIA Clinic90% (590) Stroke out of hours81% (529) Time period for which consultant is likely to continue role >10 years67% (441) 6-10 years11% (74) 3-5 years10% (68) <3 years11% (73) Accredited CCST in Stroke Medicine after Stroke Training when SpR or equivalent36% (235)

56. Workforce Planning: Future planned consultant posts Future planned postsNational Your site Sites with new/additional posts for Stroke Consultant Physicians 48%Yes/No If yes: Number of PAs planned for new/additional Stroke Consultant Physicians Median : 10 Number of new/additional consultants (individuals) will these PAs be divided between Median : 1 Number of new/additional PAs which will be for Direct Clinical Care (DCC) for Stroke Median : 7

57. Future planned posts: -distribution of Direct Clinical Care PAs National (118 consultants) % Yes Your site Accredited speciality Geriatrics64% (75) Neurology15% (18) Internal medicine6% (7) Other15% (18) Estimate of consultants Direct Clinical Care (DCC) PAs for stroke Median6 Contributions of consultant Stroke unit97% (114) TIA clinic95% (112) Stroke out of hours 84% (99) Future planned consultant posts- Distribution of PAs and allocation of DCC

58. Physician Associates NationalMy Site Physician Associates as part of your clinical teamYes11% YES/NO No89% If YES, how many WTE do these Physician Associates work across your stroke service? 1.0/NA

59. Education for staff NationalMy Site Funding for external courses available for nurses and therapists 91% Number of staff days paid for between 1 April 2013 and 31 March 2014 Median = 20 days

60. Research Capacity NationalMy Site Number of stroke studies registered with your Research & Development Department Median = 4 1 or more 89%Yes/No 3 or more70%Yes/No

61. Quality improvement - Management Level of management that takes responsibility for follow-up of results and recommendations of the National Stroke Audit NationalMy Site  Executive on the Board 70% Yes/No  Non-executive on the Board 18% Yes/No  Chairman of Clinical Governance (or equivalent) 40% Yes/No  Directorate Manager 85% Yes/No  Stroke Clinical Lead 93% Yes/No  Other 31% Yes/No  No specific individual 0% Yes/No  Not known 0% Yes/No

62. Strategic group responsible for stroke 96% of sites have a strategic group responsible for stroke. These groups included in their Number of members at the time of the membership audit My site has strategic group for stroke: YES/NO Composition of group:

63. Patient support and communication

64. Patient and Carer Views NationalMy Site Report produced between 1 April 2013 and 31 March 2014 which analysed the views of stroke patients 71%Yes/No Patient surveys and/or reports discussed in a formal meeting and plans devised to act upon findings 85%Yes/No

65. Patient support and communication – Discharge planning NationalMy Site Patients given a personalised rehabilitation discharge plan 86%Yes/No Stroke service has formal links with patients and carers organisations for communication on all 3 of: service provision, audit, and service reviews and future plans 40%Yes/No Stroke service has formal links with community user groups for stroke 92%Yes/No

66. Support for working age patients National My Site Provision of service which actively supports stroke patients to remain in, return to or withdraw from work 77%Yes/No Provision of service which actively provides educational or vocational training 47%Yes/No

67. Communication with patients and carers Stroke unitOutpatients NationalMy Site The organisation of the ward/unit enables patients to have access to their management plan 86%Yes/No Patient information literature displayed in ward/unit: Patient versions of national or local guidelines/standards 77%Yes/No Social services local community care arrangements 89%Yes/No The Benefits Agency 85% Yes/No Information on stroke 100% Yes/No Secondary prevention advice 99% Yes/No

68. Pathway at discharge

69. Specialist Early Supported Discharge Team (ESD) My Site = Yes/No

70. Non-specialist Early Supported Discharge (ESD) Team

71. Longer term specialist Community Rehabilitation Team My Site =

72. Longer term non-specialist Community Rehabilitation Team

73. TIA/Neurovascular services

74. High-risk TIA patients My site’s timescale for inpatients = My site’s timescale for outpatients =

75. Low-risk TIA patients My site’s timescale for inpatients = My site’s timescale for outpatients =

76. Waiting time for carotid imaging HIGH- risk TIA patients NationalMy Site The same day (7 days a week) or the next day 51% The same day (5 days a week) or the next weekday48% Within a week 1% Longer than a week 0% Low- risk TIA patients NationalMy Site The same day (7 days a week) or the next day 11% The same day (5 days a week) or the next weekday44% Within a week 40% Longer than a week 4%

77. We hope you found this presentation useful. If you have any queries or feedback, please contact the SSNAP Helpdesk Email: ssnap@rcplondon.ac.ukssnap@rcplondon.ac.uk Phone: 0203 075 1500