1. Sentinel Stroke National Audit Programme (SSNAP)
2016 Acute Organisational Audit
January 2017

2. Introduction
This slideshow provides a graphical presentation of the national results from the 2016 SSNAP acute organisational audit.
The 2016 acute organisational audit provides continuity from the previous 7 biennial rounds of the National Sentinel Stroke Organisational Audit and the 2012 and 2014 SSNAP acute organisational audits.
Acute stroke services submitted data to SSNAP based on a audit snapshot date of 1 July 2016.
Results are presented firstly by key indicators and then focus on other key areas of acute stroke service organisation.
Where possible changes over time between 2014 and 2016 and country comparisons are shown in order to give comparison to previous audit rounds and across devolved nations.
This slideshow gives users the opportunity to insert 2016 site level data for comparison to the national results and present these to their team, managers and other organisations. Site specific results are available from the full results portfolio located on the SSNAP webtool.
We hope that you find this slideshow a useful resource when discussing results and use it to inform and drive change. All reporting outputs can be access via the SSNAP Results Portal (

3. Overview of this presentation
Site details
Key indicator performance
Key indictor 1-10
Total key indicator score
Acute care processes
Thrombolysis
Thrombolysis provision
Thrombolysis rota
Interventional neuroradiology (Thrombectomy) 5 Acute Criteria : Type 1 and type 3 beds
Ward rounds - Type 2 beds
Staffing levels
Stroke consultant workforce
Unfilled stroke consultant posts
Existing stroke consultant posts
Future planned consultant posts
Nursing levels
Banding of nurse establishment of stroke unit
National performance against RCP nursing staffing standard
Nurses on duty at 10am and 10pm
Nurses trained in swallow screening
Nurses trained in stroke assessment and management
Therapy staffing levels
7-day therapy working
Access to therapists and other disciplines
TIA/Neurovascular services
High risk TIA
Low risk TIA
Waiting times for carotid imaging
Quality improvement and patient/carer engagement
Strategic group responsible for stroke
discharge planning
Communication with patients and carers
Pathway at discharge
Access to specialist early supported discharge team (ESD) and community rehabilitation team
6 month reviews
Recommendations
Other reporting outputs
General audit information
More information
Please select titles in blue to be taken directly to that section.

4. Site details Site details Site name: <NAME>
Hospital(s) included:
<Hospital 1>
<Hospital 2>
<Hospital 3>
Site primarily treats:
(DELETE AS APPROPRIATE)
All patients treated in the first 72 hours
Some patients treated in the first 72 hours
No patients treated within the first 72 hours
If patients not treated in the first 72 hours, name of site that does:
Name/NA
Number of each type of stroke unit bed:
Type 1:
Type 2:
Type 3:

5. Key indicator performance

6. Establishment of band 6 and band 7 nurses
Key indicator 1:
Establishment of band 6 and band 7 nurses
Key indicator 1: Minimum establishment of band 6 and band 7 nurses per 10 beds
National
This site
51% (90/178)
Yes/No
KI achieved if: Sum of band 6 and 7 (WTE) nurses per 10 stroke unit (SU) beds equal to/above per 10 SU beds.
Country comparisons:
Key indicator 1
England
(155 sites)
% (n)
Wales
(12 sites)
Northern Ireland
(10 sites)
Establishment of band 6 and 7 nurses
53% (82/155)
42%
(5/12)
20%
(2/10)
London

7. Presence of a clinical psychologist (qualified)
Key indicator 2:
Presence of a clinical psychologist (qualified)
Key indicator 2:
Presence of a clinical psychologist (qualified)
National
This site 6%
(10/178)
Yes/No
KI achieved if: there is presence of at least one (WTE) qualified clinical psychologist per 30 stroke unit beds
Country comparison:
Key indicator 2
England
(155 sites)
% (n)
Wales
(12 sites)
Northern Ireland
(10 sites)
Presence of a qualified clinical psychologist 6%
(10/155) 0%
(0/12)
(0/10)
London

8. Key indicator 3: Stroke consultant led ward rounds
Key indicator 3: Minimum number of stroke consultant led ward rounds*
National
This site
75%
(134/178)
Yes/Yes, by site treating our patients in first 72 hours/No
KI achieved if: have at least one ward round per day (7 a week minimum) for both type 1 and type 3 beds)
*If a site has both type 1 and type 3 beds consultant led ward rounds must take place at least once a day on both.
Country comparison:
Key indicator 3
England
(155 sites)
% (n)
Wales
(12 sites)
Northern Ireland
(10 sites)
Stroke consultant ward rounds
80% (124/155)
42%
(5/12)
50%
(5/10)
London

9. Key indicator 4: Number of nurses on duty at 10am weekends
Key indicator 4 : Minimum number of nurses on duty at 10am weekends*
National
This site
29%
(51/178)
Yes/Yes, by site treating our patients in first 72 hours/No
KI achieved if: have 3.0 nurses per 10 type 1 and 3 beds (average number of nurses on duty on type 1 and type 3 beds)
*If a site has both type 1 and type 3 beds an average of Saturday and Sunday per 10 type 1 and 3 beds
Country comparison: Key indicator 4
England
(155 sites)
% (n)
Wales
(12 sites)
Northern Ireland
(10 sites)
Nurses on duty at 10am weekends
33% (51/155) 0%
(0/12)
(0/10)
London

10. At least two types of therapy available 7 days a week
Key indicator 5:
At least two types of therapy available 7 days a week
Key indicator 5: At least two types of therapy available 7 days a week
National
This site
31%
(55/178)
Yes/No
KI achieved if: 7-day working for at least two types of qualified therapy. Includes occupational therapy, physiotherapy and speech and language therapy
Country comparison:
Key indicator 5
England
(155 sites)
% (n)
Wales
(12 sites)
Northern Ireland
(10 sites)
Two types of therapy available 7-days a week
34% (53/155)
17%
(2/12) 0%
(0/10)
London

11. Key indicator 6:
Patient access to intra-arterial (thrombectomy) treatment
Key indicator 6: Patients can access intra-arterial (thrombectomy) treatment
National
This site
70%
(124/178)
Yes/Yes, by site treating our patients in first 72 hours/No
KI achieved if: patient have access on-site or by referral off-site
Country comparison:
Key indicator 6
England
(155 sites)
% (n)
Wales
(12 sites)
Northern Ireland
(10 sites)
Patient access to intra-arterial treatment
66% (102/155)
100%
(12/12)
90%
(9/10)
London

12. Key indicator 7:
Intermittent pneumatic compression device used as first line preventative measure for venous thromboembolism
Key indicator 7: Intermittent pneumatic compression device used as first line preventative measure for venous thromboembolism
National
This site
80%
(143/178)
Yes/No
KI achieved if: intermittent pneumatic compression device is first line preventative measure
Country comparison:
Key indicator 7
England
(155 sites)
% (n)
Wales
(12 sites)
Northern Ireland
(10 sites)
Intermittent pneumatic compression devices
85% (132/155)
25%
(3/12)
70%
(7/10)
London

13. Access to a specialist early supported discharge (ESD) team
Key indicator 8:
Access to a specialist early supported discharge (ESD) team
Key indicator 8 :
Access to specialist (stroke/neurological specific) early supported discharge (ESD) team
National
This site
81%
(145/178)
Yes/No
KI achieved if: access to at least one specialist early supported discharge (ESD) team
Country comparison:
Key indicator 8
England
(155 sites)
% (n)
Wales
(12 sites)
Northern Ireland
(10 sites)
Access to specialist early supported discharge
88% (136/155)
33%
(4/12)
50%
(5/10)
London

14. Yes/Yes, by sites treating out patients in first 72 hours/No
Key indicator 9:
Timescale to see, investigate and initiate treatment for both high risk and low risk TIA patients
Key Indicator 9 : Timescale to see, investigate and initiate treatment for both high risk and low risk patients*
National
This site
73%
(130/178)
Yes/Yes, by sites treating out patients in first 72 hours/No
KI achieved if:
HIGH risk TIA patients = The same day or next day 7 days a week
LOW risk TIA patients = Within a week
*Can apply to both inpatient and outpatient services. If site has both the one with the BEST time is used.
Country comparisons:
Key indicator 9
England
(155 sites)
% (n)
Wales
(12 sites)
Northern Ireland
(10 sites)
Timescales to see, investigate and initiate treatment for high and low risk TIA patients
72% (112/155)
83%
(10/12)
80%
(8/10)
London

15. Key indicator 10:
Formal survey undertaken seeking patient/carer views on stroke services
Key indicator 10: Formal survey undertaken seeking patient/carer views on stroke services
National
This site
61%
(108/178)
Yes/No
KI achieved if: formal survey carried out at least one a year
Country comparisons:
Key indicator 10
England
(155 sites)
% (n)
Wales
(12 sites)
Northern Ireland
(10 sites)
Patient/carer surveys on stroke services
61% (94/155)
67%
(8/12)
50%
(5/10)
London

16. Total key indicator score
Total number of key indicators met*
National
178 sites
% (n)
This site 1
2% (3)
Yes/No 2
2% (4) 3
12% (21) 4
13% (24) 5
19% (33) 6
21% (37) 7
15% (27) 8
11% (19) 9
4% (8) 10
1% (2)
Total KI met:
/10
*Sites which do not treat patients within the first 72h have been assigned the performance of the site that treats their patients in the first 72 hours, and are therefore included in the breakdown.

17. Summary of key indicators met at this site
Key indicator met
This site 1
Establishment of band 6 and 7 nurses
Yes/No 2
Presence of a qualified clinical psychologist 3
Stroke consultant ward rounds 4
Nurses on duty at 10AM weekends 5
Two types of therapy available 7-days a week 6
Patient access to intra-arterial treatment 7
Intermittent pneumatic compression (IPC) devices 8
Access to specialist early supported discharge (ESD) 9
Timescales to see, investigate and initiate treatment for HIGH and LOW risk TIA patients 10
Patient/carer surveys on stroke services

18. Acute care processes

19. Thrombolysis provision
Source: SSNAP Organisational Audit, October 2016
This site’s provision (2016) =

20. Thrombolysis rota National Median This site (2016) 2014 2016
Number of consultant level doctors on thrombolysis rota 6 5
Consultant speciality on thrombolysis rota
National
% of sites
This site
(2016)
2014
2016
Stroke physician
85% (128)
88% (126)
Yes/No
Neurologist
29% (44)
31% (45)
Care of the elderly
34% (51)
35% (50)
Cardiologist
4% (6)
2% (3)
General medicine physician
9% (14)
8% (12)
A&E
7% (10)
10% (14)
Acute physician
15% (23)
13% (18)
Other
1% (2)
No consultant

21. Interventional neuroradiology (Thrombectomy)
National
This site
(2016)
2014
(167 sites)
2016
(158 sites*)
Percentage of sites who can provide their acute stroke patients with access to intra-arterial treatment (e.g. thrombectomy) **
54% (91)
68% (107)
Yes, on site/Yes, by referral/No
Number of stroke patients treated intra-arterially between 1 April 2015 and 31 March 2016
295
424
If site is currently using intra-arterial treatment, hours service is available
National
Median
This site
(2016)
2014
2016
Weekdays - 8
Saturdays
Sundays/Bank Holidays
* 2 sites that have patients referred to them for intra-arterial treatment, but do not participate in SSNAP are included in this denominator. They submitted information on their thrombectomy service only.
**on site or by referral to another site

22. Interventional neuroradiology (Thrombectomy) rota
Number of consultant level doctors performing intra-arterial (thrombectomy) treatment
National 2016
% of consultants
Total number of consultants
This site
Number of consultants
Interventional neuroradiology
94% 78
Yes/No
Vascular interventional radiology 6% 5

23. 5 Acute Criteria : Type 1 and type 3 beds
2014
2016
Type 1 beds
Type 3 beds
This site (2016)
This site
(2016)
Continuous physiological monitoring
72% monitor 100% of beds
88% monitor at least one bed
78% monitor 100% of beds
Yes/No/NA
79% monitor at least one bed
Immediate access to scanning
99%
100%
Specialist ward rounds 7 days a week
64%
30%
84%
69%
Nurses trained in swallow screening
96%
Nurses trained in stroke assessment and management
95%
Number of acute criteria met (maximum 5) National Median - 5
NA if your site does not have that ‘Type’ of bed

24. Ward Rounds - Type 2 beds
Frequency of stroke consultant ward rounds for Type 2 beds
National
This site
(2016)
2014
(99 units)
2016
(92 sites)
7 days per week
9% (9)
14% (13)
Yes/No/NA
5-6 days per week
60% (59)
61% (56)
Less than 5 days per week
31% (31)
25% (23)
NA if your site does not have that ‘Type’ of bed

25. Staffing levels

26. Consultant workforce: Existing stroke consultant posts
National
This site
(2016)
(2014)
Median, Total
Number of PAs for Stroke Consultant Physicians
22,
4671
5122
Number of consultants PAs are divided between 3,
656
676
Number of PAs which are allocated to DCC
17,
3588
19,
3907
PA: Programme Activities
DCC: Direct clinical care

27. Existing stroke consultant posts – Distribution of PAs and allocation of DCC*
Distribution of *direct clinical care PA’s
National 2014
% Yes (n)
National 2016
This site
(2016)
Accredited speciality
Geriatrics
72% (470)
73% (495)
Yes/No
Neurology
16% (108)
16% (107)
Internal
Medicine
6% (40)
6% (41)
Other
6% (38)
5% (33)
Estimate of consultant DCC PA’s for stroke
Median = 6
Contributions of consultant
Stroke unit
92% (606)
91% (617)
TIA Clinic
90% (590)
91% (613)
Stroke out of hours
81% (529)
82% (557)
Time period for which consultant is likely to continue role
>10 years
67% (441)
66% (445)
6-10 years
11% (74)
12% (84)
3-5 years
10% (68)
<3 years
11% (73)
12% (79)
Accredited CCST in Stroke Medicine after Stroke Training when SpR or equivalent
36% (235)
35% (237)

28. Consultant workforce: Unfilled stroke consultant posts
National
This site
(2016)
(2014)
Median, Total
Unfilled consultant posts
26% (48/183)
40% (72/178)
Yes/No
If YES
How many PA’s do these posts cover
10,
454
804
For how many months have these posts been funded but unfilled? 8 15

29. Consultant workforce: Future planned consultant posts
Future planned posts
National
This site
(2016)
2014
(183 sites)
2016
(178 sites)
Sites with new/additional posts for Stroke Consultant Physicians
48% (87/183)
46% (81/178)
Yes/No
If yes:
Median, Total
Number of PAs planned for new/additional Stroke Consultant Physicians 0,
829
881
Number of new/additional consultants (individuals) will these PAs be divided between 1,
118
130
Number of new/additional PAs which will be for Direct Clinical Care (DCC) for Stroke 7,
653
670

30. Consultant workforce: Sites with unfilled and planned posts

31. Nursing staffing levels

32. Banding of nurse establishment of stroke unit bed - Unregistered nurses
Total establishment of nurses
(bands 2-4*) for all stroke beds (WTE per 10 beds)
Total stroke unit beds
Type 1 beds
Type 2 beds
Type 3 beds
2014 (183 sites)
2014 (75 Sites)
2014 (99 Sites)
2014 (109 Sites)
2016 (178 sites)
2016 (73 Sites)
2016 (92 Sites)
2016 (105 Sites)
Band 2
2014
4.6 ( )
5.3 ( )
4.6 ( )
4.8 ( )
2016
5.2 ( )
4.7 ( )
5.4 ( )
5.1 ( )
This site per 10 beds
(2016)
Band 3
0.4 ( )
0.0 ( )
0.0 ( )
0.5 ( )
0.3 ( )
0.0 ( )
0.3 ( )
Band 4
0.0 ( )
0.0 ( )
0.0 ( )
*Band 1 nurses = 0 ( ) for both 2014 and If your sites has these please add an additional row.

33. Banding of nurse establishment of stroke unit bed - Registered nurses
Total establishment of nurses
(bands 5-8c*) for all stroke beds (WTE per 10 beds)
Total stroke unit beds
Type 1 beds
Type 2 beds
Type 3 beds
2014 (183 sites)
2014 (75 Sites)
2014 (99 Sites)
2014 (109 Sites)
2016 (178 sites)
2016 (73 Sites)
2016 (92 Sites)
2016 (105 Sites)
Band 5
2014
7.3 ( )
10.3 ( )
6.8 ( )
6.9 ( )
2016
7.3 ( )
10.7 ( )
7.0 ( )
7.0 ( )
This site per 10 beds
(2016)
Band 6
1.2 ( )
2.7 ( )
0.9 ( )
0.9 ( )
1.7 ( )
4.2 ( )
1.3 ( )
1.3 ( )
Band 7
0.4 ( )
0.6 ( )
0.4 ( )
0.4 ( )
0.6 ( )
1.1 ( )
0.5 ( )
0.6 ( )
Band 8a
0.0 ( )
0.0 ( )
*Bands 8b and 8c nurses = 0 ( ) for both 2014 and If your site has these please add an additional row.

34. Performance against new RCP nurse staffing standard
RCP nurse staffing level
National
This site
(2016)
Nursing staffing level met for type 1 and type 3 beds*
10%
(15/156)
Yes/No/NA
Nursing staffing level met for type 2 beds**
15%
(14/92)
*criterion = met if 2.9 nurses/bed and 80:20 ratio of registered to unregistered nurses
** criterion = met if 1.35 nurses/bed and 65:35 ratio of registered to unregistered nurses

35. Nurses on duty at 10AM and 10PM
Registered nurses usually on duty at 10am
National
This site
(2016)
2014
2016
Median per 10 beds
Per 10 beds
Weekdays
1.9
2.0
Saturdays
1.8
Sundays/Bank Holidays
Registered nurses usually on duty at 10pm
National
This site
(2016)
2014
2016
Median per 10 beds
Per 10 beds
Weekdays
1.3
1.4
Saturdays
Sundays/Bank Holidays

36. Nurses trained in swallow screening
Nurses trained in swallow screening and usually on duty at 10am
National
This site
(2016)
2014
2016
Median per 10 beds
Per 10 beds
Weekdays
1.4
1.5
Saturdays
1.3
Sundays/Bank Holidays

37. Nurses trained in stroke assessment and management
Nurses trained in stroke assessment and management usually on duty at 10am
2014
total stroke units
2016
This Site
(2016)
Median per 10 beds
Per 10 beds
Weekdays
1.5
1.7
Saturdays
Sundays/Bank Holidays

38. Therapy staffing levels

39. 7-day therapy working
31% of sites have at least two types of therapy available 7-days a week, including:
physiotherapy
occupational therapy
speech and language therapy
Therapy provision 7-days a week
This site
(2016)
Physiotherapy
Yes/No
Occupational therapy
Speech and language therapy
Source: Acute organisational audit 2016

40. Staffing – Access to qualified therapy and other disciplines
Percentage of sites with each type of qualified profession working on the stroke unit
This site
(2016)
Median WTE per 10 beds (2016)
% yes
WTE per 10 stroke unit beds
0.0
Yes/No
0.2
1.3
1.4
0.6

41. TIA/Neurovascular services

42. High-risk TIA patients: Sites able to see, investigate and initiate treatment the same day 7 days a week
This site’s (2016) timescale for inpatients =
This site’s (2016) timescale for outpatients =

43. Low-risk TIA patients: Sites able to see, investigate and initiate treatment the same day 7 days a week
This site’s (2016) timescale for inpatients =
This site’s (2016) timescale for outpatients =

44. Waiting time for carotid imaging
HIGH- risk TIA patients
2014
(179 sites)
2016
(169 sites)
This site
(2016)
The same day (7 days a week) or the next day
51% (91)
57% (96)
The same day (5 days a week) or the next weekday
48% (86)
42% (71)
Within a week
1% (2)
Longer than a week
0% (0)
Low- risk TIA patients
2014
(183 sites)
2016
(175 sites)
This site
(2016)
The same day (7 days a week) or the next day
11% (21)
22% (39)
The same day (5 days a week) or the next weekday
44% (81)
39% (67)
Within a week
40% (73)
37% (65)
Longer than a week
4% (8)
2% (4)

45. Quality improvement and patient/carer engagement

46. Strategic group responsible for stroke
92% of sites have a strategic group responsible for stroke . In 2014 this was 96%.
Does this site have a strategic group responsible for stroke in 2016: Yes/No
These groups included in their membership:
This site
(2016)
Yes/No

47. Patient support and communication: Discharge planning
2014
2016
This site
(2016)
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
51% (93)
46% (71)
Yes/No
Stroke service has formal links with community user groups for stroke
92% (168)
88% (156)

48. Communication with patients and carers
Stroke unit
Outpatients
Patient information literature displayed in ward/unit:
2014
2016
This site
(2016)
Patient versions of national or local guidelines/standards
77% (140)
80% (143)
Yes/No
74% (136)
62% (110)
Social services local community care arrangements
89% (162)
88% (157)
61% (111)
70% (125)
The Benefits Agency
85% (155)
84% (150)
73% (133)
68% (121)
Information on stroke
100% (183)
99% (177)
90% (164)
Secondary prevention advice
99% (181)
100% (178)
90% (165)
88% (156)

49. Pathway at discharge

50. Access to specialist early supported discharge team (ESD) and community rehabilitation team (CRT)
This site (2016) has access to a specialised ESD team = Yes/No
This site (2016) has access to a specialised CRT=
Yes/No

51. 6 month reviews 6 month reviews National (178 sites) % (n) This site
(2016)
Sites commissioned to carry out 6 month reviews
38% (68)
Yes/No
Patients discharged from your site given a 6 month review 
All
49% (87)
Some
43% (77)
None
8% (14)*
If all or some patient receiving a 6 month review, these reviews carried by:
Your site
51% (83/164)
Other services
80% (132/164)
*No acute services commissioned to carry out 6 month reviews selected None

52. 6 month reviews: Other services
If other type of services carry out 6 month reviews:
2016
(132 sites)
This site
(2016)
Community rehabilitation team (CRT)
50% (66)
Yes/No
Early supported discharge (ESD) team
44% (58)
Family and carer support service (e.g. Stroke Association)
33% (44)
Outpatient clinic
26% (34)
6 month review service (stand-alone team)
19% (25)
Other
Other inpatient service (e.g. Community hospital)
9% (12)

53. Recommendations
All acute stroke centres should ensure that their services are well enough organised, or that they have the necessary local arrangements in place, to ensure that every patient with acute stroke is directly admitted to a dedicated stroke unit within 4 hours of arrival in hospital.
All units which treat patients in the first 72 hours following stroke should achieve a standard of 3 nurses per 10 beds on duty during the day at weekends.
All trusts need to make strenuous efforts to fill vacant consultant posts, by ensuring adequate training (if necessary out of programme), reviewing workload and involving other specialties (e.g. neurologists) in acute stroke rotas. All acute stroke hospitals are now expected to make sure that all patients admitted with acute stroke are seen by a specialist stroke consultant within 14 hours of admission (NHS England Urgent and Emergency Care review). In order to ensure this standard is met this consultant workforce issue must be addressed.
Seven day working should be available for at least 2 types of (qualified) therapy (includes occupational therapy, physiotherapy and speech and language therapy).
Protocols should be in place to ensure that intermittent pneumatic compression (IPC) devices are used as the first line prophylaxis for venous thromboembolism (VTE) following acute stroke.
Acute stroke sites should ensure that all patients have access to specialist rehabilitation at home (starting with early supported discharge) as soon as they are ready for discharge and for as long as they need it.
All patients with stroke should be offered a structured health and social care review at 6 months and annually as per the NICE Quality Standards and National Stroke Strategy.

54. Recommendations
All units should have a formal stroke strategy group that includes patients and carers as well as managers, clinicians and commissioners and should undertake a formal review of patient and carer views at least once a year.
All acute stroke units should achieve a standard of at least 1 whole time equivalent (WTE) qualified clinical psychologist per 30 stroke unit beds.
To ensure that all patients receive a swallow screen within 4 hours of arrival at hospital all acute stroke sites should ensure to have at least 1 nurse trained in swallow screening on duty weekdays, Saturdays and Sundays (including Bank Holidays). There should be sufficient speech and language therapist cover to ensure that all patients whose swallow is not deemed to be safe receive a formal swallow assessment within 72h of arrival at hospital.
Protocols should be in place to ensure all stroke patients are scanned within appropriate time frames, and that access to skilled radiological and clinical interpretation must be available 24 hours a day, 7 days a week to provide timely reporting of brain imaging.
Following the publication of the RCP National Clinical Guidelines for Stroke, 5th edition in early October 2016 and the incorporation of the ‘Looking forward’ section two additional recommendations are outlined below: 
All acute stroke units should have a recommended minimum nurse staffing level of 2.9 (WTE) nurses per hyperacute stroke (type 1 and type 3) bed with the ratio of registered to unregistered nurses being 80:20. Nurse staffing levels for beds for patients beyond the first 72 hours of stroke only (type 2 beds) should be 1.35 (WTE) nurses per bed with a ratio of 65:35 registered to unregistered nurses.
All health economies should have plans in place for the 24 hour provision of intra-arterial (thrombectomy) treatment in appropriate patients with acute ischaemic stroke.

55. Other reporting outputs
Full results portfolio
Executive Summary
Easy Access Version (EAV)
National report
Infographic
EAV infographic
Site specific results portfolio

56. General Audit Information
Data collection period: 13 June – 15 July 2016
Snapshot of stroke services as on: 1 July 2016
Report public : 29 November 2016
There was 100% participation in England, Wales and Northern Ireland.
Section 5 (page 68) of the full national report ‘Looking forward’ presents a summary of all standards and guidance acute stroke services will be required to follow and adhere to going forward.
All reporting outputs are available from the SSNAP Results Portal (

57. More information We hope you found this presentation useful.
If you have any queries or feedback, please contact the SSNAP Helpdesk
Phone: