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

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

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

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

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

6. Inpatients

7. Dates of Data Collection

8. No. of Stroke admissions available for analysis

9. 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

10. Proportions admitted to Stroke Unit

11. Mean Delay in accessing SU

12. 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

13. Proportions scanned within 2 days of admission

14. Length of Stay in Hospital Mean Median

15. Proportion of ischaemic stroke discharged on secondary prevention

16. Proportions of patients with ischaemic stroke and AF discharged on Warfarin

17. 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

18. Neurovascular clinics

19. Dates of Data Collection

20. No. of Neurovascular Clinic patients available for analysis

21. Diagnoses in Neurovascular clinic

22. Median delay from referral to assessment (days)

23. Delays from Assessment to Duplex (days)

24. Delays from Assessment to Brain scan for stroke (days)

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

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

27. Treatment of Definite Ischaemic events with aspirin

28. Treatment of Definite Ischaemic events with dipyridamole

29. Treatment of Definite Ischaemic events with clopidogrel

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