1. Elizabeth Preston Lynn Myles James Miller
SBNS Standards Audit
Elizabeth Preston
Lynn Myles
James Miller

2. SBNS Standards Audit
The National Standards give guidance to Trusts that provide Neurosurgical services on standards of care and service delivery, they enable commissioners of care to assess achievement of specified Standards and promote consistency between centres

3. Standards
Level A indicates the highest priority that neuroscience centres should give to compliance and to emphasise the immediate direction for service improvement.
Levels B & C will be set to allow time for improvement. Specified within each topic are the standards, which need to be met in order to achieve the objectives.

4. Examples Standard & Level Standard Demonstration of compliance 1.1/1 A
Each patient will have a named key worker responsible for co-ordinating their care and communicating with the patient and carers
The patient and/or carer will be able to name their key worker and there will be evidence of their involvement in their care plan
1.1/2 B
Patients and families will be empowered to deal with the effects of their condition through the provision of information, in an appropriate language, and support
Evidence of information/support systems
1.1/3 C
Each patient will be assessed as soon after admission as is practicable for their social and care requirements after discharge.
Assessment by nursing staff, therapists, social worker, link nurses
Involvement of secondary care local to patients home and own GP
Co-ordination with community services including social services
Formalised discharge planning
There will be a record of the referral to a Social Worker experienced in the requirements of patients requiring Neurosurgical Care.

5. Scoring score 4 for a yes to an A standard
score 3 for a yes to a B standard
score 2 for a yes to a C standard
score 1 for any part/partial
score 0 for no/not applicable 
overall score for any chapter is the percentage achieved of total marks possible (aAx4)+(bBx3)+(cCx2)=

6. Conclusions No opportunity for N/A
Wording may be open to interpretation
Validation of scores
Scoring mechanism
Supporting evidence needs to be provided

8. Recommendations Check scores and resubmit
Need comparative data with like units
Validation of standards
Supporting evidence
Site visits