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SINAP Stroke Improvement National Audit Programme

SINAP Stroke Improvement National Audit Programme. An interactive slideshow allowing you to click on links to take you to the regions/results that you want to see.

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SINAP Stroke Improvement National Audit Programme

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  1. SINAP Stroke Improvement National Audit Programme An interactive slideshow allowing you to click on links to take you to the regions/results that you want to see. For example, you can click on your region of the main map on the following slide to take you to your region. Then click on “View the results” to see the results. Public results for patients admitted April 2011 – June 2011 by region (Strategic Health Authority)

  2. Click on the relevant number on the map or below to go to your region’s results 1North East 2North West 3Yorkshire and the Humber 4West Midlands 5East Midlands 6East of England 7South West 8South Central 9London 10South East Coast 1 3 2 5 4 6 8 9 7 10 Feedback

  3. Back to map North East View the results NB the results for the North East are spread across 2 pages.

  4. Back to North East map Back to England map North East (results part 1 of 2)

  5. Back to North East map Back to map North East (results part 2 of 2)

  6. Back to map View the results North West NB the results for the North West are spread across 4 pages. The Greater Manchester & Cheshire Cardiac and Stroke Network has an Integrated Stroke Service that is described as follows: The patient who presents within 4 hours of the onset of stroke will be sent to (depending on the time of day and geography) either the Comprehensive Stroke Centre or one of the two Primary Stroke Centres These centres are able to deliver thrombolysis treatment and have rapid access to CT perfusion scan, CT angiography, MR and MRA scanning with immediate reporting. Pathways at these centres are in place for immediate access from A&E (to stroke unit bed) with access to cardiac monitoring, ICU access and specialist nursing. This means that patients sometimes go to a comprehensive/primary stroke centre before being ‘repatriated’ to a district stroke centre - normally their local hospital. In order to maintain a uniform data analysis in SINAP, some records have been removed. This is where the records have been entered for each hospital separately and therefore only detail part of the care provided rather than the full first 72 hours of care. A new technical method of entering these 'repatriated' patients into the audit is now available, so future quarterly reports will not require the removal of records for this reason.

  7. Back to North West map Back to map North West (results part 1 of 4)

  8. Back to North West map Back to map North West (results part 2 of 4)

  9. Back to North West map Back to map North West (results part 3 of 4)

  10. Back to North West map Back to map North West (results part 4 of 4)

  11. Back to map Yorkshire and the Humber View the results NB the results for Yorkshire and the Humber are spread across 4 pages.

  12. Back to Yorkshire map Back to map Yorkshire and the Humber (results part 1 of 4)

  13. Back to Yorkshire map Back to map Yorkshire and the Humber (results part 2 of 4)

  14. Back to Yorkshire map Back to map Yorkshire and the Humber (results part 3 of 4)

  15. Back to Yorkshire map Back to map Yorkshire and the Humber (results part 4 of 4)

  16. Back to map West Midlands View the results NB the results for the West Midlands are spread across 4 pages.

  17. Back to West Midlands map Back to map West Midlands (results part 1 of 4)

  18. Back to West Midlands map Back to map West Midlands (results part 2 of 4)

  19. Back to West Midlands map Back to map West Midlands (results part 3 of 4)

  20. Back to West Midlands map Back to map West Midlands (results part 4 of 4)

  21. Back to map East Midlands View the results NB the results for the East Midlands are spread across 2 pages.

  22. Back to East Midlands map Back to map East Midlands (results part 1 of 2)

  23. Back to East Midlands map Back to map East Midlands (results part 2 of 2)

  24. Back to map East of England View the results NB the results for the East of England are spread across 4 pages.

  25. Back to East of England map Back to map East of England (results part 1 of 4)

  26. Back to East of England map Back to map East of England (results part 2 of 4)

  27. Back to East of England map Back to map East of England (results part 3 of 4)

  28. Back to East of England map Back to map East of England (results part 4 of 4)

  29. Back to map South West View the results NB the results for the South West are spread across 4 pages.

  30. Back to South West map Back to map South West (results part 1 of 4)

  31. Back to South West map Back to map South West (results part 2 of 4)

  32. Back to South West map Back to map South West (results part 3 of 4)

  33. Back to South West map Back to map South West (results part 4 of 4)

  34. Back to map South Central View the results NB the results for South Central are spread across 2 pages.

  35. Back to South Central map Back to map South Central (results part 1 of 2)

  36. Back to South Central map Back to map South Central (results part 2 of 2)

  37. Back to map London View the results NB the results for London are spread across 2 pages. In London, there is a regional organisation of stroke care. There are currently 9 hospitals operating as HASUs (Hyperacute Stroke Units). The majority of stroke patients are directly admitted to these hospitals. There are also SUs (Stroke Units), but in most cases they do not directly admit a sufficient number of patients to be included in this report. The results table has 11 hospitals. In addition to the 9 HASUs, Barnet General Hospital and Epsom Hospital are included. Barnet is an SU, but is included because it directly admitted at least 20 stroke patients in this quarter, thereby satisfying the eligibility criteria for inclusion in the public reporting. Epsom Hospital does not fall into the London model for organisation of stroke care, but comes within the London Strategic Health Authority. This is because an NHS Trust can only be managed by one SHA, so Epsom and St Helier University Hospitals NHS Trust is managed by the London SHA even though Epsom Hospital itself is within another SHA’s geographical boundaries.

  38. Back to London map Back to map London (results part 1 of 2)

  39. Back to London map Back to map London (results part 2 of 2)

  40. Back to map South East Coast View the results NB the results for the South East Coast are spread across 4 pages.

  41. Back to South East map Back to map South East Coast (results part 1 of 4)

  42. Back to South East map Back to map South East Coast (results part 2 of 4)

  43. Back to South East map Back to map South East Coast (results part 3 of 4)

  44. Back to South East map Back to map South East Coast (results part 4 of 4)

  45. Back to map Feedback • We are keen to have feedback on this presentation, and particularly if you have used it for quality improvement purposes. • Please send feedback to: sinap@rcplondon.ac.uk • For more information, please visit: • www.rcplondon.ac.uk/sinap

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