Spreadsheet: 87706d1287581481-category-x-axis-labels-not-displaying-copy-network-20report-202010-2011-1-
Sheet: Quarterly data

STROKE REPORT - QUARTERLY DATA 2010-11 |  |  |  |  |  |  |  | Q1 |  |  |  |  |  |  |  |  |  |  |  | Q2
 |  |  |  |  |  |  |  | [NAME] |  |  | Walsall |  |  | Wolverhampton |  |  | Network |  |  | [NAME] |  |  | Walsall |  |  | Wolverhampton |  |  | Network
Indicator | ID | [NAME] | Metric |  | Reporting frequency | Target | Data source | Denom | No. | % | Denom | No. | % | Denom | No. | % | Denom | No. | % | Denom | No. | % | Denom | No. | % | Denom | No. | % | Denom | No. | %
Preventable Strokes | 1 | Acute | Proportion of patients presenting with stroke with AF anti-coagulated on discharge | ASI | Monthly | 60% by April 2011 | Trust | 19.000600060006 | 5 | 0.2631495839188997 | 18.06060606060606 | 5 | 0.2768456375838926 | 0 | 0 | #N/A | 37.06120612061206 | 10 | 0.2698239222829387 | 11 | 3 | 0.2727272727272727 | 19 | 6 | 0.3157894736842105 | #N/A | #N/A | #N/A | #N/A | #N/A | #N/A
 | 3 | Acute | The proportion of cases achieving a door to needle time of 60 minutes |  | Monthly | 0.8 | Trust | 7 | 2 | 0.2857142857142857 | 6 | 0 | 0 | 16.02493648635427 | 9 | 0.5616246908475289 | 29.02493648635427 | 11 | 0.3789844641062874 | 13 | 2 | 0.1538461538461539 | 13 | 2 | 0.1538461538461539 | 19 | 15 | 0.7894736842105263 | 45 | 19 | 0.4222222222222222
 |  |  | Target |  |  |  |  |  |  | 0.8 |  |  | 0.8 |  |  | 0.8 |  |  | 0.8 |  |  | 0.8 |  |  | 0.8 |  |  | 0.8 |  |  | 0.8
 |  | Acute | The proportion of cases achieving a door to needle time of 30 minutes |  | Monthly |  | Trust | 6 | 0 | 0 | 6 | 1 | 0.1666666666666667 | #N/A | #N/A | #N/A |  |  |  | 13 | 2 | 0.1538461538461539 | 8 | 1 | 0.125 | #N/A | #N/A | #N/A
Access to stroke thrombolysis | 6 | Acute | Total number of stroke admissions |  | Monthly | n/a | Trust |  | 154 |  |  | 95 |  |  | 170 |  |  | 419 |  |  | 132 |  |  | 114 |  |  | 177 |  |  | 423
 | 7 | Acute | Total number of ischaemic strokes |  | Monthly | n/a | Trust |  | 100 |  |  | 73 |  |  | 151 |  |  | 324 |  |  | 113 |  |  | 84 |  |  | 159 |  |  | 356
 | 8 | Acute | Proportion of patients with confirmed ischaemic  stroke who are thrombolysed |  | Monthly | 0.1 | Trust | 100 | 6 | 0.06 | 73 | 6 | 0.0821917808219178 | 151 | 16 | 0.1059602649006623 | 324 | 28 | 0.08641975308641975 | 113 | 13 | 0.1150442477876106 | 84 | 11 | 0.130952380952381 | 159 | 20 | 0.1257861635220126 | 356 | 44 | 0.1235955056179775
 |  |  | Target |  |  |  |  |  |  | 0.1 |  |  | 0.1 |  |  | 0.1 |  |  | 0.1 |  |  | 0.1 |  |  | 0.1 |  |  | 0.1 |  |  | 0.1
Direct admission to a stroke ward | 11 | Acute | Proportion of patients admitted directly to an acute stroke unit within 4 hours of hospital arrival | ASI | Monthly | 90% by 2011 | Trust | 116.1663373665156 | 29 | 0.2496420276082415 | 71.92405063291139 | 46 | 0.6395635339669131 | 170 | 70.9 | 0.4170588235294118 | 358.090387999427 | 145.9 | 0.4074390290538417 | 99.16945690577785 | 29 | 0.2924287467617501 | 92 | 53 | 0.5760869565217391 | 177 | 82 | 0.4632768361581921 | 368.1694569057778 | 164 | 0.445447054131845
 |  |  | Target |  |  |  |  |  |  | 0.8 |  |  | 0.8 |  |  | 0.8 |  |  | 0.8 |  |  | 0.8 |  |  | 0.8 |  |  | 0.8 |  |  | 0.8
Access to brain imaging | 12 | Acute | Proportion of stroke patients scanned within one hour of  hospital arrival | ASI | Monthly | 50% by April 2011 | Trust | 154 | 0 | 0 | #N/A | #N/A | #N/A | #N/A | #N/A | #N/A |  |  |  | 126.5094680797629 | #N/A | #N/A | #N/A | #N/A | #N/A | #N/A | #N/A | #N/A
 | 13 |  | Proportion of stroke patients  scanned within 24 hours of hospital arrival |  | Monthly | 100% by April 2011 | Trust | 153.8659881194492 | 73 | 0.4744388340282759 | 95 | 82 | 0.8631578947368421 | 154.8604875693942 | 134 | 0.8652949638942186 | 403.7264756888433 | 289 | 0.7158311812642568 | 131.8637878994272 | 69 | 0.5232672373451495 | 34 | 30 | 0.8823529411764706 | 174 | 133 | 0.764367816091954 | 339.8637878994272 | 232 | 0.682626417583075
 |  |  | Target |  |  |  |  |  |  | 0.8 |  |  | 0.8 |  |  | 0.8 |  |  | 0.8 |  |  | 0.8 |  |  | 0.8 |  |  | 0.8 |  |  | 0.8
Access to neurological services | 14 | Acute | Number of patients requiring urgent referral for neuro-surgery assessment/treatment |  | Annually |  | Trust
 | 15 | Acute | Length of time between referral and assessment/transfer for neuro-surgical opinion |  | Annually |  | Trust
Acute stroke care | 16 | Acute | Proportion of patients that spend 90% of their hospital stay on a stroke unit | ASI | Monthly | 80% by 2011 | Trust | 154 | 105 | 0.6818181818181818 | 95 | 68.3 | 0.7189473684210526 | 170 | 120.7 | 0.71 | 419 | 294 | 0.7016706443914081 | 132 | 81 | 0.6136363636363636 | 92 | 65.3 | 0.7097826086956521 | 177 | 125.67 | 0.71 | 401 | 271.97 | 0.6782294264339153
 |  |  | Target |  |  |  |  |  |  | 0.7 |  |  | 0.7 |  |  | 0.7 |  |  | 0.7 |  |  | 0.7 |  |  | 0.7 |  |  | 0.7 |  |  | 0.7
 | 17 | Acute | Screened for swallowing disorders within 24 hours of admission |  | Annually | 0.8 | Trust | 154 | 36 | 0.2337662337662338 | 95 | 57 | 0.6 | 170 | 170 | 1 | 419 | 263 | 0.6276849642004774 | 138 | 75 | 0.5434782608695652 | 34 | 17 | 0.5 | 174 | 174 | 1 | 346 | 266 | 0.7687861271676301
 |  |  | Target |  |  |  |  |  |  | 0.8 |  |  | 0.8 |  |  | 0.8 |  |  | 0.8 |  |  | 0.8 |  |  | 0.8 |  |  | 0.8 |  |  | 0.8
 | 18 | Acute | Proportion of eligible patients receiving the first dose of aspirin, (or an alternative anti-platelet agent, such as clopidogrel)  within 24 hours |  | Annually | 1 | Trust | 100.0023783744221 | 67 | 0.6699840652703596 | 73 | 40 | 0.547945205479452 | 151 | 151 | 1 | 324.0023783744221 | 258 | 0.7962904509974038 | 113 | 89 | 0.7876106194690266 | 84 | 37 | 0.4404761904761905 | 156 | 156 | 1 | 353 | 282 | 0.7988668555240793
 |  |  | Target |  |  |  |  |  |  | 1 |  |  | 1 |  |  | 1 |  |  | 1 |  |  | 1 |  |  | 1 |  |  | 1 |  |  | 1
 | 19 | Acute | Received a physiotherapy assessment within 72 hours of admission |  | Annually | 24hrs Network (72 hours Sentinel auduit) | Trust
 | 20 | Acute | Received an assessment by an Occupational Therapist within 4 working days of admission |  | Annually |  | Trust
 | 21 | Acute | Weighed at least once during admission |  | Annually |  | Trust
 | 22 | Acute | Had their mood assessed by discharge |  | Annually |  | Trust
 | 23 | Acute | With clear rehabilitation goals agreed by the multi-disciplinary team |  | Annually |  | Trust
Management of high risk TIA patients - Clinic Appointment | 24 | TIA | Proportion of high risk TIA patients investigated and treated within 24 hours of first contact with a health professional |  | Monthly | 60% by April 2011 | Trust
TIA intervention | 25 | TIA | Time from specialist assessment of TIA to carotid intervention for those patients with TIA requiring carotid surgery |  | Annually |  | Trust
Patient and carer information and advice | 27 | Whole pathway | proportion of patients received stroke specific information (written or documented explanation) in an appropriate format by an appropriately trained health professional about  a)Diagnosis and prognosis b) A single point of contact for future support after |  | Annually |  | Whole pathway
Improving the quality of end of life care | 30 | End of life | Proportion of patients at end of life on an appropriate pathway |  | Annually
Assessment and review | 31 | Rehabilitation | Proportion of stroke patients that are reviewed six months after leaving hospital | ASI | Monthly | 95% by 2011 | Trust
Discharge destination | 35 | Rehabilitation and transfer of care | Percentage of patients transferred from the final inpatient setting to their usual place of residence |  | Annually |  | CSRT/Trust
Living independently with a stroke | 36 | Life after stroke | Percentage of patients living at home at 6 weeks post discharge form hospital |  | Annually |  | Trust
 | 38 |  | Percentage of patients living at home one year post discharge from hospital |  | Annually
Research | 41 | Whole pathway | Patients should be offered the opportunity to participate in research and trials |  | Annually |  | Whole pathway
Joint health and social care management | 42 | Life after stroke | Proportion of patients and carers with joint care plans on discharge from hospital | ASI | Monthly | 85% by April 2011 | CSRT/Trust/Social care