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August 2011 Public results for patients admitted April 2011 – June 2011 by region (Strategic Health Authority) Stroke Improvement National Audit Programme.

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Presentation on theme: "August 2011 Public results for patients admitted April 2011 – June 2011 by region (Strategic Health Authority) Stroke Improvement National Audit Programme."— Presentation transcript:

1 August 2011 Public results for patients admitted April 2011 – June 2011 by region (Strategic Health Authority) 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.

2 3 Click on the relevant number on the map or below to go to your region’s results 11 North EastNorth East 22 North WestNorth West 33 Yorkshire and the HumberYorkshire and the Humber 44 West MidlandsWest Midlands 55 East MidlandsEast Midlands 66 East of EnglandEast of England 77 South WestSouth West 88 South CentralSouth Central 99 LondonLondon 1010 South East CoastSouth East Coast 1 2 5 4 6 7 8 10 9 Feedback

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

4 North East (results part 1 of 2) Key Indicator 1Key Indicator 2Key Indicator 3Key Indicator 4Key Indicator 5Key Indicator 6Key Indicator 7 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of patients scanned within 1 hour of arrival at hospital Number of patients scanned within 24 hours of arrival at hospital Number of patients who arrived on stroke bed within 4 hours of hospital arrival (when hospital arrival was out of hours) Number of patients seen by stroke consultant or associate specialist within 24h Number of patients with a known time of onset for stroke symptoms Number of patients for whom their prognosis/diagnosis was discussed with relative/carer within 72h where applicable Number of patients who had continence plan drawn up within 72h where applicable ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 5149 (29%)15944 (91%)4511 (47%)14520 (75%)10064 (52%)15310 (85%)4221 (57%) ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 1791 (33%)5050 (92%)1735 (54%)4830 (79%)3262 (54%)5010 (87%)1406 (62%) City Hospitals Sunderland NHS Foundation Trust Sunderland Royal Hospital 141107 (76%) 6 (6%)84 (83%)36 (59%)86 (80%)61 (57%)98 (94%)40 (93%) County Durham and Darlington NHS Foundation Trust Darlington Memorial Hospital No records County Durham and Darlington NHS Foundation Trust University Hospital Of North Durham No records Gateshead Health NHS Foundation Trust Queen Elizabeth Hospital Gateshead 8760 (69%)12 (21%)52 (91%)20 (77%)48 (80%)41 (68%)54 (93%)2 (18%) Newcastle upon Tyne Hospitals NHS Foundation Trust Royal Victoria Infirmary 5648 (86%)19 (45%)40 (95%)16 (70%)46 (96%)30 (63%)46 (100%)41 (91%) North Tees and Hartlepool NHS Foundation Trust University Hospital of Hartlepool Insufficient records North Tees and Hartlepool NHS Foundation Trust University Hospital of North Tees 6532 (49%)4 (13%)29 (97%)21 (78%)25 (78%)30 (94%)32 (100%)2 (22%) Northumbria Healthcare NHS Foundation Trust Hexham General Hospital 3224 (75%)5 (23%)21 (95%)5 (56%)21 (88%)20 (83%)24 (100%)13 (100%) Northumbria Healthcare NHS Foundation Trust North Tyneside General Hospital 3631 (86%)12 (39%)29 (94%)7 (37%)30 (97%)22 (71%)30 (97%)10 (100%) Northumbria Healthcare NHS Foundation Trust Wansbeck General Hospital Insufficient records South Tees Hospitals NHS Trust James Cook University Hospital 11293 (83%)19 (22%)87 (99%)42 (91%)93 (100%)66 (71%)92 (100%)0 (0%) South Tyneside NHS Foundation Trust South Tyneside District Hospital 9771 (73%)7 (11%)52 (84%)21 (64%)42 (59%)34 (48%)60 (88%)29 (100%) Back to England map Back to North East map

5 Key Indicator 8Key Indicator 9Key Indicator 10Key Indicator 11Key Indicator 12 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of potentially eligible patients thrombolysed Bundle 1: Seen by nurse and one therapist within 24h and all relevant therapists within 72h (proxy for NICE QS 5) Bundle 2: Nutrition screening and formal swallow assessment within 72 hours where appropriate Bundle 3: Patient's first ward of admission was stroke unit and they arrived there within four hours of hospital arrival Bundle 4: Patient given antiplatelet within 72h where appropriate and had adequate fluid and nutrition in all 24h periods Average of 12 key indicato rs Quartile ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 1050 (49%)7905 (48%)14161 (82%)8917 (48%)9257 (56%)60 ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 362 (52%)2734 (53%)4502 (85%)3187 (55%)3275 (63%)64 City Hospitals Sunderland NHS Foundation Trust Sunderland Royal Hospital 141107 (76%) 1 (13%)16 (16%)80 (88%)53 (52%)73 (78%)59.92nd County Durham and Darlington NHS Foundation Trust Darlington Memorial Hospital No records County Durham and Darlington NHS Foundation Trust University Hospital Of North Durham No records Gateshead Health NHS Foundation Trust Queen Elizabeth Hospital Gateshead 8760 (69%)3 (38%)25 (47%)51 (93%)38 (64%)34 (67%)63.12nd Newcastle upon Tyne Hospitals NHS Foundation Trust Royal Victoria Infirmary 5648 (86%)9 (82%)21 (60%)46 (98%)29 (64%)13 (27%)74.21st North Tees and Hartlepool NHS Foundation Trust University Hospital of Hartlepool Insufficient records North Tees and Hartlepool NHS Foundation Trust University Hospital of North Tees 6532 (49%)1 (20%)17 (57%)31 (100%)23 (77%)17 (74%)67.42nd Northumbria Healthcare NHS Foundation Trust Hexham General Hospital 3224 (75%)1 (100%)14 (70%)18 (100%)15 (65%)17 (94%)81.21st Northumbria Healthcare NHS Foundation Trust North Tyneside General Hospital 3631 (86%)2 (50%)14 (61%)28 (97%)9 (29%)22 (92%)71.81st Northumbria Healthcare NHS Foundation Trust Wansbeck General Hospital Insufficient records South Tees Hospitals NHS Trust James Cook University Hospital 11293 (83%)5 (71%)89 (97%)93 (100%)84 (91%)77 (94%)781st South Tyneside NHS Foundation Trust South Tyneside District Hospital 9771 (73%)3 (60%)35 (58%)57 (92%)33 (52%)40 (71%)65.62nd Back to map North East (results part 2 of 2) Back to North East map

6 North West Back to map View the results 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 Key Indicator 1Key Indicator 2Key Indicator 3Key Indicator 4Key Indicator 5Key Indicator 6Key Indicator 7 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of patients scanned within 1 hour of arrival at hospital Number of patients scanned within 24 hours of arrival at hospital Number of patients who arrived on stroke bed within 4 hours of hospital arrival (when hospital arrival was out of hours) Number of patients seen by stroke consultant or associate specialist within 24h Number of patients with a known time of onset for stroke symptoms Number of patients for whom their prognosis/diagnosis was discussed with relative/carer within 72h where applicable Number of patients who had continence plan drawn up within 72h where applicable ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 5149 (29%)15944 (91%) 4511 (47%)14520 (75%)10064 (52%)15310 (85%)4221 (57%) ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 1791 (33%)5050 (92%)1735 (54%)4830 (79%)3262 (54%)5010 (87%)1406 (62%) Aintree University Hospitals NHS Foundation Trust University Hospital Aintree 147115 (78%) 36 (36%)97 (96%)27 (49%)109 (95%)88 (77%)114 (100%)22 (71%) Blackpool, Fylde & Wyre Hospitals NHS Foundation Trust Victoria Hospital 14577 (53%)10 (14%)60 (85%)22 (56%)69 (90%)28 (36%)74 (99%)1 (100%) Central Manchester and Manchester Children's University Hospital NHS Trust Manchester Royal Infirmary 10746 (43%)2 (6%)30 (86%)0 (0%)10 (22%)19 (41%)29 (64%)16 (100%) Countess of Chester Hospital NHS Foundation Trust Countess of Chester Hospital 5038 (76%)11 (31%)35 (97%)8 (44%)25 (66%)21 (55%)20 (54%)3 (50%) East Cheshire NHS TrustMacclesfield District General 8968 (76%)15 (25%)59 (97%)16 (52%)58 (85%)42 (62%)65 (97%)7 (54%) East Lancashire Hospitals NHS Trust Royal Blackburn Hospital 14870 (47%)6 (10%)47 (76%)18 (47%)48 (69%)23 (33%)64 (97%)10 (67%) Lancashire Teaching Hospitals NHS Foundation Trust Royal Preston Hospital 11495 (83%)9 (10%)79 (89%)16 (33%)80 (84%)54 (57%)45 (48%)14 (88%) Mid Cheshire Hospitals NHS Foundation Trust Leighton Hospital 10373 (71%)7 (10%)64 (96%)20 (57%)37 (51%)31 (42%)19 (40%)4 (33%) North Cheshire Hospitals NHS Foundation Trust Warrington District General Hospital No records North Cumbria University Hospitals NHS Trust Cumberland Infirmary 8764 (74%)7 (11%)56 (90%)11 (29%)57 (89%)27 (42%)53 (84%)17 (81%) North Cumbria University Hospitals NHS Trust West Cumberland Hospital 7354 (74%)6 (11%)44 (83%)20 (67%)42 (78%)26 (48%)47 (90%)16 (73%) Pennine Acute Hospitals NHS Trust Fairfield General Hospital 8857 (65%)16 (32%)47 (94%)8 (32%)30 (53%)32 (56%)47 (82%)3 (14%) Pennine Acute Hospitals NHS Trust North Manchester General Hospital 3734 (92%)5 (19%)26 (100%)0 (0%)9 (26%)27 (79%)17 (50%)9 (35%) Pennine Acute Hospitals NHS Trust Royal Oldham Hospital 4939 (80%)2 (6%)25 (69%)1 (5%)13 (33%)10 (26%)35 (90%)2 (9%) Royal Bolton Hospital NHS Foundation Trust Royal Bolton Hospital 4645 (98%)7 (18%)37 (97%)1 (7%)21 (47%)18 (40%)34 (87%)0 (0%) Back to map North West (results part 1 of 4) Back to North West map

8 Royal Liverpool & Broadgreen University Hospitals NHS Trust Royal Liverpool University Hospital 167132 (79%) 27 (23%)107 (91%)49 (71%)118 (89%)82 (62%)123 (97%)31 (100%) Salford Royal NHS Foundation Trust Hope Hospital 175103 (59%) 49 (52%)94 (99%)67 (93%)100 (97%)74 (72%)93 (98%)17 (74%) Southport and Ormskirk Hospital NHS Trust Southport and Formby District General 13587 (64%)25 (31%)72 (89%)16 (38%)63 (72%)42 (48%)48 (55%)5 (63%) St Helens and Knowsley Hospitals NHS Trust Whiston Hospital 27399 (36%)34 (35%)87 (91%)22 (42%)67 (68%)46 (46%)68 (93%)5 (17%) Stockport NHS Foundation Trust Stepping Hill Hospital 3231 (97%)9 (29%)31 (100%)6 (38%)29 (94%)13 (42%)19 (61%)6 (67%) Tameside Hospital NHS Foundation Trust Tameside General Hospital 14564 (44%)7 (12%)49 (84%)0 (0%)12 (19%)28 (44%)51 (94%)31 (97%) Trafford Healthcare NHS TrustTrafford General Hospital 2424 (100%) 1 (5%)18 (82%)12 (75%)5 (21%)7 (29%)6 (29%)3 (43%) University Hospital of South Manchester NHS Foundation Trust Wythenshawe Hospital 19990 (45%)7 (9%)73 (94%)6 (13%)74 (82%)39 (43%)79 (98%)24 (96%) University Hospitals of Morecambe Bay NHS Trust Furness General Insufficient records University Hospitals of Morecambe Bay NHS Trust Royal Lancaster Infirmary 2323 (100%) 2 (9%)16 (73%)0 (0%)8 (35%)5 (22%)20 (91%)0 (0%) Wirral University Teaching Hospital NHS Foundation Trust Arrowe Park Hospital 381163 (43%) 37 (24%)138 (90%)48 (56%)129 (79%)81 (50%)139 (95%)7 (13%) Wrightington, Wigan and Leigh NHS Foundation Trust Royal Albert Edward Infirmary 5453 (98%)1 (2%)49 (94%)0 (0%)42 (79%)30 (57%)53 (100%)25 (100%) Key Indicator 1Key Indicator 2Key Indicator 3Key Indicator 4Key Indicator 5Key Indicator 6Key Indicator 7 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of patients scanned within 1 hour of arrival at hospital Number of patients scanned within 24 hours of arrival at hospital Number of patients who arrived on stroke bed within 4 hours of hospital arrival (when hospital arrival was out of hours) Number of patients seen by stroke consultant or associate specialist within 24h Number of patients with a known time of onset for stroke symptoms Number of patients for whom their prognosis/diagnosis was discussed with relative/carer within 72h where applicable Number of patients who had continence plan drawn up within 72h where applicable ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 5149 (29%)15944 (91%) 4511 (47%)14520 (75%)10064 (52%)15310 (85%)4221 (57%) ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 1791 (33%)5050 (92%)1735 (54%)4830 (79%)3262 (54%)5010 (87%)1406 (62%) Back to map North West (results part 2 of 4) Back to North West map

9 Key Indicator 8Key Indicator 9Key Indicator 10Key Indicator 11Key Indicator 12 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of potentially eligible patients thrombolysed Bundle 1: Seen by nurse and one therapist within 24h and all relevant therapists within 72h (proxy for NICE QS 5) Bundle 2: Nutrition screening and formal swallow assessment within 72 hours where appropriate Bundle 3: Patient's first ward of admission was stroke unit and they arrived there within four hours of hospital arrival Bundle 4: Patient given antiplatelet within 72h where appropriate and had adequate fluid and nutrition in all 24h periods Average of 12 key indicato rs Quartile ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 1050 (49%)7905 (48%)14161 (82%)8917 (48%)9257 (56%)60 ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 362 (52%)2734 (53%)4502 (85%)3187 (55%)3275 (63%)64 Aintree University Hospitals NHS Foundation Trust University Hospital Aintree 147115 (78%) 14 (93%)84 (95%)113 (100%)51 (48%)63 (62%)76.91st Blackpool, Fylde & Wyre Hospitals NHS Foundation Trust Victoria Hospital 14577 (53%)1 (7%)64 (98%)77 (100%)48 (63%)55 (86%)69.52nd Central Manchester and Manchester Children's University Hospital NHS Trust Manchester Royal Infirmary 10746 (43%)0 (0%)10 (27%)22 (92%)0 (0%)25 (56%)41.14th Countess of Chester Hospital NHS Foundation Trust Countess of Chester Hospital 5038 (76%)2 (33%)11 (32%)23 (66%)23 (62%)2 (6%)49.74th East Cheshire NHS TrustMacclesfield District General 8968 (76%)2 (29%)49 (77%)59 (98%)38 (59%)42 (78%)67.62nd East Lancashire Hospitals NHS Trust Royal Blackburn Hospital 14870 (47%)1 (6%)28 (45%)66 (97%)36 (55%)35 (52%)54.43rd Lancashire Teaching Hospitals NHS Foundation Trust Royal Preston Hospital 11495 (83%)5 (29%)46 (52%)82 (91%)40 (44%)78 (95%)602nd Mid Cheshire Hospitals NHS Foundation Trust Leighton Hospital 10373 (71%)0 (0%)47 (66%)20 (63%)39 (57%)52 (81%)49.74th North Cheshire Hospitals NHS Foundation Trust Warrington District General Hospital No records North Cumbria University Hospitals NHS Trust Cumberland Infirmary 8764 (74%)1 (11%)32 (58%)59 (95%)24 (38%)46 (81%)59.23rd North Cumbria University Hospitals NHS Trust West Cumberland Hospital 7354 (74%)0 (0%)26 (52%)32 (80%)37 (70%)25 (52%)58.73rd Pennine Acute Hospitals NHS Trust Fairfield General Hospital 8857 (65%)4 (67%)15 (28%)51 (93%)27 (48%)28 (55%)54.43rd Pennine Acute Hospitals NHS Trust North Manchester General Hospital 3734 (92%)0 (0%)12 (35%)30 (94%)4 (15%)21 (66%)43.34th Pennine Acute Hospitals NHS Trust Royal Oldham Hospital 4939 (80%)0 (0%)4 (10%)36 (97%)3 (8%)7 (21%)31.24th Royal Bolton Hospital NHS Foundation Trust Royal Bolton Hospital 4645 (98%)0 (0%)27 (60%)35 (80%)9 (23%)22 (54%)42.84th Back to map Back to North West map North West (results part 3 of 4)

10 Key Indicator 8Key Indicator 9Key Indicator 10Key Indicator 11Key Indicator 12 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of potentially eligible patients thrombolysed Bundle 1: Seen by nurse and one therapist within 24h and all relevant therapists within 72h (proxy for NICE QS 5) Bundle 2: Nutrition screening and formal swallow assessment within 72 hours where appropriate Bundle 3: Patient's first ward of admission was stroke unit and they arrived there within four hours of hospital arrival Bundle 4: Patient given antiplatelet within 72h where appropriate and had adequate fluid and nutrition in all 24h periods Average of 12 key indicato rs Quartile ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 1050 (49%)7905 (48%)14161 (82%)8917 (48%)9257 (56%)60 ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 362 (52%)2734 (53%)4502 (85%)3187 (55%)3275 (63%)64 Royal Liverpool & Broadgreen University Hospitals NHS Trust Royal Liverpool University Hospital 167132 (79%) 6 (60%)94 (77%)32 (91%)82 (66%)60 (59%)73.91st Salford Royal NHS Foundation Trust Hope Hospital 175103 (59%) 12 (63%)21 (70%)90 (92%)88 (92%)62 (70%)811st Southport and Ormskirk Hospital NHS Trust Southport and Formby District General 13587 (64%)6 (40%)48 (60%)23 (28%)40 (49%)55 (77%)54.23rd St Helens and Knowsley Hospitals NHS Trust Whiston Hospital 27399 (36%)9 (75%)23 (34%)65 (81%)46 (48%)16 (22%)54.43rd Stockport NHS Foundation Trust Stepping Hill Hospital 3231 (97%)1 (25%)9 (35%)26 (93%)16 (52%)12 (43%)56.43rd Tameside Hospital NHS Foundation Trust Tameside General Hospital 14564 (44%)0 (0%)17 (29%)50 (83%)2 (3%)45 (80%)45.64th Trafford Healthcare NHS Trust Trafford General Hospital 2424 (100%) 0 (0%)8 (36%)12 (55%)15 (65%)1 (6%)37.14th University Hospital of South Manchester NHS Foundation Trust Wythenshawe Hospital 19990 (45%)0 (0%)31 (41%)78 (95%)13 (16%)49 (66%)54.43rd University Hospitals of Morecambe Bay NHS Trust Furness General Insufficient records University Hospitals of Morecambe Bay NHS Trust Royal Lancaster Infirmary 2323 (100%) 0 (0%)3 (13%)21 (91%)2 (9%)12 (55%)33.14th Wirral University Teaching Hospital NHS Foundation Trust Arrowe Park Hospital 381163 (43%) 12 (80%)114 (79%)141 (92%)94 (60%)106 (80%)66.62nd Wrightington, Wigan and Leigh NHS Foundation Trust Royal Albert Edward Infirmary 5453 (98%)0 (0%)33 (63%)52 (100%)3 (6%)36 (71%)563rd Back to map Back to North West map North West (results part 4 of 4)

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

12 Back to map Key Indicator 1 Key Indicator 2Key Indicator 3Key Indicator 4Key Indicator 5Key Indicator 6Key Indicator 7 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of patients scanned within 1 hour of arrival at hospital Number of patients scanned within 24 hours of arrival at hospital Number of patients who arrived on stroke bed within 4 hours of hospital arrival (when hospital arrival was out of hours) Number of patients seen by stroke consultant or associate specialist within 24h Number of patients with a known time of onset for stroke symptoms Number of patients for whom their prognosis/diagnosis was discussed with relative/carer within 72h where applicable Number of patients who had continence plan drawn up within 72h where applicable ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 5149 (29%)15944 (91%) 4511 (47%)14520 (75%)10064 (52%)15310 (85%)4221 (57%) ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 1791 (33%)5050 (92%)1735 (54%)4830 (79%)3262 (54%)5010 (87%)1406 (62%) Airedale NHS TrustAiredale General Hospital No records Barnsley Hospital NHS Foundation Trust Barnsley District General Hospital No records Bradford Teaching Hospitals NHS Foundation Trust Bradford Royal Infirmary 9696 (100%) 9 (11%)64 (76%)17 (33%)49 (51%)20 (21%)47 (72%)4 (100%) Calderdale and Huddersfield NHS Foundation Trust Huddersfield Royal Infirmary No records Doncaster and Bassetlaw Hospitals NHS Foundation Trust Bassetlaw District General Hospital No records Doncaster and Bassetlaw Hospitals NHS Foundation Trust Doncaster Royal Infirmary No records Harrogate and District NHS Foundation Trust Harrogate District Hospital Insufficient records Hull and East Yorkshire Hospitals NHS Trust Hull Royal Infirmary 9356 (60%)20 (38%)52 (100%)19 (61%)53 (95%)18 (32%)36 (86%)22 (92%) Yorkshire and the Humber (results part 1 of 4) Back to Yorkshire map

13 Back to map Key Indicator 1 Key Indicator 2Key Indicator 3Key Indicator 4Key Indicator 5Key Indicator 6Key Indicator 7 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of patients scanned within 1 hour of arrival at hospital Number of patients scanned within 24 hours of arrival at hospital Number of patients who arrived on stroke bed within 4 hours of hospital arrival (when hospital arrival was out of hours) Number of patients seen by stroke consultant or associate specialist within 24h Number of patients with a known time of onset for stroke symptoms Number of patients for whom their prognosis/diagnosis was discussed with relative/carer within 72h where applicable Number of patients who had continence plan drawn up within 72h where applicable ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 5149 (29%)15944 (91%) 4511 (47%)14520 (75%)10064 (52%)15310 (85%)4221 (57%) ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 1791 (33%)5050 (92%)1735 (54%)4830 (79%)3262 (54%)5010 (87%)1406 (62%) Leeds Teaching Hospitals NHS Trust Leeds General Infirmary No records Mid Yorkshire Hospitals NHS Trust Pinderfields General Hospital No records Northern Lincolnshire and Goole Hospitals NHS Foundation Trust Diana Princess of Wales Hospital Grimsby No records Northern Lincolnshire and Goole Hospitals NHS Foundation Trust Scunthorpe General Hospital No records Rotherham NHS Foundation Trust Rotherham General Hospital No records Scarborough and North East Yorkshire Healthcare NHS Trust Scarborough General Hospital No records Sheffield Teaching Hospitals NHS Foundation Trust Royal Hallamshire Hospital 508225 (44%) 43 (20%)199 (94%)77 (69%)187 (83%)95 (42%)207 (95%)39 (26%) York Hospitals NHS Foundation Trust York District Hospital No records Yorkshire and the Humber (results part 2 of 4) Back to Yorkshire map

14 Back to map Key Indicator 8Key Indicator 9Key Indicator 10Key Indicator 11Key Indicator 12 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of potentially eligible patients thrombolysed Bundle 1: Seen by nurse and one therapist within 24h and all relevant therapists within 72h (proxy for NICE QS 5) Bundle 2: Nutrition screening and formal swallow assessment within 72 hours where appropriate Bundle 3: Patient's first ward of admission was stroke unit and they arrived there within four hours of hospital arrival Bundle 4: Patient given antiplatelet within 72h where appropriate and had adequate fluid and nutrition in all 24h periods Average of 12 key indicato rs Quartile ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 1050 (49%)7905 (48%)14161 (82%)8917 (48%)9257 (56%)60 ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 362 (52%)2734 (53%)4502 (85%)3187 (55%)3275 (63%)64 Airedale NHS TrustAiredale General Hospital No records Barnsley Hospital NHS Foundation Trust Barnsley District General Hospital No records Bradford Teaching Hospitals NHS Foundation Trust Bradford Royal Infirmary 9696 (100%) 0 (0%)3 (4%)40 (49%)31 (32%)0 (0%)37.44th Calderdale and Huddersfield NHS Foundation Trust Huddersfield Royal Infirmary No records Doncaster and Bassetlaw Hospitals NHS Foundation Trust Bassetlaw District General Hospital No records Doncaster and Bassetlaw Hospitals NHS Foundation Trust Doncaster Royal Infirmary No records Harrogate and District NHS Foundation Trust Harrogate District Hospital Insufficient records Hull and East Yorkshire Hospitals NHS Trust Hull Royal Infirmary 9356 (60%)0 (0%)14 (36%)53 (100%)32 (62%)38 (79%)652nd Yorkshire and the Humber (results part 3 of 4) Back to Yorkshire map

15 Back to map Key Indicator 8Key Indicator 9Key Indicator 10Key Indicator 11Key Indicator 12 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of potentially eligible patients thrombolysed Bundle 1: Seen by nurse and one therapist within 24h and all relevant therapists within 72h (proxy for NICE QS 5) Bundle 2: Nutrition screening and formal swallow assessment within 72 hours where appropriate Bundle 3: Patient's first ward of admission was stroke unit and they arrived there within four hours of hospital arrival Bundle 4: Patient given antiplatelet within 72h where appropriate and had adequate fluid and nutrition in all 24h periods Average of 12 key indicato rs Quartile ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 1050 (49%)7905 (48%)14161 (82%)8917 (48%)9257 (56%)60 ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 362 (52%)2734 (53%)4502 (85%)3187 (55%)3275 (63%)64 Leeds Teaching Hospitals NHS Trust Leeds General Infirmary No records Mid Yorkshire Hospitals NHS Trust Pinderfields General Hospital No records Northern Lincolnshire and Goole Hospitals NHS Foundation Trust Diana Princess of Wales Hospital Grimsby No records Northern Lincolnshire and Goole Hospitals NHS Foundation Trust Scunthorpe General Hospital No records Rotherham NHS Foundation Trust Rotherham General Hospital No records Scarborough and North East Yorkshire Healthcare NHS Trust Scarborough General Hospital No records Sheffield Teaching Hospitals NHS Foundation Trust Royal Hallamshire Hospital 508225 (44%) 5 (24%)39 (20%)129 (68%)157 (73%)108 (51%)55.43rd York Hospitals NHS Foundation Trust York District Hospital No records Yorkshire and the Humber (results part 4 of 4) Back to Yorkshire map

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

17 Back to map Key Indicator 1 Key Indicator 2Key Indicator 3Key Indicator 4Key Indicator 5Key Indicator 6Key Indicator 7 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of patients scanned within 1 hour of arrival at hospital Number of patients scanned within 24 hours of arrival at hospital Number of patients who arrived on stroke bed within 4 hours of hospital arrival (when hospital arrival was out of hours) Number of patients seen by stroke consultant or associate specialist within 24h Number of patients with a known time of onset for stroke symptoms Number of patients for whom their prognosis/diagnosis was discussed with relative/carer within 72h where applicable Number of patients who had continence plan drawn up within 72h where applicable ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 5149 (29%)15944 (91%) 4511 (47%)14520 (75%)10064 (52%)15310 (85%)4221 (57%) ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 1791 (33%)5050 (92%)1735 (54%)4830 (79%)3262 (54%)5010 (87%)1406 (62%) Burton Hospitals NHS Foundation Trust Queen's Hospital Burton 9365 (70%)7 (13%)47 (84%)5 (21%)38 (58%)32 (49%)58 (89%)1 (3%) Dudley Group of Hospitals NHS Trust Russells Hall Hospital No records George Eliot Hospital NHS Trust George Eliot Hospital 2422 (92%)1 (6%)13 (76%)2 (20%)13 (59%)9 (41%)21 (100%)0 (NA%) Heart of England NHS Foundation Trust Birmingham Heartlands Hospital No records Heart of England NHS Foundation Trust Good Hope General Hospital No records Mid Staffordshire NHS Foundation Trust Staffordshire General Hospital Insufficient records Royal Wolverhampton Hospitals NHS Trust New Cross Hospital No records Sandwell and West Birmingham Hospitals NHS Trust City Hospital No records Sandwell and West Birmingham Hospitals NHS Trust Sandwell District Hospital No records Shrewsbury & Telford Hospital NHS Trust Princess Royal Hospital Telford No records West Midlands (results part 1 of 4) Back to West Midlands map

18 Back to map Key Indicator 1Key Indicator 2Key Indicator 3Key Indicator 4Key Indicator 5Key Indicator 6Key Indicator 7 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of patients scanned within 1 hour of arrival at hospital Number of patients scanned within 24 hours of arrival at hospital Number of patients who arrived on stroke bed within 4 hours of hospital arrival (when hospital arrival was out of hours) Number of patients seen by stroke consultant or associate specialist within 24h Number of patients with a known time of onset for stroke symptoms Number of patients for whom their prognosis/diagnosis was discussed with relative/carer within 72h where applicable Number of patients who had continence plan drawn up within 72h where applicable ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 5149 (29%)15944 (91%) 4511 (47%)14520 (75%)10064 (52%)15310 (85%)4221 (57%) ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 1791 (33%)5050 (92%)1735 (54%)4830 (79%)3262 (54%)5010 (87%)1406 (62%) Shrewsbury & Telford Hospital NHS Trust Princess Royal Hospital Telford No records Shrewsbury & Telford Hospital NHS Trust Royal Shrewsbury Hospital No records South Warwickshire General Hospitals NHS Trust Warwick Hospital No records University Hospital of North Staffordshire NHS Trust University Hospital of North Staffordshire No records University Hospitals Birmingham NHS Foundation Trust Queen Elizabeth Hospital Edgbaston No records University Hospitals Coventry and Warwickshire NHS Trust University Hospital Coventry No records Walsall Hospitals NHS TrustManor Hospital No records Worcestershire Acute Hospitals NHS Trust The Alexandra Hospital 7454 (73%)14 (29%)42 (86%)12 (44%)23 (43%)29 (54%)33 (61%)11 (42%) Worcestershire Acute Hospitals NHS Trust Worcestershire Royal Hospital 13771 (52%)13 (19%)49 (73%)23 (56%)28 (39%)27 (38%)32 (47%)0 (0%) Wye Valley NHS TrustCounty Hospital Hereford 14296 (68%)24 (27%)80 (90%)35 (69%)41 (43%)52 (54%)59 (69%)13 (30%) West Midlands (results part 2 of 4) Back to West Midlands map

19 Back to map Key Indicator 8Key Indicator 9Key Indicator 10Key Indicator 11Key Indicator 12 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of potentially eligible patients thrombolysed Bundle 1: Seen by nurse and one therapist within 24h and all relevant therapists within 72h (proxy for NICE QS 5) Bundle 2: Nutrition screening and formal swallow assessment within 72 hours where appropriate Bundle 3: Patient's first ward of admission was stroke unit and they arrived there within four hours of hospital arrival Bundle 4: Patient given antiplatelet within 72h where appropriate and had adequate fluid and nutrition in all 24h periods Average of 12 key indicato rs Quartile ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 1050 (49%)7905 (48%)14161 (82%)8917 (48%)9257 (56%)60 ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 362 (52%)2734 (53%)4502 (85%)3187 (55%)3275 (63%)64 Burton Hospitals NHS Foundation Trust Queen's Hospital Burton 9365 (70%)2 (67%)21 (40%)31 (61%)9 (16%)1 (2%)41.84th Dudley Group of Hospitals NHS Trust Russells Hall Hospital No records George Eliot Hospital NHS Trust George Eliot Hospital 2422 (92%)0 (0%)7 (35%)19 (95%)9 (43%)16 (89%)51.33rd Heart of England NHS Foundation Trust Birmingham Heartlands Hospital No records Heart of England NHS Foundation Trust Good Hope General Hospital No records Mid Staffordshire NHS Foundation Trust Staffordshire General Hospital Insufficient records Royal Wolverhampton Hospitals NHS Trust New Cross Hospital No records Sandwell and West Birmingham Hospitals NHS Trust City Hospital No records Sandwell and West Birmingham Hospitals NHS Trust Sandwell District Hospital No records West Midlands (results part 3 of 4) Back to West Midlands map

20 Back to map Key Indicator 8Key Indicator 9Key Indicator 10Key Indicator 11Key Indicator 12 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of potentially eligible patients thrombolysed Bundle 1: Seen by nurse and one therapist within 24h and all relevant therapists within 72h (proxy for NICE QS 5) Bundle 2: Nutrition screening and formal swallow assessment within 72 hours where appropriate Bundle 3: Patient's first ward of admission was stroke unit and they arrived there within four hours of hospital arrival Bundle 4: Patient given antiplatelet within 72h where appropriate and had adequate fluid and nutrition in all 24h periods Average of 12 key indicato rs Quartile ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 1050 (49%)7905 (48%)14161 (82%)8917 (48%)9257 (56%)60 ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 362 (52%)2734 (53%)4502 (85%)3187 (55%)3275 (63%)64 Shrewsbury & Telford Hospital NHS Trust Princess Royal Hospital Telford No records Shrewsbury & Telford Hospital NHS Trust Royal Shrewsbury Hospital No records South Warwickshire General Hospitals NHS Trust Warwick Hospital No records University Hospital of North Staffordshire NHS Trust University Hospital of North Staffordshire No records University Hospitals Birmingham NHS Foundation Trust Queen Elizabeth Hospital Edgbaston No records University Hospitals Coventry and Warwickshire NHS Trust University Hospital Coventry No records Walsall Hospitals NHS TrustManor Hospital No records Worcestershire Acute Hospitals NHS Trust The Alexandra Hospital 7454 (73%)4 (100%)8 (16%)3 (10%)29 (58%)1 (2%)45.44th Worcestershire Acute Hospitals NHS Trust Worcestershire Royal Hospital 13771 (52%)6 (100%)3 (5%)9 (25%)32 (46%)0 (0%)37.44th Wye Valley NHS TrustCounty Hospital Hereford 14296 (68%)5 (63%)35 (37%)74 (86%)59 (63%)34 (43%)56.13rd West Midlands (results part 4 of 4) Back to West Midlands map

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

22 Back to map Key Indicator 1 Key Indicator 2Key Indicator 3Key Indicator 4Key Indicator 5Key Indicator 6Key Indicator 7 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of patients scanned within 1 hour of arrival at hospital Number of patients scanned within 24 hours of arrival at hospital Number of patients who arrived on stroke bed within 4 hours of hospital arrival (when hospital arrival was out of hours) Number of patients seen by stroke consultant or associate specialist within 24h Number of patients with a known time of onset for stroke symptoms Number of patients for whom their prognosis/diagnosis was discussed with relative/carer within 72h where applicable Number of patients who had continence plan drawn up within 72h where applicable ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 5149 (29%)15944 (91%) 4511 (47%)14520 (75%)10064 (52%) 15310 (85%)4221 (57%) ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 1791 (33%)5050 (92%)1735 (54%)4830 (79%)3262 (54%)5010 (87%)1406 (62%) Chesterfield Royal Hospital NHS Foundation Trust Chesterfield Royal 12382 (67%)12 (15%)78 (99%)24 (52%)56 (68%)24 (29%)73 (95%)77 (97%) Derby Hospitals NHS Foundation Trust Royal Derby Hospital No records Kettering General Hospital NHS Foundation Trust Kettering General Hospital 2822 (79%)1 (5%)19 (86%)0 (0%)7 (32%)8 (36%)22 (100%)2 (67%) Northampton General Hospital NHS Trust Northampton General Hospital 348171 (49%) 64 (44%)138 (94%)48 (55%)157 (92%)101 (59%)87 (51%)11 (17%) Nottingham University Hospitals NHS Trust Nottingham City Hospital No records Sherwood Forest Hospitals NHS Foundation Trust Kings Mill Hospital No records United Lincolnshire Hospitals NHS Trust Grantham And District General No records United Lincolnshire Hospitals NHS Trust Lincoln County Hospital No records United Lincolnshire Hospitals NHS Trust Pilgrim Hospital No records University Hospitals of Leicester NHS Trust Leicester Royal Infirmary No records East Midlands (results part 1 of 2) Back to East Midlands map

23 Back to map Key Indicator 8Key Indicator 9Key Indicator 10Key Indicator 11Key Indicator 12 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of potentially eligible patients thrombolysed Bundle 1: Seen by nurse and one therapist within 24h and all relevant therapists within 72h (proxy for NICE QS 5) Bundle 2: Nutrition screening and formal swallow assessment within 72 hours where appropriate Bundle 3: Patient's first ward of admission was stroke unit and they arrived there within four hours of hospital arrival Bundle 4: Patient given antiplatelet within 72h where appropriate and had adequate fluid and nutrition in all 24h periods Average of 12 key indicato rs Quartile ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 1050 (49%)7905 (48%)14161 (82%)8917 (48%)9257 (56%)60 ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 362 (52%)2734 (53%)4502 (85%)3187 (55%)3275 (63%)64 Chesterfield Royal Hospital NHS Foundation Trust Chesterfield Royal 12382 (67%)3 (60%)48 (71%)66 (96%)37 (46%)63 (82%)67.52nd Derby Hospitals NHS Foundation Trust Royal Derby Hospital No records Kettering General Hospital NHS Foundation Trust Kettering General Hospital 2822 (79%)0 (0%)4 (25%)4 (31%)0 (0%)19 (100%)40.14th Northampton General Hospital NHS Trust Northampton General Hospital 348171 (49%) 8 (80%)99 (66%)88 (59%)76 (46%)111 (79%)61.82nd Nottingham University Hospitals NHS Trust Nottingham City Hospital No records Sherwood Forest Hospitals NHS Foundation Trust Kings Mill Hospital No records United Lincolnshire Hospitals NHS Trust Grantham And District General No records United Lincolnshire Hospitals NHS Trust Lincoln County Hospital No records United Lincolnshire Hospitals NHS Trust Pilgrim Hospital No records University Hospitals of Leicester NHS Trust Leicester Royal Infirmary No records East Midlands (results part 2 of 2) Back to East Midlands map

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

25 Back to map Key Indicator 1 Key Indicator 2Key Indicator 3Key Indicator 4Key Indicator 5Key Indicator 6Key Indicator 7 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of patients scanned within 1 hour of arrival at hospital Number of patients scanned within 24 hours of arrival at hospital Number of patients who arrived on stroke bed within 4 hours of hospital arrival (when hospital arrival was out of hours) Number of patients seen by stroke consultant or associate specialist within 24h Number of patients with a known time of onset for stroke symptoms Number of patients for whom their prognosis/diagnosis was discussed with relative/carer within 72h where applicable Number of patients who had continence plan drawn up within 72h where applicable ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 5149 (29%)15944 (91%) 4511 (47%)14520 (75%)10064 (52%)15310 (85%)4221 (57%) ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 1791 (33%)5050 (92%)1735 (54%)4830 (79%)3262 (54%)5010 (87%)1406 (62%) Basildon and Thurrock University Hospitals NHS Foundation Trust Basildon Hospital No records Bedford Hospital NHS TrustBedford Hospital No records Cambridge University Hospitals NHS Foundation Trust Addenbrooke's Hospital No records Colchester Hospital University NHS Foundation Trust Colchester General Hospital 3932 (82%)11 (35%)31 (100%)4 (24%)31 (97%)16 (50%)30 (100%)6 (40%) East and North Hertfordshire NHS Trust Lister Hospital Insufficient records Hinchingbrooke Health Care NHS Trust Hinchingbrooke Hospital No records Ipswich Hospital NHS TrustThe Ipswich Hospital No records James Paget University Hospitals NHS Foundation Trust James Paget Hospital No records Luton and Dunstable Hospital NHS Foundation Trust Luton & Dunstable Hospital No records East of England (results part 1 of 4) Back to East of England map

26 Back to map Key Indicator 1 Key Indicator 2Key Indicator 3Key Indicator 4Key Indicator 5Key Indicator 6Key Indicator 7 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of patients scanned within 1 hour of arrival at hospital Number of patients scanned within 24 hours of arrival at hospital Number of patients who arrived on stroke bed within 4 hours of hospital arrival (when hospital arrival was out of hours) Number of patients seen by stroke consultant or associate specialist within 24h Number of patients with a known time of onset for stroke symptoms Number of patients for whom their prognosis/diagnosis was discussed with relative/carer within 72h where applicable Number of patients who had continence plan drawn up within 72h where applicable ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 5149 (29%)15944 (91%) 4511 (47%)14520 (75%)10064 (52%)15310 (85%)4221 (57%) ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 1791 (33%)5050 (92%)1735 (54%)4830 (79%)3262 (54%)5010 (87%)1406 (62%) Mid Essex Hospital Services NHS Trust Broomfield Hospital No records Norfolk & Norwich University Hospital NHS Foundation Trust Norfolk and Norwich Hospital No records Peterborough and Stamford Hospitals NHS Foundation Trust Peterborough District Hospital No records Princess Alexandra Hospital NHS Trust Princess Alexandra Hospital 4339 (91%)15 (41%)32 (86%)6 (35%)26 (67%)27 (69%)38 (100%)27 (90%) Queen Elizabeth Hospital King's Lynn NHS Trust Queen Elizabeth Hospital Kings Lynn No records Southend University Hospital NHS Foundation Trust Southend Hospital 11299 (88%)39 (41%)85 (90%)20 (48%)98 (99%)62 (63%)85 (88%)10 (29%) West Hertfordshire Hospitals NHS Trust Watford General Hospital No records West Suffolk Hospital NHS Trust West Suffolk Hospital No records East of England (results part 2 of 4) Back to East of England map

27 Back to map Key Indicator 8Key Indicator 9Key Indicator 10Key Indicator 11Key Indicator 12 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of potentially eligible patients thrombolysed Bundle 1: Seen by nurse and one therapist within 24h and all relevant therapists within 72h (proxy for NICE QS 5) Bundle 2: Nutrition screening and formal swallow assessment within 72 hours where appropriate Bundle 3: Patient's first ward of admission was stroke unit and they arrived there within four hours of hospital arrival Bundle 4: Patient given antiplatelet within 72h where appropriate and had adequate fluid and nutrition in all 24h periods Average of 12 key indicato rs Quartile ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 1050 (49%)7905 (48%)14161 (82%)8917 (48%)9257 (56%)60 ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 362 (52%)2734 (53%)4502 (85%)3187 (55%)3275 (63%)64 Basildon and Thurrock University Hospitals NHS Foundation Trust Basildon Hospital No records Bedford Hospital NHS TrustBedford Hospital No records Cambridge University Hospitals NHS Foundation Trust Addenbrooke's Hospital No records Colchester Hospital University NHS Foundation Trust Colchester General Hospital 3932 (82%)3 (75%)8 (33%)25 (81%)11 (35%)15 (56%)60.52nd East and North Hertfordshire NHS Trust Lister Hospital Insufficient records submitted for this period Hinchingbrooke Health Care NHS Trust Hinchingbrooke Hospital No records Ipswich Hospital NHS TrustThe Ipswich Hospital No records James Paget University Hospitals NHS Foundation Trust James Paget Hospital No records Luton and Dunstable Hospital NHS Foundation Trust Luton & Dunstable Hospital No records East of England (results part 3 of 4) Back to East of England map

28 Back to map Key Indicator 8Key Indicator 9Key Indicator 10Key Indicator 11Key Indicator 12 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of potentially eligible patients thrombolysed Bundle 1: Seen by nurse and one therapist within 24h and all relevant therapists within 72h (proxy for NICE QS 5) Bundle 2: Nutrition screening and formal swallow assessment within 72 hours where appropriate Bundle 3: Patient's first ward of admission was stroke unit and they arrived there within four hours of hospital arrival Bundle 4: Patient given antiplatelet within 72h where appropriate and had adequate fluid and nutrition in all 24h periods Average of 12 key indicato rs Quartile ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 1050 (49%)7905 (48%)14161 (82%)8917 (48%)9257 (56%)60 ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 362 (52%)2734 (53%)4502 (85%)3187 (55%)3275 (63%)64 Mid Essex Hospital Services NHS Trust Broomfield Hospital No records Norfolk & Norwich University Hospital NHS Foundation Trust Norfolk and Norwich Hospital No records Peterborough and Stamford Hospitals NHS Foundation Trust Peterborough District Hospital No records Princess Alexandra Hospital NHS Trust Princess Alexandra Hospital 4339 (91%)7 (88%)16 (42%)33 (92%)12 (31%)31 (86%)68.92nd Queen Elizabeth Hospital King's Lynn NHS Trust Queen Elizabeth Hospital Kings Lynn No records Southend University Hospital NHS Foundation Trust Southend Hospital 11299 (88%)14 (93%)75 (82%)73 (78%)56 (58%)61 (73%)70.11st West Hertfordshire Hospitals NHS Trust Watford General Hospital No records West Suffolk Hospital NHS Trust West Suffolk Hospital No records East of England (results part 4 of 4) Back to East of England map

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

30 Back to map Key Indicator 1 Key Indicator 2Key Indicator 3Key Indicator 4Key Indicator 5Key Indicator 6Key Indicator 7 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of patients scanned within 1 hour of arrival at hospital Number of patients scanned within 24 hours of arrival at hospital Number of patients who arrived on stroke bed within 4 hours of hospital arrival (when hospital arrival was out of hours) Number of patients seen by stroke consultant or associate specialist within 24h Number of patients with a known time of onset for stroke symptoms Number of patients for whom their prognosis/diagnosis was discussed with relative/carer within 72h where applicable Number of patients who had continence plan drawn up within 72h where applicable ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 5149 (29%)15944 (91%) 4511 (47%)14520 (75%)10064 (52%)15310 (85%)4221 (57%) ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 1791 (33%)5050 (92%)1735 (54%)4830 (79%)3262 (54%)5010 (87%)1406 (62%) Dorset County Hospital NHS Foundation Trust Dorset County Hospital No records Gloucestershire Hospitals NHS Foundation Trust Cheltenham General Hospital No records Gloucestershire Hospitals NHS Foundation Trust Gloucestershire Royal Hospital No records Great Western Hospitals NHS Foundation Trust The Great Western Hospital No records North Bristol NHS TrustSouthmead Hospital No records Northern Devon Healthcare NHS Trust North Devon District Hospital 5252 (100%) 5 (10%)40 (78%)16 (64%)26 (50%)41 (79%)50 (98%)23 (88%) Plymouth Hospitals NHS Trust Derriford Hospital 2624 (92%)0 (0%)10 (100%)7 (50%)1 (4%)2 (8%)10 (42%)0 (0%) Poole Hospital NHS Foundation Trust Poole Hospital No records Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust Royal Bournemouth General Hospital No records South West (results part 1 of 4) Back to South West map

31 Back to map Key Indicator 1 Key Indicator 2Key Indicator 3Key Indicator 4Key Indicator 5Key Indicator 6Key Indicator 7 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of patients scanned within 1 hour of arrival at hospital Number of patients scanned within 24 hours of arrival at hospital Number of patients who arrived on stroke bed within 4 hours of hospital arrival (when hospital arrival was out of hours) Number of patients seen by stroke consultant or associate specialist within 24h Number of patients with a known time of onset for stroke symptoms Number of patients for whom their prognosis/diagnosis was discussed with relative/carer within 72h where applicable Number of patients who had continence plan drawn up within 72h where applicable ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 5149 (29%)15944 (91%) 4511 (47%)14520 (75%)10064 (52%)15310 (85%)4221 (57%) ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 1791 (33%)5050 (92%)1735 (54%)4830 (79%)3262 (54%)5010 (87%)1406 (62%) Royal Cornwall Hospitals NHS Trust Royal Cornwall Hospital 295142 (48%) 29 (21%)130 (94%)5 (7%)69 (49%)50 (35%)37 (26%) Royal Devon and Exeter NHS Foundation Trust Royal Devon & Exeter Hospital 11475 (66%)20 (27%)64 (88%)17 (40%)52 (69%)49 (65%)62 (87%)18 (95%) Royal United Hospital Bath NHS Trust Royal United Hospital Bath Insufficient records Salisbury NHS Foundation Trust Salisbury District Hospital No records South Devon Healthcare NHS Foundation Trust Torbay Hospital 19089 (47%)17 (20%)75 (89%)12 (31%)64 (72%)37 (42%)61 (70%)24 (80%) Taunton and Somerset NHS Foundation Trust Taunton & Somerset Hospital No records University Hospitals of Bristol NHS Foundation Trust Bristol Royal Infirmary No records Weston Area Health NHS Trust Weston General Hospital No records Yeovil District Hospital NHS Foundation Trust Yeovil District Hospital No records South West (results part 2 of 4) Back to South West map

32 Back to map Key Indicator 8Key Indicator 9Key Indicator 10Key Indicator 11Key Indicator 12 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of potentially eligible patients thrombolysed Bundle 1: Seen by nurse and one therapist within 24h and all relevant therapists within 72h (proxy for NICE QS 5) Bundle 2: Nutrition screening and formal swallow assessment within 72 hours where appropriate Bundle 3: Patient's first ward of admission was stroke unit and they arrived there within four hours of hospital arrival Bundle 4: Patient given antiplatelet within 72h where appropriate and had adequate fluid and nutrition in all 24h periods Average of 12 key indicato rs Quartile ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 1050 (49%)7905 (48%)14161 (82%)8917 (48%)9257 (56%)60 ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 362 (52%)2734 (53%)4502 (85%)3187 (55%)3275 (63%)64 Dorset County Hospital NHS Foundation Trust Dorset County Hospital No records Gloucestershire Hospitals NHS Foundation Trust Cheltenham General Hospital No records Gloucestershire Hospitals NHS Foundation Trust Gloucestershire Royal Hospital No records Great Western Hospitals NHS Foundation Trust The Great Western Hospital No records North Bristol NHS TrustSouthmead Hospital No records Northern Devon Healthcare NHS Trust North Devon District Hospital 5252 (100%) 0 (0%)25 (54%)43 (91%)32 (62%)16 (36%)59.23rd Plymouth Hospitals NHS Trust Derriford Hospital 2624 (92%)0 (NA%)1 (5%)14 (61%)12 (50%)0 (0%)29.14th Poole Hospital NHS Foundation Trust Poole Hospital No records Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust Royal Bournemouth General Hospital No records South West (results part 3 of 4) Back to South West map

33 Back to map Key Indicator 8Key Indicator 9Key Indicator 10Key Indicator 11Key Indicator 12 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of potentially eligible patients thrombolysed Bundle 1: Seen by nurse and one therapist within 24h and all relevant therapists within 72h (proxy for NICE QS 5) Bundle 2: Nutrition screening and formal swallow assessment within 72 hours where appropriate Bundle 3: Patient's first ward of admission was stroke unit and they arrived there within four hours of hospital arrival Bundle 4: Patient given antiplatelet within 72h where appropriate and had adequate fluid and nutrition in all 24h periods Average of 12 key indicato rs Quartile ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 1050 (49%)7905 (48%)14161 (82%)8917 (48%)9257 (56%)60 ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 362 (52%)2734 (53%)4502 (85%)3187 (55%)3275 (63%)64 Royal Cornwall Hospitals NHS Trust Royal Cornwall Hospital 295142 (48%) 6 (50%)1 (1%)25 (18%)13 (9%)0 (0%)284th Royal Devon and Exeter NHS Foundation Trust Royal Devon & Exeter Hospital 11475 (66%)4 (67%)16 (24%)27 (68%)33 (44%)25 (38%)59.32nd Royal United Hospital Bath NHS Trust Royal United Hospital Bath Insufficient records Salisbury NHS Foundation Trust Salisbury District Hospital No records South Devon Healthcare NHS Foundation Trust Torbay Hospital 19089 (47%)8 (62%)38 (48%)41 (53%)39 (45%)13 (18%)52.43rd Taunton and Somerset NHS Foundation Trust Taunton & Somerset Hospital No records University Hospitals of Bristol NHS Foundation Trust Bristol Royal Infirmary No records Weston Area Health NHS Trust Weston General Hospital No records Yeovil District Hospital NHS Foundation Trust Yeovil District Hospital No records South West (results part 4 of 4) Back to South West map

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

35 Back to map Key Indicator 1 Key Indicator 2Key Indicator 3Key Indicator 4Key Indicator 5Key Indicator 6Key Indicator 7 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of patients scanned within 1 hour of arrival at hospital Number of patients scanned within 24 hours of arrival at hospital Number of patients who arrived on stroke bed within 4 hours of hospital arrival (when hospital arrival was out of hours) Number of patients seen by stroke consultant or associate specialist within 24h Number of patients with a known time of onset for stroke symptoms Number of patients for whom their prognosis/diagnosis was discussed with relative/carer within 72h where applicable Number of patients who had continence plan drawn up within 72h where applicable ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 5149 (29%)15944 (91%) 4511 (47%)14520 (75%)10064 (52%) 15310 (85%)4221 (57%) ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 1791 (33%)5050 (92%)1735 (54%)4830 (79%)3262 (54%)5010 (87%)1406 (62%) Basingstoke and North Hampshire NHS Foundation Trust North Hampshire Hospital No records Buckinghamshire Hospitals NHS Trust Stoke Mandeville Hospital No records Buckinghamshire Hospitals NHS Trust Wycombe Hospital No records Heatherwood and Wexham Park Hospitals NHS Foundation Trust Wexham Park Hospital No records Isle of Wight NHS Primary Care Trust St Mary's Hospital Newport No records Milton Keynes Hospital NHS Foundation Trust Milton Keynes General Hospital No records Oxford Radcliffe Hospitals NHS Trust John Radcliffe Hospital & Horton General Hospital 4746 (98%)17 (40%)43 (100%)12 (41%)33 (72%)32 (70%)22 (50%)1 (10%) Portsmouth Hospitals NHS Trust Queen Alexandra Hospital Portsmouth No records Royal Berkshire NHS Foundation Trust Royal Berkshire Hospital 219182 (83%) 65 (41%)141 (89%)40 (45%)128 (70%)86 (47%)175 (98%)71 (96%) Southampton University Hospitals NHS Trust Southampton General Hospital No records Winchester and Eastleigh Healthcare NHS Trust Royal Hampshire County Hospital No records South Central (results part 1 of 2) Back to South Central map

36 Back to map Key Indicator 8Key Indicator 9Key Indicator 10Key Indicator 11Key Indicator 12 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of potentially eligible patients thrombolysed Bundle 1: Seen by nurse and one therapist within 24h and all relevant therapists within 72h (proxy for NICE QS 5) Bundle 2: Nutrition screening and formal swallow assessment within 72 hours where appropriate Bundle 3: Patient's first ward of admission was stroke unit and they arrived there within four hours of hospital arrival Bundle 4: Patient given antiplatelet within 72h where appropriate and had adequate fluid and nutrition in all 24h periods Average of 12 key indicato rs Quartile ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 1050 (49%)7905 (48%)14161 (82%)8917 (48%)9257 (56%)60 ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 362 (52%)2734 (53%)4502 (85%)3187 (55%)3275 (63%)64 Basingstoke and North Hampshire NHS Foundation Trust North Hampshire Hospital No records Buckinghamshire Hospitals NHS Trust Stoke Mandeville Hospital No records Buckinghamshire Hospitals NHS Trust Wycombe Hospital No records Heatherwood and Wexham Park Hospitals NHS Foundation Trust Wexham Park Hospital No records Isle of Wight NHS Primary Care Trust St Mary's Hospital Newport No records Milton Keynes Hospital NHS Foundation Trust Milton Keynes General Hospital No records Oxford Radcliffe Hospitals NHS Trust John Radcliffe Hospital & Horton General Hospital 4746 (98%)0 (0%)14 (36%)24 (67%)18 (39%)26 (84%)50.64th Portsmouth Hospitals NHS Trust Queen Alexandra Hospital Portsmouth No records Royal Berkshire NHS Foundation Trust Royal Berkshire Hospital 219182 (83%) 10 (91%)77 (46%)170 (98%)83 (49%)108 (69%)702nd Southampton University Hospitals NHS Trust Southampton General Hospital No records Winchester and Eastleigh Healthcare NHS Trust Royal Hampshire County Hospital No records South Central (results part 2 of 2) Back to South Central map

37 London Back to map 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 map Key Indicator 1 Key Indicator 2Key Indicator 3Key Indicator 4Key Indicator 5Key Indicator 6Key Indicator 7 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of patients scanned within 1 hour of arrival at hospital Number of patients scanned within 24 hours of arrival at hospital Number of patients who arrived on stroke bed within 4 hours of hospital arrival (when hospital arrival was out of hours) Number of patients seen by stroke consultant or associate specialist within 24h Number of patients with a known time of onset for stroke symptoms Number of patients for whom their prognosis/diagnosis was discussed with relative/carer within 72h where applicable Number of patients who had continence plan drawn up within 72h where applicable ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 5149 (29%)15944 (91%) 4511 (47%)14520 (75%)10064 (52%) 15310 (85%)4221 (57%) ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 1791 (33%)5050 (92%)1735 (54%)4830 (79%)3262 (54%)5010 (87%)1406 (62%) Barking Havering and Redbridge Hospitals NHS Trust Queens Hospital Romford 265181 (68%) 74 (46%)152 (95%)44 (44%)175 (97%)114 (63%)165 (99%)54 (84%) Barnet and Chase Farm Hospitals NHS Trust Barnet General Hospital 2221 (95%)0 (0%)6 (33%)2 (18%)21 (100%)4 (19%)21 (100%)2 (12%) Barts and The London NHS Trust Royal London Hospital 320205 (64%) 115 (64%)168 (93%)76 (66%)202 (99%)124 (60%)202 (99%)37 (97%) Epsom and St Helier University Hospitals NHS Trust Epsom Hospital Insufficient records Guy's and St Thomas' Hospital NHS Foundation Trust St Thomas Hospital 18091 (51%)47 (58%)78 (96%)31 (69%)87 (96%)61 (67%)84 (95%)22 (76%) Imperial College Healthcare NHS Trust Charing Cross Hospital 392224 (57%) 77 (49%)156 (99%)115 (87%)224 (100%)116 (52%)224 (100%)30 (100%) King's College Hospital NHS Foundation Trust King's College Hospital 285219 (77%) 151 (70%)215 (100%)93 (70%)218 (100%)139 (63%)216 (100%)79 (99%) North West London Hospitals NHS Trust Northwick Park Hospital 388225 (58%) 104 (51%)187 (92%)111 (86%)221 (98%)108 (48%)171 (99%)37 (47%) South London Healthcare NHS Trust Princess Royal University Hospital 6631 (47%)16 (55%)24 (83%)9 (82%)30 (97%)22 (71%)5 (16%)1 (3%) St George's Healthcare NHS Trust St George's Hospital 481302 (63%) 127 (47%)258 (95%)131 (71%)296 (98%)205 (68%)299 (100%)141 (99%) University College London Hospitals NHS Foundation Trust University College Hospital 15489 (58%)46 (54%)83 (98%)40 (78%)85 (96%)56 (63%)80 (94%)16 (70%) London (results part 1 of 2) Back to London map

39 Back to map Key Indicator 8Key Indicator 9Key Indicator 10Key Indicator 11Key Indicator 12 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of potentially eligible patients thrombolysed Bundle 1: Seen by nurse and one therapist within 24h and all relevant therapists within 72h (proxy for NICE QS 5) Bundle 2: Nutrition screening and formal swallow assessment within 72 hours where appropriate Bundle 3: Patient's first ward of admission was stroke unit and they arrived there within four hours of hospital arrival Bundle 4: Patient given antiplatelet within 72h where appropriate and had adequate fluid and nutrition in all 24h periods Average of 12 key indicato rs Quartile ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 1050 (49%)7905 (48%)14161 (82%)8917 (48%)9257 (56%)60 ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 362 (52%)2734 (53%)4502 (85%)3187 (55%)3275 (63%)64 Barking Havering and Redbridge Hospitals NHS Trust Queens Hospital Romford 265181 (68%) 8 (30%)111 (86%)170 (99%)80 (46%)121 (78%)72.21st Barnet and Chase Farm Hospitals NHS Trust Barnet General Hospital 2221 (95%)0 (0%)21 (100%) 6 (30%)1 (5%)43.14th Barts and The London NHS Trust Royal London Hospital 320205 (64%) 21 (88%)112 (65%)203 (100%)134 (68%)146 (95%)82.71st Epsom and St Helier University Hospitals NHS Trust Epsom Hospital Insufficient records Guy's and St Thomas' Hospital NHS Foundation Trust St Thomas Hospital 18091 (51%)7 (54%)38 (53%)47 (90%)60 (73%)53 (66%)74.51st Imperial College Healthcare NHS Trust Charing Cross Hospital 392224 (57%) 10 (48%)141 (100%)135 (100%)177 (83%)208 (100%)84.91st King's College Hospital NHS Foundation Trust King's College Hospital 285219 (77%) 16 (80%)133 (93%)210 (98%)146 (68%)174 (96%)86.31st North West London Hospitals NHS Trust Northwick Park Hospital 388225 (58%) 27 (93%)87 (43%)206 (94%)202 (90%)60 (31%)72.81st South London Healthcare NHS Trust Princess Royal University Hospital 6631 (47%)3 (60%)3 (10%)28 (93%)23 (74%)1 (3%)53.93rd St George's Healthcare NHS Trust St George's Hospital 481302 (63%) 21 (60%)188 (74%)275 (97%)202 (70%)234 (91%)80.81st University College London Hospitals NHS Foundation Trust University College Hospital 15489 (58%)20 (91%)51 (74%)78 (98%)68 (77%)62 (87%)81.61st London (results part 2 of 2) Back to London map

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

41 Back to map Key Indicator 1 Key Indicator 2Key Indicator 3Key Indicator 4Key Indicator 5Key Indicator 6Key Indicator 7 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of patients scanned within 1 hour of arrival at hospital Number of patients scanned within 24 hours of arrival at hospital Number of patients who arrived on stroke bed within 4 hours of hospital arrival (when hospital arrival was out of hours) Number of patients seen by stroke consultant or associate specialist within 24h Number of patients with a known time of onset for stroke symptoms Number of patients for whom their prognosis/diagnosis was discussed with relative/carer within 72h where applicable Number of patients who had continence plan drawn up within 72h where applicable ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 5149 (29%)15944 (91%) 4511 (47%)14520 (75%)10064 (52%) 15310 (85%)4221 (57%) ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 1791 (33%)5050 (92%)1735 (54%)4830 (79%)3262 (54%)5010 (87%)1406 (62%) Ashford and St Peter's Hospital NHS Trust St Peter's Hospital 102100 (98%) 41 (49%)82 (98%)21 (40%)79 (79%)58 (58%)96 (100%)23 (40%) Brighton & Sussex University Hospitals NHS Trust Princess Royal Hospital Haywards Heath No records Brighton & Sussex University Hospitals NHS Trust Royal Sussex County Hospital No records Dartford & Gravesham NHS Trust Darent Valley Hospital No records East Kent Hospitals NHS Trust Kent and Canterbury Hospital Insufficient records East Kent Hospitals NHS Trust Queen Elizabeth the Queen Mother 12260 (49%)22 (49%)45 (100%)15 (44%)52 (87%)40 (67%)59 (98%)37 (84%) East Kent Hospitals NHS Trust William Harvey Hospital 11768 (58%)50 (79%)59 (94%)23 (74%)63 (93%)39 (57%)67 (100%)37 (97%) East Sussex Hospitals NHS Trust Conquest Hospital 4020 (50%)2 (11%)15 (79%)1 (8%)19 (95%)5 (25%)17 (94%)5 (83%) East Sussex Hospitals NHS Trust Eastbourne DGH 8076 (95%)6 (9%)63 (94%)4 (12%)67 (88%)26 (34%)63 (95%)12 (63%) South East Coast (results part 1 of 4) Back to South East map

42 Back to map Key Indicator 1 Key Indicator 2Key Indicator 3Key Indicator 4Key Indicator 5Key Indicator 6Key Indicator 7 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of patients scanned within 1 hour of arrival at hospital Number of patients scanned within 24 hours of arrival at hospital Number of patients who arrived on stroke bed within 4 hours of hospital arrival (when hospital arrival was out of hours) Number of patients seen by stroke consultant or associate specialist within 24h Number of patients with a known time of onset for stroke symptoms Number of patients for whom their prognosis/diagnosis was discussed with relative/carer within 72h where applicable Number of patients who had continence plan drawn up within 72h where applicable ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 5149 (29%)15944 (91%) 4511 (47%)14520 (75%)10064 (52%)15310 (85%)4221 (57%) ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 1791 (33%)5050 (92%)1735 (54%)4830 (79%)3262 (54%)5010 (87%)1406 (62%) Frimley Park Hospitals NHS Foundation Trust Frimley Park Hospital 5757 (100%) 12 (23%)48 (92%)11 (46%)41 (72%)47 (82%)51 (96%)10 (77%) Maidstone and Tunbridge Wells NHS Trust Kent & Sussex Hospital No records Maidstone and Tunbridge Wells NHS Trust Maidstone General Hospital No records Medway NHS Foundation Trust Medway Maritime Hospital 7361 (84%)17 (29%)57 (97%)23 (66%)46 (75%)27 (44%)59 (100%)12 (100%) Royal Surrey County Hospital NHS Trust Royal Surrey County Hospital 8979 (89%)33 (46%)64 (89%)22 (43%)52 (66%)42 (53%)60 (81%)32 (82%) Surrey and Sussex Healthcare NHS Trust East Surrey Hospital 3030 (100%) 3 (12%)24 (96%)0 (0%)26 (87%)15 (50%)28 (100%)7 (54%) Western Sussex Hospitals NHS Trust St Richards Hospital No records Western Sussex Hospitals NHS Trust Worthing Hospital No records South East Coast (results part 2 of 4) Back to South East map

43 Back to map Key Indicator 8Key Indicator 9Key Indicator 10Key Indicator 11Key Indicator 12 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of potentially eligible patients thrombolysed Bundle 1: Seen by nurse and one therapist within 24h and all relevant therapists within 72h (proxy for NICE QS 5) Bundle 2: Nutrition screening and formal swallow assessment within 72 hours where appropriate Bundle 3: Patient's first ward of admission was stroke unit and they arrived there within four hours of hospital arrival Bundle 4: Patient given antiplatelet within 72h where appropriate and had adequate fluid and nutrition in all 24h periods Average of 12 key indicato rs Quartile ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 1050 (49%)7905 (48%)14161 (82%)8917 (48%)9257 (56%)60 ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 362 (52%)2734 (53%)4502 (85%)3187 (55%)3275 (63%)64 Ashford and St Peter's Hospital NHS Trust St Peter's Hospital 102100 (98%) 3 (30%)44 (51%)88 (96%)46 (51%)69 (78%)64.22nd Brighton & Sussex University Hospitals NHS Trust Princess Royal Hospital Haywards Heath No records Brighton & Sussex University Hospitals NHS Trust Royal Sussex County Hospital No records Dartford & Gravesham NHS Trust Darent Valley Hospital No records East Kent Hospitals NHS TrustKent and Canterbury Hospital Insufficient records East Kent Hospitals NHS TrustQueen Elizabeth the Queen Mother 12260 (49%)5 (50%)22 (42%)59 (98%)29 (56%)40 (68%)70.21st East Kent Hospitals NHS TrustWilliam Harvey Hospital 11768 (58%)8 (80%)43 (72%)64 (98%)53 (80%)44 (69%)82.81st East Sussex Hospitals NHS Trust Conquest Hospital 4020 (50%)0 (NA%)7 (54%)16 (84%)1 (5%)8 (57%)54.13rd East Sussex Hospitals NHS Trust Eastbourne DGH 8076 (95%)6 (75%)5 (8%)51 (85%)8 (11%)37 (63%)53.23rd South East Coast (results part 3 of 4) Back to South East map

44 Back to map Key Indicator 8Key Indicator 9Key Indicator 10Key Indicator 11Key Indicator 12 Trust nameHospitalTotal number of records in analysis after data cleaning Number of stroke patients Number of potentially eligible patients thrombolysed Bundle 1: Seen by nurse and one therapist within 24h and all relevant therapists within 72h (proxy for NICE QS 5) Bundle 2: Nutrition screening and formal swallow assessment within 72 hours where appropriate Bundle 3: Patient's first ward of admission was stroke unit and they arrived there within four hours of hospital arrival Bundle 4: Patient given antiplatelet within 72h where appropriate and had adequate fluid and nutrition in all 24h periods Average of 12 key indicato rs Quartile ALL SITES (ONE YEAR)ALL SITES - JULY 2010 - JUNE 2011 (ONE YEAR) 2871619436 (68%) 1050 (49%)7905 (48%)14161 (82%)8917 (48%)9257 (56%)60 ALL SITES (ONE QUARTER)ALL SITES - APRIL - JUNE 2011 (ONE QUARTER) 95836089 (64%) 362 (52%)2734 (53%)4502 (85%)3187 (55%)3275 (63%)64 Frimley Park Hospitals NHS Foundation Trust Frimley Park Hospital 5757 (100%) 5 (42%)42 (93%)26 (90%)31 (57%)24 (51%)68.52nd Maidstone and Tunbridge Wells NHS Trust Kent & Sussex Hospital No records Maidstone and Tunbridge Wells NHS Trust Maidstone General Hospital No records Medway NHS Foundation Trust Medway Maritime Hospital 7361 (84%)11 (73%)22 (42%)49 (86%)42 (70%)29 (55%)69.72nd Royal Surrey County Hospital NHS Trust Royal Surrey County Hospital 8979 (89%)5 (71%)19 (28%)61 (85%)35 (46%)10 (15%)58.83rd Surrey and Sussex Healthcare NHS Trust East Surrey Hospital 3030 (100%) 0 (0%)6 (25%)25 (86%)0 (0%)20 (80%)49.14th Western Sussex Hospitals NHS Trust St Richards Hospital No records Western Sussex Hospitals NHS Trust Worthing Hospital No records South East Coast (results part 4 of 4) Back to South East map

45 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 sinap@rcplondon.ac.uk For more information, please visit: www.rcplondon.ac.uk/sinap Back to map


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