Included: all patients are included in this indicator, except those who are either medically unwell, refused to be screened or had no relevant deficit.
Excluded: patients who are medically unwell, refused to be assessed or had no relevant deficit (ie patients where Q 3.7.1 is answered ‘Patient refused’, ‘Patient medically unwell’ or ‘Patient had no relevant deficit’) are excluded from this indicator |
Numerator = the number of patients who were assessed by a speech and language therapist within 72h of clock start.
Denominator = all the applicable patients in the cohort. Patients who are applicable but not assessed are included in the denominator.
To calculate whether a patient is included in the numerator:
For newly arrived patients, the difference between the date and time first assessed by a speech and language therapist (Q 3.7) and date and time of arrival (Q 1.13) must be greater than 0 minutes and less than or equal to 4320 minutes.
For patients already in hospital at the time of their stroke (Q 1.10 is ‘Yes’), the difference between the date and time first assessed by a speech and language therapist (Q 3.7) and the date and time of symptom onset (Q 1.11) must be greater than 0 minutes and less than or equal to 4320 minutes.
Cohort percentage:
For team-centred | For patient-centred |
All patients in the team-centred 72h cohort except those who are medically unwell, refused to be assessed or had no relevant deficit | All patients in the patient-centred 72h cohort except those who are medically unwell, refused to be assessed or had no relevant deficit |
Example
Patient X arrived (clock start) at hospital at 15:00 on Tuesday. They were assessed by a SALT at 16:30 on Wednesday. Patient X has achieved the indicator because Tuesday 15:00 – Wednesday 16:30 = 1530 minutes.
Patient Y arrived (clock start) at hospital at 12:15 on Saturday. They were assessed by a SALT on Wednesday 12:15. Patient Y has not achieved the indicator because Saturday 12:15 – Wednesday 12:15 = 5760 minutes.
Patient Z arrived (clock start) at hospital at 20:08 on Thursday. They were not assessed due to Organisational Reasons, so are applicable but not assessed, and therefore have not achieved the indicator.
Therefore the cohort percentage is 0.33 or 33% or