This can be selected if the patient is discharged from the care pathway to a place which is neither a care home nor the patient's home (e.g. to a relative's home). 'Somewhere else' can also be selected if the patient has left the stroke care pathway entirely.
If a patient leaves the stroke pathway only to return a short time later to the same team, for example for neurosurgery, then the record can be left open and the record completed as normal. The SSNAP helpdesk can be contacted for advice on how to deal with pathway queries and how best to capture these in SSNAP.
Regarding what is defined as a 'short time', we tend not to provide a precise timeframe as the decision can often depend on the circumstances. Generally, 24hrs would be a good guide. We inform teams of this because we (along with teams) are keen to ensure as much data is entered onto SSNAP as possible, but a limitation of the webtool is that data needs to be entered continuously and if the patient has left the pathway for a long period of time then this will not be possible. Therefore, we suggest that when gaps are small enough (24 hours is perhaps a rough guide) that the SSNAP record should be continued so that the rest of the valuable data can be entered. For periods over 24hrs when the gap in stay is too long to reasonably account for in SSNAP data entry then unfortunately the record has to be ended. You can discharge the initial record to somewhere else.