Examples describing ways to achieve each level:
Below are some example configurations for how to score A-E for each domain. Please note that these are just an example to help explain the scoring system but there are multiple ways to achieve each score.
Domain 1: Scanning
Level A:
Average score = 95, Total score = 285
- Scan 48% of patients within 1hr
- Scan 95% of patients within 12hrs
- Median scan time less than 60 mins
Level B:
Average score = 85, Total score = 255
- Scan 43% of patients within 1hr
- Scan 90% of patients within 12hrs
- Median scan time less than 75 mins
Level C:
Average score = 70, Total score = 210
- Scan 30% of patients within 1hr
- Scan 85% of patients within 12hrs
- Median scan time less than 90 mins
Level D:
Average score = 55, Total score = 165
- Scan 25% of patients within 1hr
- Scan 75% of patients within 12hrs
- Median scan time less than 2 hours
Level E:
Average score < 55, Total score < 165
Domain 2: Stroke Unit
Level A:
Average score = 90, Total score = 270
- Directly admit 90% of patients to stroke unit within 4h
- Median SU time less than 2 hours
- 90% of patients spend at least 90% of stay on SU
Level B:
Average score = 80, Total score = 240
- Directly admit 75% of patients to stroke unit within 4h
- Median SU time less than 3 hours
- 85% of patients spend at least 90% of stay on SU
Level C:
Average score = 70, Total score = 210
- Directly admit 60% of patients to stroke unit within 4h
- Median SU time less than 4 hours
- 80% of patients spend at least 90% of stay on SU
Level D:
Average score = 60, Total score = 180
- Directly admit 55% of patients to stroke unit within 4h
- Median SU time less than 5 hours
- 75% of patients spend at least 90% of stay on SU
Level E:
Average score < 60, Total score < 180
Domain 3: Thrombolysis
Level A:
Average score = 80, Total score = 400
- Thrombolyse 20% of patients
- Thrombolyse 90% of eligible patients according to RCP minimum threshold
- Thrombolyse 55% of patients within 1hr
- Directly admit 65% of patients to SU within 4hrs AND assess for thrombolysis
- Median clock start to thrombolysis time less than 40 mins
Level B:
Average score = 70, Total score = 350
- Thrombolyse 15% of patients
- Thrombolyse 85% of eligible patients according to RCP minimum threshold
- Thrombolyse 50% of patients within 1hr
- Directly admit 60% of patients to SU within 4hrs AND assess for thrombolysis
- Median clock start to thrombolysis time less than 50 mins
Level C:
Average score = 60, Total score = 300
- Thrombolyse 12% of patients
- Thrombolyse 80% of eligible patients according to RCP minimum threshold
- Thrombolyse 40% of patients within 1hr
- Directly admit 50% of patients to SU within 4hrs AND assess for thrombolysis
- Median clock start to thrombolysis time less than 60 mins
Level D:
Average score = 45, Total score = 225
- Thrombolyse 10% of patients
- Thrombolyse 65% of eligible patients according to RCP minimum threshold
- Thrombolyse 30% of patients within 1hr
- Directly admit 40% of patients to SU within 4hrs AND assess for thrombolysis
- Median clock start to thrombolysis time less than 90 mins
Level E:
Average score < 45, Total score < 225
Domain 4: Specialist Assessments
Level A:
Average score = 90, Total score = 540
- 95% of patients seen by stroke consultant within 24h
- Median clock start to consultant time less than 6 hours
- 95% of patients seen by stroke nurse within 24h
- Median clock start to stroke nurse time less than 60 mins
- 85% of applicable patients given swallow screen within 4h
- 85% of applicable patients given formal swallow assessment within 72h
Level B:
Average score = 80, Total score = 480
- 85% of patients seen by stroke consultant within 24h
- Median clock start to consultant time less than 9 hours
- 85% of patients seen by stroke nurse within 24h
- Median clock start to stroke nurse time less than 2 hours
- 75% of applicable patients given swallow screen within 4h
- 75% of applicable patients given formal swallow assessment within 72h
Level C:
Average score = 75, Total score = 450
- 80% of patients seen by stroke consultant within 24h
- Median clock start to consultant time less than 12 hours
- 80% of patients seen by stroke nurse within 24h
- Median clock start to stroke nurse time less than 3 hours
- 75% of applicable patients given swallow screen within 4h
- 75% of applicable patients given formal swallow assessment within 72h
Level D:
Average score = 65, Total score = 390
- 70% of patients seen by stroke consultant within 24h
- Median clock start to consultant time less than 15 hours
- 70% of patients seen by stroke nurse within 24h
- Median clock start to stroke nurse time less than 6 hours
- 65% of applicable patients given swallow screen within 4h
- 65% of applicable patients given formal swallow assessment within 72h
Level E:
Average score < 65, Total score < 390
Domain 5: Occupational Therapy
Level A:
Average score = 80, Total score = 320
- 80% of patients reported as requiring OT
- Median number of minutes per day on which OT is received is greater than 32 mins
- Median % of days as an inpatient on which OT is received is greater than 70%
- 80% of the minutes of OT required is delivered
Level B:
Average score = 75, Total score = 300
- 75% of patients reported as requiring OT
- Median number of minutes per day on which OT is received is greater than 28 mins
- Median % of days as an inpatient on which OT is received is greater than 70%
- 75% of the minutes of OT required is delivered
Level C:
Average score = 65, Total score = 260
- 70% of patients reported as requiring OT
- Median number of minutes per day on which OT is received is greater than 24 mins
- Median % of days as an inpatient on which OT is received is greater than 55%
- 65% of the minutes of OT required is delivered
Level D:
Average score = 60, Total score = 240
- 65% of patients reported as requiring OT
- Median number of minutes per day on which OT is received is greater than 20 mins
- Median % of days as an inpatient on which OT is received is greater than 55%
- 60% of the minutes of OT required is delivered
Level E:
Average score < 60, Total score < 240
Domain 6: Physiotherapy
Level A:
Average score = 85, Total score = 340
- 85% of patients reported as requiring PT
- Median number of minutes per day on which PT is received is greater than 32 mins
- Median % of days as an inpatient on which PT is received is greater than 75%
- 90% of the minutes of PT required is delivered
Level B:
Average score = 75, Total score = 300
- 80% of patients reported as requiring PT
- Median number of minutes per day on which PT is received is greater than 28 mins
- Median % of days as an inpatient on which PT is received is greater than 60%
- 80% of the minutes of PT required is delivered
Level C:
Average score = 70, Total score = 280
- 75% of patients reported as requiring PT
- Median number of minutes per day on which PT is received is greater than 24 mins
- Median % of days as an inpatient on which PT is received is greater than 60%
- 75% of the minutes of PT required is delivered
Level D:
Average score = 60, Total score = 240
- 65% of patients reported as requiring PT
- Median number of minutes per day on which PT is received is greater than 20 mins
- Median % of days as an inpatient on which PT is received is greater than 55%
- 60% of the minutes of PT required is delivered
Level E:
Average score < 60, Total score < 240
Domain 7: Speech & Language Therapy
Level A:
Average score = 75, Total score = 300
- 50% of patients reported as requiring SALT
- Median number of minutes per day on which SALT is received is greater than 32 mins
- Median % of days as an inpatient on which SALT is received is greater than 70%
- 90% of the minutes of SALT required is delivered
Level B:
Average score = 65, Total score = 260
- 45% of patients reported as requiring SALT
- Median number of minutes per day on which SALT is received is greater than 28 mins
- Median % of days as an inpatient on which SALT is received is greater than 60%
- 75% of the minutes of SALT required is delivered
Level C:
Average score = 55, Total score = 220
- 40% of patients reported as requiring SALT
- Median number of minutes per day on which SALT is received is greater than 24 mins
- Median % of days as an inpatient on which SALT is received is greater than 55%
- 55% of the minutes of SALT required is delivered
Level D:
Average score = 50, Total score = 200
- 40% of patients reported as requiring SALT
- Median number of minutes per day on which SALT is received is greater than 20 mins
- Median % of days as an inpatient on which SALT is received is greater than 50%
- 50% of the minutes of SALT required is delivered
Level E:
Average score < 50, Total score < 200
Domain 8: MDT working
Level A:
Average score = 85, Total score = 680
- 90% of applicable patients assessed by OT within 72h
- Median clock start to OT assessment less than 12 hours
- 90% of applicable patients assessed by PT within 72h
- Median clock start to PT assessment less than 12 hours
- 90% of applicable patients assessed by SALT within 72h
- Median clock start to SALT assessment less than 12 hours
- 80% of applicable patients have rehabilitation goals agreed within 5 days
- 60% of applicable patients are assessed by nurse, therapists and have rehab goals
Level B:
Average score = 80, Total score = 640
- 85% of applicable patients assessed by OT within 72h
- Median clock start to OT assessment less than 12 hours
- 85% of applicable patients assessed by PT within 72h
- Median clock start to PT assessment less than 12 hours
- 85% of applicable patients assessed by SALT within 72h
- Median clock start to SALT assessment less than 12 hours
- 65% of applicable patients have rehabilitation goals agreed within 5 days
- 50% of applicable patients are assessed by nurse, therapists and have rehab goals
Level C:
Average score = 75, Total score = 600
- 80% of applicable patients assessed by OT within 72h
- Median clock start to OT assessment less than 18 hours
- 85% of applicable patients assessed by PT within 72h
- Median clock start to PT assessment less than 18 hours
- 80% of applicable patients assessed by SALT within 72h
- Median clock start to SALT assessment less than 18 hours
- 65% of applicable patients have rehabilitation goals agreed within 5 days
- 50% of applicable patients are assessed by nurse, therapists and have rehab goals
Level D:
Average score = 65, Total score = 520
- 80% of applicable patients assessed by OT within 72h
- Median clock start to OT assessment less than 24 hours
- 75% of applicable patients assessed by PT within 72h
- Median clock start to PT assessment less than 18 hours
- 70% of applicable patients assessed by SALT within 72h
- Median clock start to SALT assessment less than 24 hours
- 40% of applicable patients have rehabilitation goals agreed within 5 days
- 35% of applicable patients are assessed by nurse, therapists and have rehab goals
Level E:
Average score < 65, Total score < 520
Domain 9: Standards by discharge
Level A:
Average score = 95, Total score = 285
- Screen for nutrition and see by a dietitian if deemed at high risk of malnutrition 95% of applicable patients by discharge
- Draw up continence plan within 3 weeks for 95% of applicable patients
- Screen for mood and cognition by discharge for 95% of applicable patients
Level B:
Average score = 80, Total score = 240
- Screen for nutrition and see by a dietitian if deemed at high risk of malnutrition 75% of applicable patients by discharge
- Draw up continence plan within 3 weeks for 80% of applicable patients
- Screen for mood and cognition by discharge for 85% of applicable patients
Level C:
Average score = 70, Total score = 210
- Screen for nutrition and see by a dietitian if deemed at high risk of malnutrition 60% of applicable patients by discharge
- Draw up continence plan within 3 weeks for 75% of applicable patients
- Screen for mood and cognition by discharge for 75% of applicable patients
Level D:
Average score = 55, Total score = 165
- Screen for nutrition and see by a dietitian if deemed at high risk of malnutrition 45% of applicable patients by discharge
- Draw up continence plan within 3 weeks for 60% of applicable patients
- Screen for mood and cognition by discharge for 60% of applicable patients
Level E:
Average score < 55, Total score < 165
Domain 10: Discharge Processes
Level A:
Average score = 95, Total score = 380
- 90% of applicable patients receive joint health and social care plan on discharge
- 40% of patients treated by stroke skilled ESD
- 95% of applicable patients in AF discharged on anticoagulants or with plan to start
- 95% of patients who are discharged alive have a named contact
Level B:
Average score = 85, Total score = 340
- 80% of applicable patients receive joint health and social care plan on discharge
- 36% of patients treated by stroke skilled ESD
- 90% of applicable patients in AF discharged on anticoagulants or with plan to start
- 80% of patients who are discharged alive have a named contact
Level C:
Average score = 75, Total score = 300
- 75% of applicable patients receive joint health and social care plan on discharge
- 30% of patients treated by stroke skilled ESD
- 80% of applicable patients in AF discharged on anticoagulants or with plan to start
- 70% of patients who are discharged alive have a named contact
Level D:
Average score = 60, Total score = 240
- 60% of applicable patients receive joint health and social care plan on discharge
- 24% of patients treated by stroke skilled ESD
- 60% of applicable patients in AF discharged on anticoagulants or with plan to start
- 60% of patients who are discharged alive have a named contact
Level E:
Average score < 60, Total score < 240