Standard 2: Patients are assessed by a stroke clinician within 1 hour of arrival at hospital

Criteria: The trust achieves this measure if at least 50% of all stroke patients are assessed by a trust designated stroke specialist, in person or by telemedicine, or by a stroke nurse, within 1 hour of arrival to hospital

Measurement: Time from arrival at hospital to assessment by stroke specialist (as specified in Q3.3a, either in person or by telemedicine) or if not, assessment by stroke nurse

Denominator: All patients with out-of-hospital symptom onset are eligible

Relevant questions from the SSNAP dataset

Q1.10 Was the patient already an inpatient at the time of stroke?

Q1.13 Date/time patient arrived at first hospital

Q3.2 Date/time first assessed by nurse trained in stroke management

Q3.3 Date/time first assessed by stroke specialist consultant

Q3.3a Date and time contact was first made with a stroke specialist consultant about the case (whether in person or otherwise following a clinical assessment)

Q3.3b How was the first contact made with the stroke consultant?