Domain 1: Scanning
- Simplified Technical Information - downloadable PDF
- 1.1 Percentage of patients that were scanned within 1 hour of clock start (Scanning Domain)
- 1.2 Percentage of patients that were scanned within 12 hours of clock start (Scanning domain)
- 1.3 Median time between clock start and scan (hours:mins) (Scanning domain)
Domain 2: Stroke Unit
- 2.1 Percentage of patients directly admitted to a stroke unit within 4 hours of clock start (CCG OIS 3.5 and 2016 NICE QS Statement 1) (Stroke Unit domain)
- 2.2 Median time between clock start and arrival on stroke unit (hours:mins) (Stroke Unit domain)
- 2.3 Percentage of patients who spent at least 90% of their stay on stroke unit (Stroke Unit domain)
Domain 3: Thrombolysis
- 3.1 Percentage of all stroke patients given thrombolysis (CCG OIS C3.6) (Thrombolysis domain)
- 3.2 Percentage of eligible patients (according to the RCP guideline minimum threshold) given thrombolysis (Thrombolysis domain)
- 3.3 Percentage of thrombolysed patients given it within 1 hour of clock start (door to needle time within 1 hour) (Thrombolysis domain)
- 3.4 Percentage of applicable patients directly admitted to a stroke unit within 4 hours of clock start AND who either received thrombolysis or had a pre-specified justifiable reason (‘no but’) for why it could not be given (Thrombolysis domain)
- 3.5 Median time between clock start and thrombolysis (hours:mins) (Thrombolysis domain)
Domain 4: Specialist Assessments
- 4.1 Percentage of patients assessed by a stroke specialist consultant physician within 24h of clock start (Specialist assessment domain)
- 4.2 Median time between clock start and being assessed by a stroke consultant (hours:mins) (Specialist assessment domain)
- 4.3 Percentage of patients who were assessed by a nurse trained in stroke management within 24h of clock start (Specialist assessment domain)
- 4.4 Median time between clock start and being assessed by a stroke nurse (hours:mins) (Specialist assessment domain)
- 4.5 Percentage of applicable patients who were given a swallow screen within 4h of clock start (Specialist assessment domain)
- 4.6 Percentage of applicable patients who were given a formal swallow assessment within 72h of clock start (Specialist assessment domain)
Domain 5: Occupational Therapy
- 5.1 Percentage of patients reported as requiring occupational therapy (Occupational Therapy domain)
- 5.2 Median number of minutes per day on which occupational therapy is received (Occupational Therapy domain)
- 5.3 Median percentage of a patient’s days as an inpatient on which occupational therapy is received (Occupational Therapy domain)
- 5.4 Compliance (%) against the therapy target of an average of 25.7 minutes of occupational therapy across all patients (2016 NICE QS Statement 2) (Occupational Health domain)
Domain 6: Physiotherapy
- 6.1 Percentage of patients reported as requiring physiotherapy (Physiotherapy domain)
- 6.2 Median number of minutes per day on which physiotherapy is received (Physiotherapy domain)
- 6.3 Median percentage of a patient’s days as an inpatient on which physiotherapy is received (Physiotherapy domain)
- 6.4 Compliance (%) against the therapy target of an average of 27.3 minutes of physiotherapy across all patients (2016 NICE QS Statement 2) (Physiotherapy domain)
Domain 7: Speech and Language Therapy
- 7.1 Percentage of patients reported as requiring speech and language therapy (Speech and Language Therapy domain)
- 7.2 Median number of minutes per day on which speech and language therapy is received (Speech and Language Therapy domain)
- 7.3 Median percentage of a patient’s days as an inpatient on which speech and language therapy is received (Speech and Language Therapy domain)
- 7.4 Compliance (%) against the therapy target of an average of 16.1 minutes of speech and language therapy across all patients (2016 NICE QS Statement 2) (Speech and Language Therapy domain)
Domain 8: MDT Working
- 8.1 Percentage of applicable patients who were assessed by an occupational therapist within 72h of clock start (Multi-Disciplinary Team (MDT) working domain)
- 8.2 Median time between clock start and being assessed by an occupational therapist (hours:mins) (Multi-Disciplinary Team (MDT) working domain)
- 8.3 Percentage of applicable patients who were assessed by a physiotherapist within 72h of clock start (Multi-Disciplinary Team (MDT) working domain)
- 8.4 Median time between clock start and being assessed by a physiotherapist (hours:mins) (Multi-Disciplinary Team (MDT) working domain)
- 8.5 Percentage of applicable patients who were assessed by a speech and language therapist within 72h of clock start (Multi-Disciplinary Team (MDT) working domain)
- 8.6 Median time between clock start and being assessed by a speech and language therapist (hours:mins) (Multi-Disciplinary Team (MDT) working domain)
Domain 9: Standards by discharge
- 9.1 Percentage of applicable patients screened for nutrition and seen by a dietitian by discharge (Standards by discharge domain)
- 9.2 Percentage of applicable patients who have a continence plan drawn up within 3 weeks of clock start (Standards by discharge domain)
- 9.3 Percentage of applicable patients who have mood and cognition screening by discharge (Standards by discharge domain)
Domain 10: Discharge Processes
- 10.1 Percentage of applicable patients receiving a joint health and social care plan on discharge (CCG OIS C3.7) (Discharge processes domain)
- 10.2 Percentage of patients supported by a stroke skilled Early Supported Discharge team (2016 NICE QS Statement 4) (Discharge processes domain)
- 10.3 Percentage of patients in atrial fibrillation on discharge who are discharged on anticoagulants or with a plan to start anticoagulation (Discharge processes domain)
- 10.4 Percentage of patients who are discharged alive who are given a named person to contact after discharge (Discharge processes domain)