Downloadable PDFs
Domain 1: Hyperacute assessment
- 1.1 Percentage of patients scanned within 20 minutes of clock start (Hyperacute assessment domain)
- 1.2 Median time between clock start and scan (Hyperacute assessment domain)
- 1.3 Percentage of patients given CTA on first imaging visit (Hyperacute assessment domain)
- 1.4 Percentage of wake-up strokes and strokes with unknown onset time given CTA, CTP or MRI on first imaging visit (Hyperacute assessment domain)
- 1.5 Percentage of patients assessed by a stroke-skilled clinician (including consultant) within 1 hour of clock start (Hyperacute assessment domain)
- 1.6 Percentage of patients assessed by a nurse trained in stroke management within 4 hours of clock start (Hyperacute assessment domain)
Domain 2: Specialist pathway
- 2.1 Percentage of patients directly admitted to a stroke unit within 4 hours of clock start (Specialist pathway domain)
- 2.2 Median time between clock start and arrival on stroke unit (Specialist pathway domain)
- 2.3 Percentage of patients who spent at least 90% of their stay on stroke unit (Specialist pathway domain)
- 2.4 Percentage of patients treated by a stroke specialist community rehabilitation team (ESD, CRT or combined) (Specialist pathway domain)
Domain 3: Reperfusion
- 3.1 Percentage of all stroke patients given thrombolysis (Reperfusion domain)
- 3.2 Percentage of stroke patients with extended indications for thrombolysis given thrombolysis (Reperfusion domain)
- 3.3 Percentage of stroke patients given thrombolysis (within 4h) compared with bespoke site-specific target (Reperfusion domain)
- 3.4 Median time between clock start and thrombolysis (Reperfusion domain)
- 3.5 Percentage of all patients given thrombectomy (Reperfusion domain)
- 3.6 Median time between arrival and discharge at first admitting team (door-in-door-out) for patients receiving thrombectomy (Reperfusion domain)
Domain 4: Specialist assessment
- 4.1 Percentage of patients assessed by a stroke specialist consultant within 14 hours of clock start (Specialist assessment domain)
- 4.2 Percentage of applicable patients who were given a formal swallow assessment within 24 hours of clock start (Specialist assessment domain)
- 4.3 Percentage of applicable patients who were assessed by an occupational therapist within 24 hours of clock start (Specialist assessment domain)
- 4.4 Percentage of applicable patients who were assessed by a physiotherapist within 24 hours of clock start (Specialist assessment domain)
- 4.5 Percentage of applicable patients who were assessed by a speech and language therapist within 72 hours of clock start (Specialist assessment domain)
Domain 5: Therapy intensity
- 5.1 Percentage of applicable patients who are assessed by a nurse within 4 hours AND OT and PT within 24 hours AND SLT within 72 hours AND have rehab goals agreed within 5 days (Therapy intensity domain)
- 5.2 Percentage of patients achieving the NICE target for total therapy dose received (Therapy intensity domain)
- 5.3 Median number of minutes of total therapy received per day the patient is an inpatient (Therapy intensity domain)
Domain 6: Therapy frequency
- 6.1 Percentage of patients receiving 3 hours of motor therapy per day motor therapy received (Therapy frequency domain)
- 6.2 Median percentage of days as an inpatient on which motor function therapy is received (Therapy frequency domain)
- 6.3 Percentage of patients receiving 45 minutes of psychological therapy per day psychological therapy received (Therapy frequency domain)
- 6.4 Median percentage of days as an inpatient on which psychological therapy is received (Therapy frequency domain)
- 6.5 Percentage of patients receiving 45 minutes of communication/swallowing therapy per day communication/swallowing therapy received (Therapy frequency domain)
- 6.6 Median percentage of days as an inpatient on which communication/swallowing is received (Therapy frequency domain)
Domain 7: Standards by discharge
- 7.1 Percentage of applicable patients screened for nutrition and seen by a dietitian by discharge (or seen by a dietitian before screening) (Standards by discharge domain)
- 7.2 Infection rate: percentage of patients with a urinary tract infection in the first 7 days and percentage of patients given antibiotics for newly acquired pneumonia in the first 7 days (Standards by discharge domain)
- 7.3 Percentage of applicable patients who have mood screening by discharge (Standards by discharge domain)
- 7.4 Percentage of applicable patients who have cognition screening by discharge (Standards by discharge domain)
- 7.5 Percentage of applicable patients assessed by a psychologist by discharge (Standards by discharge domain)
- 7.6 Percentage of applicable patients who have vision screening by discharge (Standards by discharge domain)