Mark Barber

Mark Barber Katrina Brennan Martin Dennis, Peter Langhorne Neil Muir Mary-Joan Macleod Pamela Maclean Iain McDermid David Murphy Mr Wesley Stuart With contributions from

Health Boards and partner organisations

ISD Good news story (mentioned in the report)

Red RAGS 1

Red RAGS 2

Stroke Standard Changes Topic Standard

Access to Stroke Unit 90% within 1 day of admission (Day 0 and 1)

Brain Imaging 95% within 24 hours of admission

Swallow Screen 100% within 4 hours of arrival at hospital

Aspirin Administration 95% of ischaemic strokes within 1 day of admission

Referral to TIA clinic 80% are assessed within 4 days of receipt of referral

Thrombolysis 50% of patients receive the bolus within 30 mins of arrival 80% of patients receive the bolus within one hour of arrival

Carotid Intervention 80% undergoing carotid endarterectomy for symptomatic carotid stenosis have the operation within 14 days of the event that first led them to seek medical assistance.

Bundle Performance

The Scottish ‘Top 14’

Changes to Swallow Screening Same day as admission

Within 4 hours Could be 5 minutes from

admission or 23 hours Long potential unsafe period

for patient Most patients admitted

daytime or early evening, so easier to achieve (bad)

Diagnosis may not be immediately clear

May not even have been admitted within 4 hours

Does make patient ‘safe’ reasonably quickly

Challenging (good)

Safety SAP = administration of

antibiotics for a new clinical diagnosis of pneumonia in the first 7 days

Swallow Screen Performance

CT

CT over time (and aspirin)

AF

Inpatient Stroke

Intermittent Pneumatic Compression

TIA clinics

No change from 2014…….

Thrombolysis

30 minutes

Progress?

Carotids

Thank you!