Assessment and management of patients with stroke

Quality statement

Patients with stroke are assessed and managed by stroke nursing staff and at least one member of the specialist rehabilitation team within 24 hours of admission to hospital, and by all relevant members of the specialist rehabilitation team within 72 hours, with documented multidisciplinary goals agreed within 5 days.

Quality measure

Structure

Evidence of local arrangements to ensure that services are commissioned to provide patients with stroke with prompt access to specialist rehabilitation services.

Process

(a) Proportion of patients with stroke assessed and managed by stroke nursing staff and at least one member of the specialist rehabilitation team within 24 hours of admission to hospital.

Numerator: the number of patients assessed and managed by stroke nursing staff and at least one member of the specialist rehabilitation team within 24 hours of admission to hospital.

Denominator: the number of patients with a new stroke episode admitted to hospital.

(b) Proportion of patients with stroke assessed and managed by all relevant members of the specialist rehabilitation team within 72 hours of admission to hospital.

Numerator: the number of patients assessed and managed by all relevant members of the specialist rehabilitation team within 72 hours of admission to hospital.

Denominator: the number of patients with a new stroke episode admitted to hospital.

(c) Proportion of patients with stroke with documented multidisciplinary goals agreed within 5 days of admission to hospital.

Numerator: the number of patients with documented multidisciplinary goals agreed within 5 days of admission to hospital.

Denominator: the number of patients with a new stroke episode admitted to hospital.

Description of what the quality statement means for each audience

Service providers ensure protocols are in place so that patients with stroke are assessed and managed by stroke nursing staff and at least one member of the specialist rehabilitation team within 24 hours of admission to hospital, and by all relevant members of the specialist rehabilitation team within 72 hours, with documented multidisciplinary goals agreed within 5 days of admission to hospital.

Health and social care professionals ensure that patients with stroke are assessed and managed by stroke nursing staff and at least one member of the specialist rehabilitation team within 24 hours of admission to hospital, and by all relevant members of the specialist rehabilitation team within 72 hours, with documented multidisciplinary goals agreed within 5 days of admission to hospital.

Commissioners ensure that services are in place so that patients with stroke can be assessed and managed by stroke nursing staff and at least one member of the specialist rehabilitation team within 24 hours of admission to hospital, and by all relevant members of the specialist rehabilitation team within 72 hours, with documented multidisciplinary goals agreed within 5 days of admission to hospital.

Patients with stroke can expect to be assessed and managed by stroke nursing staff and by at least one member of the specialist rehabilitation team within 24 hours of admission to hospital, and by all relevant members of the specialist rehabilitation team within 72 hours, with documented multidisciplinary goals agreed within 5 days of admission to hospital.

Definitions

Given the range of problems faced by patients with stroke, the core of the specialist rehabilitation team will include physiotherapy, occupational therapy, speech and language therapy, and psychology. Support and input from social work, dietetics, pharmacy, orthotics and orthoptics should be available as required to address patients' needs.

Data source

Structure

Local data collection.

Process

Trusts can collect data via the Sentinel Stroke Audit, SINAP, HES data and through local data collection.