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Stroke rehabilitation in adults [CG162]

Measuring the use of this guidance

Recommendation: 1.1.8

Offer early supported discharge to people with stroke who are able to transfer from bed to chair independently or with assistance, as long as a safe and secure environment can be provided.

What was measured: Proportion of patients treated by a stroke skilled Early Supported Discharge team.
Data collection end: March 2014
24.7%
Data collection end: March 2017
34.6%
Area covered: Great Britain
Source: Royal College of Physicians. Sentinel Stroke National Audit Programme.

What was measured: Proportion of acute trusts that cover stroke within their early supported discharge scheme.
Data collection end: October 2015
95%
Area covered: England
Source: NHS Benchmarking Network. Older People’s Care in Acute Settings Benchmarking Report.


Recommendation: 1.2.12

Review people's goals at regular intervals during their stroke rehabilitation.

What was measured: Proportion of applicable patients who have rehabilitation goals agreed within 5 days of clock start.
Data collection end: March 2017
92.5%
Area covered: Great Britain
Source: Royal College of Physicians. Sentinel Stroke National Audit Programme.


Recommendation: 1.2.16

Offer initially at least 45 minutes of each relevant stroke rehabilitation therapy for a minimum of 5 days per week to people who have the ability to participate, and where functional goals can be achieved. If more rehabilitation is needed at a later stage, tailor the intensity to the person's needs at that time.

What was measured: The proportion of patients who receive at least 45 minutes of Occupational therapy, at least 5 days a week.
Data collection end: March 2014
54.9%
Data collection end: March 2017
83.8%
Area covered: Great Britain
Source: Royal College of Physicians. Sentinel Stroke National Audit Programme.

What was measured: The proportion of patients who receive at least 45 minutes of Physiotherapy, at least 5 days a week.
Data collection end: March 2014
54.4%
Data collection end: March 2017
79.5%
Area covered: Great Britain
Source: Royal College of Physicians. Sentinel Stroke National Audit Programme.

What was measured: The proportion of patients who receive at least 45 minutes of Speech and language therapy, at least 5 days a week.
Data collection end: March 2014
25.2%
Data collection end: March 2017
49.2%
Area covered: Great Britain
Source: Royal College of Physicians. Sentinel Stroke National Audit Programme.

What was measured: Compliance (%) against the therapy target of an average of 25.7 minutes of occupational therapy across all patients (Target = 45 minutes x (5/7) x 0.8 which is 45 minutes of occupational therapy x 5 out of 7 days per week x 80% of patients).
Data collection end: March 2016
79.6%
Area covered: Great Britain
Source: Royal College of Physicians. Sentinel Stroke National Audit Programme.

What was measured: Compliance (%) against the therapy target of an average of 25.7 minutes of physiotherapy across all patients (Target = 45 minutes x (5/7) x 0.8 which is 45 minutes of physiotherapy x 5 out of 7 days per week x 80% of patients).
Data collection end: March 2016
73.5%
Area covered: Great Britain
Source: Royal College of Physicians. Sentinel Stroke National Audit Programme.

What was measured: Compliance (%) against the therapy target of an average of 25.7 minutes of speech and language therapy across all patients (Target = 45 minutes x (5/7) x 0.8 which is 45 minutes of speech and language therapy x 5 out of 7 days per week x 80% of patients).
Data collection end: March 2016
41.6%
Area covered: Great Britain
Source: Royal College of Physicians. Sentinel Stroke National Audit Programme.


Recommendation: 1.11.5

Review the health and social care needs of people after stroke and the needs of their carers at 6 months and annually thereafter. These reviews should cover participation and community roles to ensure that people's goals are addressed.

What was measured: The proportion of applicable stroke patients who had a six month follow-up completed.
Data collection end: March 2016
29.9%
Number that met the criteria: 17402 / 58246
Data collection end: March 2017
32.2%
Area covered: Great Britain
Source: Royal College of Physicians. Sentinel Stroke National Audit Programme.

What was measured: Proportion of patients who receive a six month assessment.
Data collection end: March 2014
16.5%
Area covered: Great Britain
Source: Royal College of Physicians. Sentinel Stroke National Audit Programme.



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