Dependencies and evidence based standards

SSNAP is the single source of data for stroke in England and Wales. It provides the data for all other statutory data collections in England including the NICE Quality Standard and Accelerating Stroke Improvement (ASI) metrics and is the chosen method for collection of stroke measures in the NHS Outcomes Framework and the CCG Outcomes Indicator Set. SSNAP metrics are aligned with those in the Cardiovascular Disease Outcomes Strategy. SSNAP data are being used as risk indicators for Care Quality Commission’s Intelligent Monitoring and for the Stroke Care in England NHS Marker.

The results from this clinical audit compare delivery of care with standards derived from systematically retrieved and critically appraised research evidence and agreed by experts in all disciplines involved in the management of stroke. 

All relevant evidence and standards are available in the following:

• National clinical guideline for stroke 5th edition (Royal College of Physicians, 2016)
• National clinical guideline for diagnosis and initial management of acute stroke and transient ischaemic attack (NICE, 2008
• Stroke rehabilitation: Long-term rehabilitation after stroke (NICE, 2013)
• NICE Quality Standard for Stroke 2016