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The RCP website has more information on all of the work that we do. 

The 4th Edition of National Clinical Guideline for Stroke is available to download here. Need information in a hurry? Download our app to bring the guideline to the palm of your hand.

You can download the results from the SSNAP Acute Organisational Audit, SINAP and Sentinel.

Welcome to SSNAP

The single source of stroke data

The Sentinel Stroke National Audit Programme (SSNAP) is the single source of stroke data in England, Wales and Northern Ireland. There are three main components of SSNAP each outlined below.

Annual SSNAP Results for 2015/2016 now available!!

"Is stroke care improving over time at hospital, population, and national level?” 

This brand new set of annual data can for the first time be used to compare the quality of stroke services available to patients in 2015/2016 against the two previous years, 2014/15 and 2013/14, at national, population, and hospital level. All annual results cover a reporting period of April - March. These new annual portfolios cover 239,246 admissions and 226,838 over a three year period, capturing the stroke care pathway of patients from onset to 6 month assessment.  This represents 100% participation from routinely admitting teams in England and Wales. You can also find regional level portfolios by navigating to https://www.strokeaudit.org/results/Clinical-audit/Regional-Results.aspx and selecting ‘Annual’ radio button. These portfolios of results should prove an incredibly powerful resource for anyone with an interest in  stroke care.

Annual Team Results Portfolio

Download this report to access annual level results at national and hospital level. This report covers all measures of care collected in SSNAP and allows year on year comparisons to be made.

Annual CCG/LHB Results

Download this report to access annual level results at population (CCG/LHB level) for all CCG Outcome Indicator Measures and all SSNAP Key Indicators. This report allows 3 years worth of annual SSNAP data to be compared side by side.


Latest SSNAP News!

Is the ‘weekend effect’ an oversimplification?

SSNAP data have been used by Dr Ben Bray, to investigate the so-called ‘weekend effect’ in stroke care; how does the quality of stroke care received vary by day and time of admission? His findings, published in The Lancet, show that the weekend effect is a simplification and just one of several patterns of weekly variation occurring in the quality of stroke care.

The SSNAP team would like to formally thank the many hundreds of individuals and organisations participating in SSNAP. Without your continued efforts it would not be possible to conduct important research such as this. This paper was published on behalf of The SSNAP Collaboration, which is collectively made up of the clinical leads at each participating site involved in coordinating the data collection for SSNAP.

A summary of key findings from the first post-acute organisational audit

The infographic above illustrates some of the key findings from the 2015 audit of post-acute stroke services in England, Wales and Northern Ireland. How long does it take to receive psychological treatment after referral? What proportion of ESD teams treat patients within 24 hours of discharge? Download this infographic to find out.  Our thanks go to all of the post-acute providers and CCGs/LHBs that participated in this audit, which was the first of its kind.

SSNAP Annual Report Ebook 

The 2014/15 SSNAP Annual report is now available as an eBook for you to add to your tablet or other e-reader. You can download the ePub file onto your device here and download instructions for adding it to your tablet, iPad or phone here.

Download Ebook User Guide


Clinical Audit

The clinical audit collects a minimum dataset for stroke patients in England, Wales and Northern Ireland in every acute hospital, and follows the pathway through recovery, rehabilitation, and outcomes at the point of 6 month assessment.

All SSNAP reports are available to download from our SSNAP results portal. You can view the outputs for each reporting period, including our annual reports. See the table below for when you will be able to view future reports.

Reporting period Results made public
October - December 2015 March 2016
January - March 2016 June 2016
April - July 2016 November 2016

The clinical audit produces an array of reporting outputs each reporting period. Included in SSNAP’s reporting suite are colour coded performance tables which give a high level summary of hospitals’ performance across 10 key aspects of stroke care, an overall SSNAP score is also given. The summary results portfolio gives a more detailed analysis of every hospitals' performance across each key indicator of care measured by SSNAP. The full results portfolio enables users to further ‘drill down’ into the data. Interactive maps enable users to access results for any aspect of stroke care or any particular hospital or geographical region at the click of a button. A public report is produced which includes contextualising clinical commentary at national level. Easy Access Version reports are also produced each reporting period which are written specifically for stroke survivors and their carers.

All SSNAP reports can be accessed via the national results area. For those interested in a specific region results can also be viewed by region. The regional results area also contains PowerPoint slidedecks showing performance for hospitals for each of the 12 English regions, Wales and Northern Ireland and additionally a regionalised version of our Easy Access Version reports.    

SSNAP is the agreed source of data for the stroke measures within the Clinical Commissioning Group (CCG) Outcomes Indicators Set (CCG OIS) and reports against these measures for the population of each CCG in England and Local Health Boards in Wales.  

Acute Organisational Audit

The acute organisational audit provides a biennial ‘snap-shot’ of the quality of stroke service organisation in acute settings. The last two rounds of this audit (2012 and 2014) have achieved 100% participation; with the results for both available to view here. These detailed reports include every data item benchmarked against the national average. They include national and hospital-level findings in relation to important aspects of stroke service organisation including care organisation, specialist roles, TIA (mini stroke) services, communication between staff groups and with patients and carers, and access to specialist support.

Post-acute Organisational Audit

The first SSNAP post-acute organisational audit started in November 2014 and reported in late 2015. The audit was carried out in two phases. The first phase, which took place in December 2014, obtained information from Clinical Commissioning Groups (CCGs) in England, Local Health Boards (LHBs) in Wales and Local Commissioning Groups (LCGs) in Northern Ireland on what post-acute stroke services they commissioned as of 1 December 2014. Phase 2 of the audit was carried out in April and May 2015. This phase reported on the availability and structure of post-acute stroke services within England, Wales and Northern Ireland as of 1 April 2015. Results for both phases of the post-acute organisational audit are available here.  


To register for an account please click on the ‘Registration’ tab above and follow the instructions. If you are registering as a clinical user on SSNAP and the specific team or trust you are registering for is not listed please contact the SSNAP helpdesk. Post-acute services that are new to SSNAP can find a new team registration form and resources to aid getting started in the Support tab.

Need help?

Email: ssnap@rcplondon.ac.uk
Telephone : 020 3075 1318 or 020 3075 1383