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, the clinical audit, acute organisational audit, and post-acute organisational audit each of which are outlined further down this page.
Public Health England Cardiovascular Masterclasses
A series of free to attend regional masterclasses are being delivered by Public Health England (PHE) through the National Cardiovascular Health Intelligence Network (NCVIN). These half day events aim to increase understanding of the knowledge and evidence available across the cardiovascular family of diseases, including stroke.
The SSNAP team will be present and this is an opportunity for all those who use SSNAP or feel that they would like to know more about SSNAP to discuss issues and ask questions, including clinicians, commissioners and those who enter SSNAP data. 70 minutes of these sessions have been set aside to focus on SSNAP and how you can use it to improve patient care in your area. If you want to improve the way you use SSNAP locally and increase your knowledge of newer areas of SSNAP such as the Health Economics tools, attendance is highly recommended. Please find a list of upcoming PHE Masterclass events below. Registration is available here: www.phe-events.org.uk/ncvinmasterclass
Thursday 6 October 2016 - Leicester |
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Thursday 3 November 2016 - Newcastle |
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Thursday 1 December 2016 - Taunton |
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Thursday 12 January 2017 - London |
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Thursday 2 February 2017 - Manchester |
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Thursday 23 March 2017 – Oxford |
Latest News
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Audiobook version of 2nd SSNAP Annual Report 2014/2015 now available!!
11 August 2016
You can now listen to the 2014/15 SSNAP Annual Report as an audiobook. Click on the player below to listen straight away or press the radio button to download the MP3 and add it to your device. Please let us know your thoughts on this new format by contacting us on twitter @SSNAPaudit or by emailing ssnap@rcplondon.ac.uk.
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Audio annual report
SSNAP Annual Report Ebook
11 August 2016
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
New Research Section
11 August 2016
A brand new 'Research' section of the web tool is now publically available to highlight and showcase the fantastic work that has been done using SSNAP data. The research showcased in this new section emphasises the vital importance of data submission to SSNAP and the impact it has upon stroke care, both nationally and internationally. The area is fully transparent and available to all, this includes published papers which have used SSNAP data, posters presented at conferences, The SSNAP Collaboration, data request information and a table of accepted data requests.
https://www.strokeaudit.org/research.aspx
Is the 'weekend effect' an oversimplification?
2 August 2016
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.
Link to article
A summary of key findings from the first post-acute organisational audit
2 August 2016
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
Download Infographic
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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.
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Reporting period |
Results made public |
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October - December 2015 |
March 2016 |
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January - March 2016 |
June 2016 |
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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 three rounds of this audit (2012, 2014 and 2016) have achieved 100% participation; with the full results for the 2014 audit available to view
here. Data collection for the 2016 audit completed in July 2016 with results being made available to participating sites in September 2016 and publically available this November. Reporting outputs for the acute organisational audit present every data item benchmarked against the national average and include national and hospital-level findings on many important aspects of stroke service organisation including staffing levels, acute care processes, TIA (mini stroke) services, access to specialist support and communication with patients and carers.
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.
Registration
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