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SSNAP is the national stroke audit which measures the quality and organisation of stroke care in the NHS. It is the single source of stroke data in England, Wales, and Northern Ireland.

SSNAP measures both the processes of care (clinical audit) provided to stroke patients, as well as the structure of stroke services (organisational audit) against evidence based standards, including the 2016 National Clinical Guideline for Stroke. The overall aim of SSNAP is to provide timely information to clinicians, commissioners, patients, and the public on how well stroke care is being delivered so it can be used as a tool to improve the quality of care that is provided to patients.

SSNAP 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. It is the only national stroke register in the world to collect longitudinal data on the processes and outcomes of stroke care up to six months post stroke. Every year data from approximately 85,000 patients are submitted to the audit webtool for analysis, representing over 90% of all strokes in the NHS.

Since SSNAP (clinical) started in January 2013 more than 300,000 stroke patient records have been analysed and reported on. Over 90% of expected stroke cases are being entered to SSNAP by providers in England and Wales, with case ascertainment in Northern Ireland now steadily improving. This means that the data presented in SSNAP Reports are complete and robust. 

All SSNAP reports are available to download from our SSNAP results portal . You can view the outputs for each reporting period here, in addition to annual reports. SSNAP has been voted the most effective national clinical audit in the UK for seven consecutive years by healthcare professionals involved in audit.

Clinical Audit Reporting

The clinical component of SSNAP reports both quarterly and annually (April-March) at hospital, regional, national, and population level. More than 1000 unique reporting outputs area disseminated to hospitals within 4 weeks of each data locking deadline with almost all reports made publically available in the following weeks. 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.

As part of the new contract from April 2018, SSNAP has increased the frequency of reports, returning to reporting every 3 months. This means that inpatient teams will now be receiving 4 bespoke SSNAP routine reports each year, this is in addition to the annual report and executive summary.

See a link to a full guide on our future reporting output frequency here.

Inpatient teams

Reporting period Data entry deadline Results available to teams Results publically available*
December – March 2018 8 May June 2018 August 2018
April – June 2018 6 August 2018 September 2018 October 2018
July – September 2018 5 November 2018 December 2018 January 2019
October – December 2018 4 February 2019 March 2019 April 2019
January – March 2019 6 May 2019 June 2019 July 2019
*Subject to appropriate sign-off from funders
Non-inpatient teams
Reporting period Data entry deadline Results available to teams Results publically available
December – March 2018 8 May June 2018 July 2018
January – June 2018 6 August 2018 September 2018 October 2018
July – December 2018 4 February 2019 March 2019 July 2019

SSNAP 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 2016 audit available here 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.

To find out more detailed information about SSNAP including audit design, data collection processes, and contractual details please visit the SSNAP Governance area of the website.

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