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

You can download the results from the SSNAP Acute Organisational Audit.

You can find support and information about Stroke from the Stroke Association here

High Bloodpressure is one of the conditions that cause Stroke, for information and recources on blood pressure care visit British Hypertension Society & The British Heart Foundation websites

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.

The Stroke Programme is overseen by the Intercollegiate Stroke Working Party (ICSWP), a full list of members can be seen here

Feedback from patient representatives on the ICSWP can be seen here.

Latest News

2016-2017 Mortality Results

The 2016-2017 Mortality results have now gone live. The two reports cover mortality across all teams and results for all CCGs and LBHs based on a years data. They can be found in our National Results section, just set the radio button to "Annual"

DIY Analysis Tool

The new 4.1 version of the DIY Analysis tool is now on the site. The DIY tool provides teams with SSNAP data analysis for a range of key measures Updated January 2018. 

What is the economic burden of stroke care in England, Wales and Northern Ireland?

Using SSNAP data we have completed an ambitious research project to derive and report patient-level estimates on the cost of stroke care. The paper titled "The economic burden of stroke care in England, Wales and Northern Ireland" has today been published in the European Stroke Journal. It is freely available to access here. This should be of interest to everyone with a professional interest in stroke.

December Dataset changes

We’ve released the new Dataset questions and would like to thank everyone who was involved in the pilot, your feedback has been invaluable.

The new dataset is now live on our site, when exporting data for patients entered before 1 December 2017 please remember to select "Stroke proforma (Sections 1-8) (2015 format)" this will ensure the data is exported correctly.

For any patients entered after 1 December 2017 you'll need to select "Stroke proforma (Sections 1-8)" when exporting.

Download the new dataset and helpnotes here

Download the new import/export specification here

4th SSNAP Annual Report

The 4th SSNAP Annual Report titled "Rising to the Challenge" is now available from the following link: www.strokeaudit.org/annualreport . The report highlights the improvements made in stroke care in England, Wales and Northern Ireland over the past four years. Using real world quality improvement (QI) case studies, this report outlines the different approaches taken by local teams to improve their stroke services across the patient pathway.

Edinburgh Stroke Winter School 2018

Applications are open for the Edinburgh Stroke Winter School, running 19th to 21st February 2018 at the Salisbury Green Conference Centre. The course aims to help new or aspiring Clinical Academics to develop answerable research questions. 

Applications are encouraged from all specialities relevant to patients with stroke: Send your CV and a paragraph (~100 words) about why you think the course would help your career to: judi.clarke@ed.ac.uk

The deadline for applications is 10thJanuary, Course £250, with 3 nights accommodation & course dinner.

For more information and to submit an application visit the official site

The Future of Stroke Care

There are more than 80,000 hospital stroke admissions recorded on SSNAP each year. We know that stroke destroys lives, puts a strain on family, and is one of the biggest causes of long term disability.
NHS England has teamed up with The Stroke Association to produce a video showing how changes in stroke services can save lives and reduce lifelong disability.
The video tells the story of Allan, who three years ago had a stroke. The care he received from specialist stroke clinicians at Salford Royal and community rehabilitation teams transformed his life. Turning what could have been permanent disability into an example of successful integrated care. In its first four days on Facebook 30,000 people have watched and many hundreds have shared it. Join them below. ↓

If you are using an old version of Internet Explorer you will need to download this video using this link

BMA patient information awards 2017 Commendation

We are very pleased to announce that we were highly commended at this year’s BMA patient information awards for our report “Care after stroke or transient ischaemic attack: What, when, and why?”
The panel of judges were pleased with how the report provided “comprehensive, evidence-based recommendations along the entire stroke care pathway for stroke clinicians”

The fifth edition of the National clinical guideline for stroke, was published in October 2016. It was prepared by the Royal College of Physicians Intercollegiate Stroke Working Party. The patient version of the guideline can be found here


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
August - November 2017 March 2018
December 2017 - March 2018 July 2018

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 2016 audit available to view here. Data collection for the 2016 audit completed in July 2016 with results made available to participating sites in September 2016 and publically available in 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.


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