Deans' stroke musings: NHS continues to miss stroke admittance target

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, July 19, 2016

NHS continues to miss stroke admittance target - Scotland

This is pretty much a worthless endpoint to be measuring. You should be measuring results like: How many patients that received tPA had a complete recovery? Is is better than the 12% that is in the Circulation Cardiovascular Quality Outcomes report from 2003-2011? But this is what you get when you don't set correct goals and objectives. You could have 100% admittance in 24 hours and all the patients died and still crow about meeting your goal.
YOU are going to have to insist that the word care is never used in reporting on stroke, only RESULTS.
http://www.bbc.com/news/uk-scotland-36775785

NHS Scotland has missed its target to admit patients to a specialist stroke unit within 24 hours, its annual review has found.

Only seven of the 29 hospitals met the stroke unit standard of 90%.
The average percentage of patients admitted to a stroke unit within one day of hospital admission fell from 80% in 2015 to 78%.
A range of targets were missed but the annual report said stroke care in Scotland had improved.
The majority of stroke patients had a brain scan on time, with 91% being scanned within 24 hours.
Public Health Minister Aileen Campbell said: "We are committed to ensuring that people who have had a stroke have access to the best possible care as quickly as possible." (NOT RESULTS?)

Hospital variation

Charities have welcomed the improvements but say there is still too much variation in standards between hospitals.
The Stroke Association said it was concerned by the disparity in hospital care across the country.
Scottish Liberal Democrat MSP Alex Cole Hamilton also called for a more level playing field.
"Today's report shows that some stroke patients are missing out on receiving care that meets the agreed standard," he said.
"With only seven of the 29 hospitals meeting the stroke unit standard of 90%, improvements clearly still need to be made.
Scottish Labour health spokesman Anas Sarwar said: "The SNP made a series of big promises on our NHS, but all we have seen is increasing pressure on staff, missed targets for patients and a sense of crisis management rather than a plan for the long term."
More than 9,000 people had a stroke last year making it the biggest cause of disability in Scotland and the third biggest killer.