Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 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:

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's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:

Tuesday, December 6, 2016

World class stroke care is achievable: Latest quarterly Sentinel Stroke National Audit Programme (SSNAP) results

What a pile of shit. Who gives a crap about care? Survivors want results you fucking idiots. Do the right thing or get out of the way. More fucking 'happy talk'. Your aspirational target should be 100% recovery. Contact Jessica Smith, and ask when the hell they will start measuring results instead of this stupid care and services metric. Do not be polite.
The thirteenth report from the Sentinel Stroke National Audit Programme (SSNAP) reveals today that 25 stroke services scored an overall ‘A’ score for the quality of care they provide for patients, demonstrating that a world class service is achievable.
It is evident that services are maintaining the improvements made in recent quarters as 26 services achieved this outstanding grade in the corresponding quarter last year. Achieving an ‘A’ score is a considerable accomplishment and these latest results show that, although the audit sets the bar high to attain a top grade, it is possible. The improvements in SSNAP results over the past number of quarters indicates the continued efforts made by clinicians to use SSNAP data as a tool for continuous quality improvement.
Though SSNAP has set stringent, aspirational targets, latest audit results reinforce our belief that the top score is achievable and sustainable over time. These standards have been set to encourage hospitals to both identify where improvements are needed and drive change. These changes reflect the continued efforts of providers to improve stroke care for patients in England, Wales, and Northern Ireland.
Professor Pippa Tyrrell, Associate Director of the RCP Stroke Programme, said:
"Measuring the quality of care is an essential component for quality improvement. The SSNAP provides very high quality information that can help professionals, patients, and commissioners use and develop their services for the future."  (Bullshit, you measure results not quality of care, which done correctly can lead to quality improvement) 
The report published today relates to patients admitted between January and March 2016 and includes named hospital results for the entire inpatient care pathway. The results are available online at the SSNAP Results Portal
As in the 12th report, it is encouraging to see key improvements in the national results for stroke care both in the first 72 hours of care and in post-acute care processes.
Participation in the audit continues to be an unprecedented success. In the latest quarter, 20,991 patient records were submitted for analysis within the 72 hour results – this is over 100% of the expected stroke cases for this period – while the majority of stroke services are now achieving the highest case ascertainment band. This is testament to the honest self-reporting of SSNAP teams and their hard work in entering all stroke records to SSNAP ahead of each quarterly deadline. The genuine commitment to submitting timely and complete data, and acting on audit results to improve patient care, should be celebrated.
The power of SSNAP data is huge and has enabled a much stronger case to be made for improvements to stroke services, which is allowing commissioners and clinicians alike to offer the best possible care to patients.
However, there still remains unacceptable variation across the country. SSNAP uses an absolute measurement of results which means that all teams are capable of showing improvement.
SSNAP is commissioned by the Healthcare Quality Improvement Partnership (HQIP)*, as part of the National Clinical Audit Programme (NCA). The audit is led by the Royal College of Physicians, Clinical Effectiveness and Evaluation Unit on behalf of the Intercollegiate Stroke Working Party.
For more information, please contact Jessica Smith, Care Quality Improvement Department, Communications Advisor on 020 3075 1354 or email
Further information on the report can be found on the RCP website

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