You are going to have to DEMAND the reasons for the 'A' rating. I'm willing to guarantee that it is not based upon objective RESULTS. 30day deaths, tPA full efficacy, 100% recovery. It's up to you to pay it forward and challenge this puffery. With no drilling down into why they are rated this way they will never make it better for the next stroke patients. I'm saying they are basically not measuring the correct results and thus we have absolutely no idea how good they are. Lying by omission of the pertinent facts. 
HAVE THEM PROVE IT WITH RESULTS!
http://www.burytimes.co.uk/news/13875283.Stroke_unit_at_Fairfield_General_Hospital_is_best_performing_in_the_UK/ 

 

Stroke unit at Fairfield General Hospital is best performing in the UK

FAIRFIELD Hospital’s specialist stroke unit has been classed as the best performing in the country.
According to Sentinel Stroke National Audit Programme (SSNAP) data for April to June, gathered by the Royal College of Physicians, the unit achieved an "A" rating for nearly all measures, culminating in a total team rating of "A".
Staff at the hospital’s hyper-acute stroke centre say this result coincides with Pennine Acute Hospitals NHS Trust launching a seven-day stroke service at Fairfield in April as part of the new Greater Manchester model of stroke care.
Dr Khalil Kawafi, consultant physician at the trust said: “The reconfiguration and centralisation of stroke services at the trust has allowed us to simplify the pathway for stroke patients, ensuring that everyone in the north east sector of Greater Manchester gets access to the hyper-acute stroke centre.
"We are proud of our door-to-needle time of 30 to 35 minutes which is a marker of good quality stroke care.(This is called not setting your goal correctly, the bar is set way too low; the goal should be delivery of tPA in the ambulance) I don't give a shit how hard that goal is, that should be the goal.
"Stroke centralisation has ensured that we can deliver the necessary staffing for seven-day care. Having all stroke patients on one site has also reduced the burden of repatriation and freed up valuable ambulance resources.

“This achievement would not have been possible without the support and co-operation of our own radiology and A&E departments at Fairfield Hospital. Now that we have shown we can be one of the best, the challenge is to maintain this standard of care (NOT RESULTS?)for our stroke patients.”

Share article

As part of the new Greater Manchester stroke model, Fairfield provides a dedicated hyper-acute stroke unit together with two, 20-bed dedicated acute/stroke rehabilitation units comprising a full multi-disciplinary team.
The SSNAP clinical audit results are based on 20,049 patients admitted to hospital and 19,754 patients discharged from hospital between April 1 and June 30.