Publication - Strategy/plan

Stroke Improvement Plan

Published: 21 Aug 2014
Part of:
Health and social care

The Stroke Improvement Plan sets out the priorities and actions to deliver improved prevention, treatment and care for all people in Scotland affected by stroke.

Stroke Improvement Plan
Annex 2 - Scottish Stroke Care Standards (2013)

Annex 2 - Scottish Stroke Care Standards (2013)

1. Stroke Unit admission - 90% of all patients admitted to hospital with a diagnosis of stroke are admitted to the stroke unit on the day of admission, or the day following presentation at hospital, and remain in specialist stroke care until in-hospital stroke-related needs are met.

2. Brain imaging - 90% of patients have CT/MRI imaging within 24 hours of admission.

3. Swallow screening - 90% of patients are screened by a standardised assessment method to identify any difficulty swallowing safely due to low conscious level and/or the presence of signs of dysphagia on the day of admission before the patient is given any food/drink or oral medication. The result of the screen/test should be clearly documented in the patients' notes.

4. Aspirin administration - 95% of patients receive aspirin on the day of admission or the day following admission for all patients in whom a haemorrhagic stroke, or other contraindication, as specified in the national audit, has been excluded.

5. Attendance at neurovascular clinic - 80% of new patients with a stroke or TIA are seen within 4 days of receipt of referral to the neurovascular clinic.

6. Thrombolysis door to needle time - The MCN monitors the delay between arrival at the first hospital and administration of the bolus of recombinant plasminogen activator. 80% of patients receive the bolus within one hour of arrival.

7. Carotid intervention - 80% of patients undergoing carotid endarterectomy for symptomatic carotid stenosis have the operation within 14 days of the stroke event.


Email: Margaret Syme