Table 2

Number and proportion of patients receiving best practice screening, assessment and intervention between 2009 and 2013

% Files meeting this criteria*2009201020112013% Change
overall
N (%)95% CIN (%)95% CIN (%)95% CIN (%)95% CI
Communication
 Aphasia screening8/15 (53%) 28% to 79%8/10 (80%) 55% to 105%15/15 (100%)11/11 (100%) +47%
 Aphasia standardised assessment (MAST)0/15 (0%)8/10 (80%) 55% to 105%12/15 (80%) 60% to 100%1/11 (9%)−8% to 26% +9%
 Aphasia intervention†1/4 (25%)−17% to 67%5/5 (100%)4/5 (80%) 45 to 115%4/4 (100%) +75%
 Motor speech disorders intervention†0/0 (0%)3/8 (38%) 4% to 72%5/9 (56%) 24 to 88%1/1 (100%) +100%
Swallowing
 Dysphagia screening12/15 (80%) 60% to 100%10/10 (100%)14/14 (100%)11/13 (85%) 65% to 104% +5%
Mobility
 Treadmill training†2/11 (18%)−5% to 41%1/6 (17%) 13% to 47%2/8 (25%) 5% to 55%2/4 (50%)−19% to 119% +33%
 Sitting balance†2/8 (25%)−5% to 55%6/6 (100%)8/11 (73%) 47% to 99%4/6 (67%) 29% to 104% +42%
Sensation impairments (upper limb)
 Screening0/15 (0%)11/11 (100%)10/13 (77%) 54% to 100%9/12 (75%) 51% to 100% +75%
 Standardised assessment (NSA)†0/0 (0%)2/5 (40%)−15% to 55%1/2 (50%)−19% to 119%0/1 (0%) 0%
 Sensation intervention 0/4 (0%)0/4 (0%)1/1 (100%) 1/1 (100%) +100%
Neglect (body/space)
 Screening8/15 (53%) 28% to 79%13/15 (87%) 70% to 104%13/14 (93%) 80% to 106%11/12 (92%) 76% to 107% +39%
 Standardised assessment (CBS)†0/11 (0%)11/13 (85%) 66% to 104%5/12 (42%) 14% to 70%6/6 (100%) +100%
 Neglect training†0/8 (0%)5/5 (100%)5/6 (83%) 53% to 113%3/5 (60%) 17% to 103% +60%
Patient education
 Nature of stroke4/15 (27%) 4% to 49%6/15 (40%) 15 to 65%4/15 (27%) 5% to 50%5/15 (33%)−8% to 75% +6%
 Impairments and management1/15 (7%)−6% to 19%7/15 (47%) 22% to 72%13/15 (87%) 70% to 104%9/13 (69%) 44% to 94% +62%
 Depression/cognitive impairment0/15 (0%)1/15 (7%)−6% to 20%2/14 (14%)−4% to 32%2/12 (17%)−4% to 38% +17%
 Caregiver training/environmental adaptations0/13 (0%)4/13 (31%) 6% to 56%8/13 (62%) 36% to 88%5/10 (50%) 19% to 81% +50%
 Discharge planning2/14 (14%)−4% to 33%9/15 (60%) 35% to 85%13/13 (100%)11/15 (73%) 51% to 96% +59%
Carer education
 Nature of stroke2/14 (14%)−4% to 33%1/14 (7%)−6% to 20%5/14 (36%) 11% to 61%6/14 (43%) 17% to 69% +29%
 How to provide care and support1/12 (8%)−7% to 24%1/13 (8%)−7% to 23%6/12 (50%) 22% to 78%5/11 (45%) 16% to 75% +37%
 Secondary prevention1/12 (8%)−7% to 24%2/15 (13%)−4% to 30%1/12 (8%)−7% to 23%2/11 (18%)−5% to 41% +10%
Anxiety and depression
 Anxiety screening4/15 (27%) 5% to 49%5/13 (38%) 12% to 64%0/14 (0%) 0/12 (0%) −27%
 Depression screening4/15 (27%) 5% to 49%4/13 (31%) 6% to 56%0/14 (0%) 0/12 (0%) 27%
Return to driving
 Asked redriving poststroke†3/9 (33%) 2% to 64%5/7 (71%) 37% to 105%1/6 (17%)−13% to 47%4/8 (50%) 15% to 85% +17%
 Local doctor informed†0/10 (0%)2/7 (29%) 5% to 63%0/6 (0%)0/9 (0%) 0%
 Given information† ‡ ‡2/9 (22%)5% to 49% +22%
Return to work
 Requirements established and/or referred for assistance 0/8 (0%)1/2 (50%)−19% to 119%1/1 (100%) ‡ +100%§
No. of areas achieving ≥10% improvement20/27 (74%)
  • *Based on written evidence.

  • †For ‘eligible’ patients.

  • Compliance not assessed during this audit period.

  • §Overall compliance calculated using audit 3 results.