Written Question · S5W-10450 · Session 5
What proportion of stroke patients (a) overall and (b) in each NHS board received a brain scan within the 24-hour post-diagnosis target in …
The question
To ask the Scottish Government what proportion of stroke patients (a) overall and (b) in each NHS board received a brain scan within the 24-hour post-diagnosis target in 2016-17, also broken down the by the proportion of the patients that were given the scan within the target time in (i) less than four, (ii) four to eight, (iii) eight to 12 and (iv) over 12 hours.
The answer
In 2016 the Scottish Stroke Care Standard for brain scanning was made more challenging – 95%, rather than 90% of patients to have a brain scan within 24 hours of admission. In 2016, 93% of patients across Scotland with a final diagnosis of stroke had a brain scan within 24 hours compared with 91% in 2015, a statistically significant improvement.
The following tables show the numbers and percentages of patients with confirmed strokes and receiving a brain scan within 4 hours, from 4 to 8 hours, from 8 to 12 hours, from 12 to 24 hours and over 24 hours, by NHS Board of admitting hospital and NHS Board of residence.
Information is presented by NHS Board of admitting hospital for calendar year 2016, the latest full year currently published in the Scottish Stroke Improvement Programme Annual Report for 2017, available at: http://www.strokeaudit.scot.nhs.uk/Publications/Main.html.
Table 1
NHS board of admitting hospital
Number of confirmed strokes
Percentage receiving brain scan
by time category (hours)
Within 4 hrs
4 to 8 hrs
8 to 12 hrs
12 to 24 hrs
Over 24
hrs
Missing
Data
NHSScotland
9 357
59.7
8.6
3.5
21.1
6.2
0.9
Ayrshire & Arran
844
40.2
8.5
4.6
38.5
7.8
0.4
Borders
222
69.4
8.6
2.7
18.0
0.5
0.9
Dumfries & Galloway
240
48.8
10.8
3.3
27.5
7.9
1.7
Fife
665
68.1
9.6
3.3
14.1
4.7
0.2
Forth Valley
521
47.0
9.0
6.9
32.1
3.8
1.2
Grampian
805
74.5
6.0
2.5
9.7
6.0
1.4
Greate Glasgow & Clyde
2 362
65.4
9.5
3.3
15.8
5.5
0.5
Highland
466
59.9
6.2
3.6
21.2
5.4
3.6
Lanarkshire
962
51.9
7.6
4.0
29.2
6.7
0.7
Lothian
1 454
70.1
7.6
2.5
12.3
6.5
1.0
Orkney
36
72.2
2.8
2.8
11.1
5.6
5.6
Shetland
41
61.0
9.8
0.0
22.0
2.4
4.9
Tayside
710
37.3
11.8
3.5
35.2
11.5
0.6
Western Isles
29
72.4
0.0
0.0
27.6
0.0
0.0
Table 2
NHS board of residence
Number of confirmed strokes
Percentage receiving brain scan
by time category (hours)
Within 4 hrs
4 to 8 hrs
8 to 12 hrs
12 to 24 hrs
Over 24 hrs
Missing Data
Total
9 357
59.7
8.6
3.5
21.1
6.2
0.9
Ayrshire & Arran
847
40.6
8.5
4.5
38.1
7.8
0.5
Borders
238
66.0
10.1
2.9
18.9
1.3
0.8
Dumfries & Galloway
234
49.1
10.7
3.8
26.5
7.7
2.1
Fife
727
63.8
9.8
3.7
16.2
6.1
0.4
Forth Valley
507
48.1
9.1
6.7
31.0
3.9
1.2
Grampian
777
74.3
5.9
2.6
10.0
5.8
1.4
Greater Glasgow & Clyde
2 088
65.2
9.9
3.5
15.7
5.3
0.5
Highland
547
59.8
6.6
3.8
20.3
6.2
3.3
Lanarkshire
1 039
53.6
7.5
3.6
28.1
6.6
0.6
Lothian
1 370
70.9
7.3
2.5
11.9
6.5
0.9
Orkney
35
71.4
2.9
2.9
11.4
5.7
5.7
Shetland
37
62.2
8.1
0.0
24.3
2.7
2.7
Tayside
639
39.4
11.6
3.1
35.1
10.5
0.3
Western Isles
28
71.4
0.0
3.6
25.0
0.0
0.0
Outside Scotland/Not Known/ Other
244
61.1
8.2
2.0
21.7
5.7
1.2
Table 3
NHS board of admitting hospital
Number of confirmed strokes
Number receiving brain scan by time category (hours)
Within 4 hrs
4 to 8 hrs
8 to 12 hrs
12 to 24 hrs
Over 24 hrs
Missing Data
Scotland
9 357
5587
802
327
1973
583
85
Ayrshire & Arran
844
339
72
39
325
66
3
Borders
222
154
19
6
40
1
2
Dumfries & Galloway
240
117
26
8
66
19
4
Fife
665
453
64
22
94
31
1
Forth Valley
521
245
47
36
167
20
6
Grampian
805
600
48
20
78
48
11
Greater Glasgow & Clyde
2 362
1545
225
78
373
129
12
Highland
466
279
29
17
99
25
17
Lanarkshire
962
499
73
38
281
64
7
Lothian
1 454
1019
110
37
179
95
14
Orkney
36
26
1
1
4
2
2
Shetland
41
25
4
0
9
1
2
Tayside
710
265
84
25
250
82
4
Western Isles
29
21
0
0
8
0
0
Table 4
NHS board of residence
Number of confirmed strokes
Number receiving brain scan by time category (hours)
Within 4 hrs
4 to 8 hrs
8 to 12 hrs
12 to 24 hrs
Over 24 hrs
The following tables show the numbers and percentages of patients with confirmed strokes and receiving a brain scan within 4 hours, from 4 to 8 hours, from 8 to 12 hours, from 12 to 24 hours and over 24 hours, by NHS Board of admitting hospital and NHS Board of residence.
Information is presented by NHS Board of admitting hospital for calendar year 2016, the latest full year currently published in the Scottish Stroke Improvement Programme Annual Report for 2017, available at: http://www.strokeaudit.scot.nhs.uk/Publications/Main.html.
Table 1
NHS board of admitting hospital
Number of confirmed strokes
Percentage receiving brain scan
by time category (hours)
Within 4 hrs
4 to 8 hrs
8 to 12 hrs
12 to 24 hrs
Over 24
hrs
Missing
Data
NHSScotland
9 357
59.7
8.6
3.5
21.1
6.2
0.9
Ayrshire & Arran
844
40.2
8.5
4.6
38.5
7.8
0.4
Borders
222
69.4
8.6
2.7
18.0
0.5
0.9
Dumfries & Galloway
240
48.8
10.8
3.3
27.5
7.9
1.7
Fife
665
68.1
9.6
3.3
14.1
4.7
0.2
Forth Valley
521
47.0
9.0
6.9
32.1
3.8
1.2
Grampian
805
74.5
6.0
2.5
9.7
6.0
1.4
Greate Glasgow & Clyde
2 362
65.4
9.5
3.3
15.8
5.5
0.5
Highland
466
59.9
6.2
3.6
21.2
5.4
3.6
Lanarkshire
962
51.9
7.6
4.0
29.2
6.7
0.7
Lothian
1 454
70.1
7.6
2.5
12.3
6.5
1.0
Orkney
36
72.2
2.8
2.8
11.1
5.6
5.6
Shetland
41
61.0
9.8
0.0
22.0
2.4
4.9
Tayside
710
37.3
11.8
3.5
35.2
11.5
0.6
Western Isles
29
72.4
0.0
0.0
27.6
0.0
0.0
Table 2
NHS board of residence
Number of confirmed strokes
Percentage receiving brain scan
by time category (hours)
Within 4 hrs
4 to 8 hrs
8 to 12 hrs
12 to 24 hrs
Over 24 hrs
Missing Data
Total
9 357
59.7
8.6
3.5
21.1
6.2
0.9
Ayrshire & Arran
847
40.6
8.5
4.5
38.1
7.8
0.5
Borders
238
66.0
10.1
2.9
18.9
1.3
0.8
Dumfries & Galloway
234
49.1
10.7
3.8
26.5
7.7
2.1
Fife
727
63.8
9.8
3.7
16.2
6.1
0.4
Forth Valley
507
48.1
9.1
6.7
31.0
3.9
1.2
Grampian
777
74.3
5.9
2.6
10.0
5.8
1.4
Greater Glasgow & Clyde
2 088
65.2
9.9
3.5
15.7
5.3
0.5
Highland
547
59.8
6.6
3.8
20.3
6.2
3.3
Lanarkshire
1 039
53.6
7.5
3.6
28.1
6.6
0.6
Lothian
1 370
70.9
7.3
2.5
11.9
6.5
0.9
Orkney
35
71.4
2.9
2.9
11.4
5.7
5.7
Shetland
37
62.2
8.1
0.0
24.3
2.7
2.7
Tayside
639
39.4
11.6
3.1
35.1
10.5
0.3
Western Isles
28
71.4
0.0
3.6
25.0
0.0
0.0
Outside Scotland/Not Known/ Other
244
61.1
8.2
2.0
21.7
5.7
1.2
Table 3
NHS board of admitting hospital
Number of confirmed strokes
Number receiving brain scan by time category (hours)
Within 4 hrs
4 to 8 hrs
8 to 12 hrs
12 to 24 hrs
Over 24 hrs
Missing Data
Scotland
9 357
5587
802
327
1973
583
85
Ayrshire & Arran
844
339
72
39
325
66
3
Borders
222
154
19
6
40
1
2
Dumfries & Galloway
240
117
26
8
66
19
4
Fife
665
453
64
22
94
31
1
Forth Valley
521
245
47
36
167
20
6
Grampian
805
600
48
20
78
48
11
Greater Glasgow & Clyde
2 362
1545
225
78
373
129
12
Highland
466
279
29
17
99
25
17
Lanarkshire
962
499
73
38
281
64
7
Lothian
1 454
1019
110
37
179
95
14
Orkney
36
26
1
1
4
2
2
Shetland
41
25
4
0
9
1
2
Tayside
710
265
84
25
250
82
4
Western Isles
29
21
0
0
8
0
0
Table 4
NHS board of residence
Number of confirmed strokes
Number receiving brain scan by time category (hours)
Within 4 hrs
4 to 8 hrs
8 to 12 hrs
12 to 24 hrs
Over 24 hrs
In the Official Report
No contribution in the Official Report cites S5W-10450 by reference.