Stroke and ischaemic attack: care plan on discharge
Indicator
Proportion of people with stroke who receive joint health and social care plans on discharge from hospital.
Indicator type
Network / system level indicator.
The indicator would be appropriate to understand and report on the performance of networks or systems of providers.
This document does not represent formal NICE guidance. For a full list of NICE indicators, see our menu of indicators.
To find out how to use indicators and how we develop them, see our NICE indicator process guide.
Rationale
Some people who have had a stroke will have complex care and rehabilitation needs following their stroke. The person and their families may require input from a number of service providers and therefore to achieve best possible outcomes joint health and care plans should be developed to ensure coordinated and effective care.
Source guidance
Stroke rehabilitation in adults. NICE guideline NG236 (2023), recommendation 1.2.14
National clinical guideline for stroke for the UK and Ireland. Intercollegiate Stroke Working Party (2023), recommendation 2.8 M
Specification
Numerator: The number in the denominator who were discharged from their final inpatient hospital stay with a joint health and social care plan.
Denominator: The number of people with a primary diagnosis of stroke discharged from hospital.
Calculation: Numerator divided by the denominator, multiplied by 100.
Exclusions: People who refuse a health and/or social care assessment or intervention, people for whom a joint plan is not applicable as they only have a health or a social care need (not both).
Data source: Sentinel Stroke National Audit Programme (SSNAP).
Minimum population: The indicator would be appropriate to assess the performance of networks or systems of providers.
ISBN: 978-1-4731-5539-8