Stroke and ischaemic attack: early supported discharge
Indicator
The proportion of people who had a stroke that are supported by a skilled stroke early supported discharge (ESD) team.
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
Early supported discharge is the discharge of people from hospital into the community where they are able to continue their rehabilitation. People are discharged to a comprehensive stroke specialist and multidisciplinary team (which includes social care) with a similar level of intensity to stroke unit care. It enables adults with stroke to spend less time in hospital, improving patient experience and quality of life.
Source guidance
Stroke rehabilitation in adults. NICE guideline NG236 (2023), recommendations 1.1.9 and 1.1.10
National clinical guideline for stroke for the UK and Ireland. Intercollegiate Stroke Working Party (2023), recommendations 2.8 A, 2.8 C and 2.8D
Specification
Numerator: People in the denominator with a plan to be seen and managed by the ESD team.
Denominator: People with a primary diagnosis of stroke alive at discharge from hospital.
Calculation: Numerator divided by the denominator, multiplied by 100.
Exclusions: None.
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: 978-1-4731-5569-5