A G E N D A 1. APOLOGIES FOR ABSENCE Ian Metcalfe 2 ...

Board of Directors Part 114th June 2013Alteplase (Thrombolysis) 3 0 100%90% Time Spent on Stroke Ward 55 21 61.8%Direct Admission to Stroke Unitwithin 4 hoursBrain Imaging – urgent within 1hourBrain Imaging – other within 24hours50 23 54.0%16 1 93.8%51 5 90.2%TIA High Risk performance improved to 61.4% compared to 40% in March. 17patients failed the target. Of these 7 were due to reduced clinics or clinics full, 2patients had a delay in GP referral, 2 changed appointment times and 1 was due topatient choice. TIA Low Risk performance improved to 86.4% in April compared to81% in March.Performance against the 90% time on the stroke unit target improved in April.61.8% of patients had 90% of their stay on a Stroke Unit compared to 44% inMarch. 21 patients failed the target for various reasons including poor prognosis,treatment required prior to transfer, patients awaiting discharge transferred off of theunit and bed capacity.54% of patients had a Direct Admission to the Stroke Unit within 4 Hours comparedto 43.9% in March. Non compliance was primarily due to bed capacity and delayeddiagnosis, but also included patients with poor prognosis who were appropriatelymanaged on other wards. 64% of patients had a direct admission to the stroke unit(regardless of 4hr) compared to 58% in March.5 Cancelled OperationsPatients not seen within 28 days of cancellation - YTD Cumulative rate (