Hospital characteristics per individual hospital self-reported by clinical leads or service managers at each hospital
Hospital characteristics | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 |
General characteristics | ||||||||
Catchment population | 400 000 | 160 000 | 350 000 | 230 000 | 680 000 | 300 000 | 240 000 | 275 000 |
Hospital type | Tertiary | Secondary | Secondary | Secondary | Tertiary | Secondary | Secondary | Secondary |
Hospital stroke volume (no. of ASCNES admissions per month) | 52 | 13 | 46 | 19 | 88 | 57 | 35 | 31 |
Facilities and services | ||||||||
No. of hospital beds | 1000 | 304 | 800 | 500 | 1237 | 611 | 488 | 460 |
No. of stroke unit beds (per 100 admissions) | 71 | 77 | 54 | 138 | 41 | 55 | 83 | 65 |
No. of hospital beds per CT scanners | 500 | 304 | 400 | 250 | 518 | 306 | 244 | 230 |
Distance to vascular surgery (miles) | 0 | 18 | 0 | 25 | 0 | 0 | 43 | 30 |
Distance to neurosurgery (miles) | 0 | 18 | 58 | 89 | 61 | 38 | 48 | 30 |
Rehabilitation provision | Onsite | Onsite | Offsite | Offsite | Offsite | Onsite | Offsite | Onsite |
Early supported discharge provision | No | Yes | No | Yes | Yes | Yes | No | No |
Stroke unit staffing levels* | ||||||||
Senior doctors† | 0.34 | 0.25 | 0.49 | 0.47 | 0.42 | 0.31 | 0.62 | 0.87 |
Junior doctors† | 0.55 | 0.65 | 0.72 | 0.59 | 0.56 | 0.64 | 0.12 | 0.25 |
Healthcare associates and nurses (band 5–7) | 9.2 | 8 | 6 | 7.4 | 7 | 5.3 | 6.5 | 10 |
Physiotherapists (band 2–8) | 0.55 | 1 | 0.79 | 0.4 | 0.91 | 0.78 | 0.69 | 1 |
Occupational therapists (band 3–8) | 0.49 | 0.5 | 1.4 | 0.59 | 0.6 | 0.58 | 0.52 | 1.1 |
Speech and language therapists | 0.39 | 0.15 | 0.2 | 0.18 | 0.35 | 0.03 | 0.26 | 0.1 |
No. of non-stroke patients treated daily on stroke unit (per five stroke unit beds) | 0.27 | 0 | 0.10 | 0.47 | 0.05 | 0.31 | 0.17 | 0 |
No. of patients with stroke treated daily outside stroke unit (per five stroke unit beds) | 0.14 | 5 | 0 | 0.30 | 0.01 | 0.41 | 0 | 0 |
Median AHLOS (IQR) | 8 (4 to 20) | 29 (24 to 42) | 11 (5 to 27) | 14 (4 to 30) | 8 (4 to 14) | 10 (5 to 22) | 11 (6 to 23) | 7 (3 to 20) |
*Number of fte staff per five stroke unit beds (weighted average for the four study periods taken). NHS banding refers to the pay scale system of healthcare staff in the UK and relates to their level of experience. Higher bands reflect higher pay and experience.
†Weekday numbers only.
AHLOS, acute hospital length of stay; ASCNES, Anglia Stroke Clinical Network Evaluation Study.