The Sentinel Stroke National Audit Programme (SSNAP) is a new programme of work which aims to improve the quality of stroke care by auditing stroke services against evidence based standards. SSNAP will build on the work of the National Sentinel Stroke Audit (NSSA) and the Stroke Improvement National Audit Programme (SINAP).

This is the beginning of an exciting programme of work that could result in huge improvements in stroke care for people in England, Wales and Northern Ireland. Be a part of it!

– Professor Tony Rudd, chair of the Intercollegiate Stroke Working Party.


Reasons to participate in SSNAP

  • SSNAP will provide regular, routine, reliable data:
    • to benchmark services national and regionally
    • to monitor progress against a background of change
    • to support clinicians in identifying where improvements are needed, lobbying for change and celebrating success
    • to empower patients to ask searching questions.
  • SSNAP will be the single source of data for stroke.
    • SSNAP will provide the data for all other statutory data collections including the NICE Quality Standard and Accelerating Stroke Improvement (ASI) metrics.
    • SSNAP will be the chosen method for collection for stroke measures in the NHS Outcomes Framework and the CCG Outcomes Indicator Set (formerly known as the Commissioning Outcomes Framework or COF).
    • SSNAP metrics will be aligned with those in the Cardiovascular Disease Outcomes Strategy.


Data collection for the clinical component of SSNAP began in December 2012 with the aim of collecting a minimum dataset for every stroke patient, including acute care, rehabilitation, 6-month follow-up, and outcome measures in England, Wales and Northern Ireland. 

To register for the SSNAP clinical audit please go to the webtool.   For further information, including datasets and guidance documents, please visit the Clinical Audit Page.

The acute organisational component of SSNAP measured structures and services in acute hospital settings as on 2 July 2012. 100% participation of eligible trusts in England, Wales and Northern Ireland was achieved. The acute organisational audit report, published on 5 December 2012, can be downloaded from the acute organisational audit page

SSNAP is guided by the Intercollegiate Stroke Working Party (ICSWP) and delivered by the Stroke Programme in the RCP. It is centrally funded by the Healthcare Quality Improvement Partnership (HQIP) until March 2015.


Contact the SSNAP team:
Tel:0203 075 1318

Last updated on: 02 December 2013

Post new comment

Login to post comments