Stroke Improvement National Audit Programme (SINAP)

The Stroke Improvement National Audit Programme (SINAP) is a national clinical audit which collected information from hospitals about the care provided to stroke patients in their first three days in hospital. SINAP aimed to collect data for all new stroke admissions across all relevant hospitals between May 2010 and December 2012 and to enable the information and results from the audit to be used to improve care for stroke patients.

What we are doing

SINAP aimed to improve the quality of stroke care for patients by measuring hospital performance against evidence based standards of acute care and benchmarking against all hospitals submitting a minimum number of complete records. Prospective, self-reported data was collected via a web based tool and analysed at the Royal College of Physicians (RCP), London.

SINAP has been superceded by the Sentinel Stroke National Audit Programme (SSNAP), the new stroke audit which is now the single source of stroke data nationally. SSNAP collects a minimum dataset for every stroke patient since December 2012.

Who's involved


SINAP was run by the RCP Stroke programme on behalf of the Intercollegiate Stroke Working Party (ICSWP) and commissioned by the Healthcare Quality Improvement Partnership (HQIP).

What we have produced

SINAP was a national clinical audit which collected information from hospitals in England about the first 72 hours of acute stroke care.
The SINAP audit presents results from seven public quarterly reports and details individual hospital performances against 12 key stroke indicators.
SINAP's final results present audit findings based on 10,069 stroke records and include key indicators of care provided.