PERFORMANCE: Performance on stroke targets is causing concern at NHS Peterborough and NHS Cambridgeshire.

A board meeting for the PCT cluster heard a number of areas were “red rated” including:

  • percentage of low risk transient ischemic attack patients who had access to carotid doppler or MRI within seven days
  • percentage of patients receiving thrombolysis within three hours
  • percentage of suspected stroke patients scanned within 60 minutes
  • percentage of patients with TIA who are scanned and treated within 24 hours but not admitted

A performance report to the board showed that in some cases there was a low number of patients involved but also highlighted issues around GPs knowing pathways and the urgency of referral.

But in cases patients requiring urgent scans were getting them - suggesting that clinical prioritisation was taking place. 

Two exception notices have also been issued to Peterborough and Stanford Hospitals Foundation Trust over stroke services and it could see 4 per cent of the contract value withheld over four months if performance does not improve.