The SSNAP organisational audits provide a ‘snapshot’ of the structure and organisation of stroke services in England, Wales and Northern Ireland.

Previously divided into two categories: the acute organisational audit, which included data on the number of stroke beds, staffing, access to specialist treatment and support, and patient and carer engagement, and the post-acute organisational audit, which included data on staffing levels, access to timely multidisciplinary care and 7-day working. The acute orgnisational audit has been run every 2-3 years since 2012, with all rounds achieving 100% participation from eligible trusts and Health Boards.The post-acute organisational audit has been run twice, the first in 2015 and the second in 2021.

The acute and post-acute organisational audits will now be run as one combined organisational audit​. The organisational audit will now be run six monthly with data collection periods in May and November each year. The audit will collect a 'snapshot' of services at that time.​

The aims of Organisational Audit 2025 are:

• To enable trusts to benchmark the quality of their stroke services nationally and regionally and audit performance against national guidance​​
• To measure changes over time in the resources available for specialist stroke care, in particular the workforce.​​
• To measure the extent to which the recommendations made in the previous acute and post-acute organisational audit had been implemented
• To provide timely, transparent information to patients, the public and professionals about the quality of stroke care organisation locally and nationally.​​
• To provide commissioners with evidence of the quality of commissioned services and to identify where improvements to services were needed and make recommendations.​

Eligibility:

• Acute hospitals in England, Wales and Northern Ireland directly admitting stroke patients or routinely admitting them within 7 days
• Post-acute inpatient care
• Early Supported Discharge (ESD) team
• Community rehabilitation team (CRT)
• Combined ESD/CRT
• 6-month assessment provider