Information on the first round of audit
(2010)
Structure of the audit
The audit was divided into two parts: a 'core
audit', open to all general acute hospitals, or those providing
general acute services on more than one ward; and an 'enhanced
audit', which was limited to a smaller number of general hospitals
and consisted of additional modules.
Core
Audit
The core audit consisted of two modules:
- Hospital organisational
checklist: This module looked at the structures, policies,
care processes and key staff that impact on service planning and
provision for care of people with dementia within a general
hospital.
- Casenote audit:
In this module, hospitals were asked to identify the records of a
minimum of 40 patients with a diagnosis or current history of
dementia, audited against a checklist of standards that relate to
their admission, assessment, care planning/delivery, and
discharge.
Enhanced
Audit
This evaluated the quality of
person-centred care provided at ward level and the experiences of
patients and carers.
Each hospital participating in the enhanced
audit had to nominate two or three wards from a single site:
- one general medical ward or other medical ward, or “shared
care” (whose patients include people over the age of 65)
- one surgical or orthopaedic ward (whose patients include people
over the age of 65)
- a third optional ward that can be either another medical
or surgical ward or care of the elderly which treats acute
admissions (i.e. may be an "elderly medical" or a pre-discharge
ward, but not long stay or rehabilitation).
Each ward participating in the enhanced audit
was asked to complete:
- Ward organisational
audit: Concerning staffing, support and governance
at a ward level
- Ward environmental
audit: Covering aspects of the ward physical
environment known to impact on people with dementia
- Staff
questionnaires: Feedback from ward staff about
training and support received, awareness of dementia and about
support offered to patients with dementia on their ward
- Carer/patient
questionnaires: Evaluated carers’ experiences of the
support they had received from ward staff and patients’ overall
perception of the quality of care on the ward
- Observation of care
interactions: Evaluated the delivery of person-centred care
from the perspective of people with dementia on the
ward. This module was a research
program which was managed by Professor John Young (a
consultant geriatrician) and Rosemary Woolley (a research fellow),
based in the Academic Unit of Elderly Care and Rehabilitation, part
of Bradford Teaching Hospitals NHS Foundation Trust and the
University of Leeds. The unit has a record of more than 15 years of
health services research using multi-method research designs.
This part of the audit helped
us obtain the perspectives of patients who may not be able to
tell us directly about their experiences, for example because they
have dementia, delirium or another condition which affects their
memory or ability to communicate. Person, Interactions
and Environment (PIE) is the method that was
developed to capture the culture of person centred care.
Workshops for this module took place
in January and February 2011.
Participation in the first
round
210 hospitals completed the core audit in the
first round and 55 of these hospitals (145 wards) participated
in the more in-depth enhanced
audit.
Data collection
Data collection for the core
audit began in March 2010 and concluded in July 2010. Data
collection for the enhanced audit began in April 2010 and concluded
in August 2010, with exception of the observation
module that began in January 2011 and concluded in April
2011.
When were results published?
Hospitals received local reports for the core
audit in December 2010 and for the enhanced audit in March
2011. The national report based on data collected from the first
round of audit was published in December 2011. See round 1 audit materias page.
|