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The Royal College of Psychiatrists Improving the lives of people with mental illness

National Audit of Dementia



What is the National Audit of Dementia?

The National Audit of Dementia is working with hospitals providing general acute inpatient services to measure criteria relating to care delivery which are known to impact on people with dementia admitted to hospital. 


Criteria include policies and governance in the hospital that recognise and support the needs of people with dementia, elements of comprehensive assessment, involvement of carers, discharge planning, and identified changes to support needs during admission.


The first round of audit took place in 2010. Nearly all (99%) acute Trusts/Health Boards in England and Wales registered one or more sites to participate.


The second round of audit took place in 2012. All acute Trusts/Health Boards in England and Wales registered one or more sites to participate.



Other CCQI projects involved with the care of older people:



If you completed a carer questionnaire whilst visiting someone with dementia in hospital, please find more information about our carer questionnaire here


The third round of audit (2015 - 2017)

Log in to data collection here.


The Royal College of Psychiatrists has been awarded a three year contract to manage a further round of the audit, commissioned  by Healthcare Quality Improvement Partnership (HQIP) and funded by NHS England and the Welsh Government. The audit will examine the care provided to people with dementia in acute hospital settings in England and Wales.  The audit will include:


  • A survey of carer experience of quality of care
  • A case note audit of people with dementia, focusing on key elements of assessment, monitoring, referral and discharge
  • An organisational checklist and analysis of routine data collected on delayed discharge, complaints and staff training
  • A staff questionnaire examining support available to staff and the effectiveness of training and learning opportunities

You can find the tools and guidance to be used in the Third Round of audit here.


View a list of all participating acute hospitals in the third round of audit here.


The third round of audit will run from January 2015 until the end of 2017. A pilot phase was conducted last year to test the changes (structure and methodology) made to the main audit. A parallel pilot was carried out in community hospitals (feasibility study) to examine their inclusion in the main audit. More information on the pilot of third round of NAD is available here.


Timeline for data collection

The data collection period will be staggered. View a summary. Overall guidance was sent out in March and detailed guidance for individual tools 2-4 weeks in advance of the start of data collection.


Key dates 

Main audit (2016 - 2017): 

  • April - December 2016: Data collection period
  • April - June 2017: National reporting
  • June - July 2017: Regional reporting
  • November - December 2017: National event


The National Audit of Dementia currently involves hospitals in England and Wales.  For information about Irish and Northern Irish dementia audits, follow the links below:




Background on NAD
Third round of NAD
Participating hospitals
The project team
Why should you join?
Name of link 2
name of link 3
Contact us
Login - Members Area

If you don't have an account please Click here to Register

Make a Donation

Full project name


quality improvement workshops

Following publication of the national and local reports (June-July 2017) audit leads can attend one of 8 quality improvement workshops held across the UK.

Workshops will help leads to devise practical applications to address shortfalls identified by audit.

More information & how to book

NAD prize draw

The NAD team would like to say a big thank you to everyone who took the time to complete the carer and staff questionnaires.


A total of 4,688 carers of people with dementia and 14,885 members of NHS staff working with people with dementia completed the questionnaire, giving information about hospitals across the UK. We are very grateful to you for helping us with this.


All respondents were entered into a prize draw to win a £50 voucher. The lucky winners were Kim Crossman, Diane Harding, M Fox, Jan Hayley, Holly Flegg, Nicola Boyd, Annie Creasey, W Ralph, Nicola Austin, Janine Willis, J Haywood, Melanie Bennett, A Lindley, Matthew Earland, Katie Topham, A Watson and Keren Knight.


We are currently analysing the data from the questionnaires, which will be published in summer 2017 in the national audit of dementia report.

NAD community hospital event

NAD Community Hospital Event with Dementia Action Alliance was held on 2 December 2016, presenting an overview of results and future directions for audit; action planning and quality improvement and themes relating to NAD standards and the DAA charter.

Carer and staff questionnaires

New for this round of audit, surveys for carers and staff on the quality of care for people with dementia were handed out in hospitals from 1 June. Read more…


NAD Round three: list of participating hospitals