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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:



The third round of audit (2015 - 2017)

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

The third round of audit will run from January 2015 until the end of 2017. A pilot phase will be conducted this year to test the changes (structure and methodology) made to the main audit . A parallel pilot will be carried out in community hospitals (feasibility study) to examine their inclusion in the main audit.


Key dates 

Pilot phase and feasibility study (2015 - 2016):

  • January - May 2015: Review of standards and development of audit tools/surveys; establishing sampling methodology for pilot phase and feasibility study
  • February - May 2015: Recruitment of pilot sites  
  • August - November 2015: Data collection for pilot and feasibility study
  • January - February 2016: Preliminary reporting for pilot and feasibility study sites only

Main audit (2015 - 2017):

  • February 2015 - February 2016: Recruitment for main audit
  • April - December 2016: Data collection period
  • April - June 2017: National reporting
  • June - July 2017: Regional reporting
  • November - December 2017: National event


More information on the third round of NAD is available here.


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
Make a Donation

Full project name



HQIP Launches 2016/17 Quality account directory

NAD is included amongst the National Clinical Audits and Clinical Outcome Review programmes which NHS England advises Trusts to prioritise for participation and inclusion in their Quality Accounts for 2016/17.

Click here for further information.


Dementia Action Alliance (DAA) and the National Audit of Dementia (NAD) will be holding a joint event on 18 February 2016.

Further information about the event is available here.

The agenda for the day is now available here.

The event is sold out, but please contact to add yourself to the waiting list should a place become available.

NAD3 DRaFT standards for pilot and feasibility study

Draft standards for the Pilot and Feasibility study are now available.


Registration for the main audit (acute hospitals) - 2016-2017 is now open. To register for the main audit, please complete a registration form.

E-BULLETIN 2015: Sharing practice to improve care for people with dementia 

Following the previous bulletin in 2014, hospitals contacted NAD with further articles on the positive changes made to improve the quality of care for people with dementia.  

E-Bulletin: sharing good practice

This e-bulletin presents some of the key actions identified by hospitals following the second round of audit, including detailed update information provided by hospitals during telephone interviews and email contact in May and June of this year.

dementia action alliance launches survey

To mark the fourth year of the National Dementia Declaration the Dementia Action Alliance is surveying people affected by dementia and professionals supporting them to find out whether current activity is leading to real changes on the ground. 

To complete a survey please go to the DAA website.