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

National Audit of Dementia

Information about the third round of audit (2015-2017)


What is the pilot for?

In the third round of NAD new tools and methods of identifying the sample will be developed. During piloting feedback will be gathered from hospitals, to ensure that they produce good quality data when implemented in the main audit in 2016. The pilot phase will aim to:

  • Reduce the burden of data entry by shortening the case note audit tool and simplifying online data entry
  • Develop an organisational checklist with more emphasis on actions taken
  • Develop a carer survey for carers of people with dementia, focusing on quality of communication and  perceived care standards
  • Develop a staff survey with a focus on staff's experience of training and support.


Who is involved?

Ten acute sites have been recruited from England and Wales. Hospitals were recruited based on their size and location, to ensure that feedback is gathered on different types of organisations and catchment areas.


When will data collection commence?

The audit tools will be shared with participating sites as they become available, during the development stage (January - July 2015). The newly developed tools will be available shortly before data collection commences. Data collection begins on the 10th August and will conclude on the 9th November 2015.


How should pilot sites collect the data required?

These documents provides guidance on sampling, dissemination of the audit tools and data entry (N.B tools and data targets will be updated for the main audit e.g. a higher number of casenotes will be expected to be audited):

General Guidance for
Acute Pilot Sites 
Guidance for Online Data

Guidance for Identifying

your Staff Sample

Guidance for Acute Pilot Sites Data Entry Guidance Identifying every nth staff member


What happens to the data collected?

Data collected from the pilot will not be published. Local reports will be produced for each participating site at the end of the pilot period. An overall report will be produced for the commissioners (HQIP) of the audit on results from the pilot and possible next steps.



What is the study for?

Following previous rounds of NAD which took place in acute hospitals in England and Wales, clinicians from community hospitals suggested that the standards and tools be extended to these settings. Therefore, the current round of NAD will look at the inclusion of community hospitals. This will be a two part process:

  1. Initial Testing (2015) - Tools and methods of the NAD acute audit will be tested in community settings (five sites) and any necessary adjustments will be made.
  2. Wider pilot (2016) -   The adjusted tools will be piloted in up to 20 community hospital sites.

Feasibility study (initial testing) - 2015

Audit tools will be developed and tested in community hospitals (five sites). Testing of the tools will help in identifying the necessary amendments required for the community hospitals, prior to the pilot in 2016.


Who is involved?  

Five community hospitals in England and Wales have been recruited for the feasibility study. The full pilot in 2016 will provide the opportunity to recruit a larger number of sites (up to 20).


Sampling and data collection

The community sites will work closely with NAD during the development stage (January - July 2015) by providing feedback and testing the sampling method and audit tools. Data collection begins on the 10th August and will conclude on the 9th November 2015.


How should community hospitals collect the data required?

These documents provide guidance on sampling, dissemination of the audit tools and data entry:


General Guidance for
Community Sites
Guidance for Online Data
Guidance for community sites Data Entry Guidance



What happens to data collected from the study?

Data collected from the study will not be published. Each participating site will receive a local report at the end of the study period. As commissioners, HQIP will be sent an overall report containing the results from the study and possible next steps.






Registration for the wider pilot (2016) has now closed.

If you have completed an expression of interest form, the NAD team will be in contact shortly to confirm your registration. 


  Where next...


National Audit of Dementia,

21 Prescot Street, London, E1 8BB    

Fax: 020 3701 2761




Make a Donation
To participate in NAD3 (main audit - acute hospitals), please complete a registration form.

(To take part in the audit you must register before the end of February 2016)

 NAD3 registration form

Please note: the main audit registration form is for acute hospitals only.