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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)


THIRD ROUND OF AUDIT - ACUTE SITES (2016)

If you are a carer visiting someone with dementia in hospital between June and August 2016, please find more information about our carer questionnaire here.

 

Hospitals taking part in the third round of audit, please log in to data collection here.

 

Please find below links to all of the tools to be used in the third round of NAD (acute sites):

Please find below the guidance documents for the third round of NAD (acute sites):

 

 

The 2016 audit data collection includes:

  • Organisational checklist: This module looks at the structures, key staff and care processes that impact on service planning and provision for the care of people with dementia within a general hospital. Each participating hospital is expected to submit one checklist.

Changes to the organisational checklist: For this round, the audit remit is to provide a focus on organisational practice. Policy based items have been removed. New items on training provision, environmental review, carer engagement and staffing level review are included.

 

  • Casenote audit: This module looks at assessment, personal information use and discharge. Each hospital is expected to submit 50-100 casenotes of patients identified via ICD10 coding.

Changes to the casenote audit: Changes were made to reduce the burden of casenote audit by shortening the tool, focussing on themes which would provide data allowing for comparison between sites. Many routed questions (sub questions) have been removed, and two sections on referral to liaison psychiatry and prescription of antipsychotics have also been removed as they were applicable to only a small number of patients in each sample.

N.B. A separate study is underway to determine which characteristics of liaison services tend to result in better care and treatment. Prescription of psychotropic medication will become the subject of a separate module in 2017. A new question was also included on application of the Mental Capacity Act during discharge discussion.

 

  • Carer questionnaire: This questionnaire was newly developed for audit by the Patient Experience Research Centre at Imperial College London. The questions are identified by carers as top priority items relating to the care of people with dementia that all carers/ family members visiting find relevant and will be able to answer. The Friends and Family Test question is also included for comparison.

 

  • Staff questionnaire: This was newly developed for audit via a process of consultation with staff based at each of the pilot sites. Workshops identified key items for inclusion and the preferred format for questions. There are 16 questions focussed on training and support available for care provision. The questionnaire is for distribution to clinical and administrative staff in 3 wards where you have the highest admissions of people with dementia, and also online throughout the hospital to clinical and administrative staff who work on wards with adult inpatients (please see guidance).

 

WIDER PILOT IN COMMUNITY HOSPITALS (2016)

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

You can view a list of the hospitals taking part in the pilot here. Find out more about the community hospitals pilot here.

 

PILOT PHASE FOR ACUTE SITES (2015)

What was the pilot for?

In the third round of NAD new tools will be used. During piloting, feedback was gathered from hospitals, to ensure that any changes produce good quality data when implemented in the main audit. 

 

Who was involved?

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

 

FEASIBILITY STUDY FOR COMMUNITY HOSPITALS (2015 - 2016)

What was 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 tested in community settings (five sites) and any necessary adjustments 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 were developed and tested in community hospitals (five sites). Testing of the tools helped identify the necessary amendments required for community hospitals, prior to the pilot.

 

Who was 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).

 


  Where next...

 

National Audit of Dementia,

21 Prescot Street, London, E1 8BB    

Fax: 020 3701 2761

Email: nad@rcpsych.ac.uk

 

 

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Registration for the third round of audit (acute sites) has now closed.