Information about the third round of audit
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
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
- 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
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?
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
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
- Initial Testing (2015) - Tools and methods of the NAD acute
audit tested in community settings (five sites) and any
necessary adjustments made.
- 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?
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).