Fourth round of audit

NAD Round 4 (2018-2019)

Data collection tools

Guidance for data collection tools

Other notifications to Trusts

The National Audit of Dementia collects feedback directly from staff working in hospitals and carers for people with dementia. This information includes comments on aspects of care, both positive and negative.  Comments which give rise to cause for grave concern may mean that we need to get in touch with a hospital immediately. The procedure we follow in these cases is set out in this document. When we do this, we do not pass on any details that may lead to the person who made the comment being identified.

All comments from carers are collated and fed back to hospitals immediately data collection closes so that they can start planning actions they need to take straight away, before receiving their local reports with their complete data.

Round 4 includes a spotlight audit on the 'Prescription of Psychotropic Medication', this module forms part of the Quality Account in 2019.

Data Collection

Data collection for the spotlight audit is open until 31 July 2019. Please contact the NAD Team if you do not have your login details.


NICE guideline CG42, section People with dementia who develop non-cognitive symptoms or behaviour that challenges should be offered a pharmacological intervention in the first instance only if they are severely distressed or there is an immediate risk of harm to the person or others.

This module was developed based on the advice contained in NICE guideline CG42 (now updated) and aims to explore prescriptions of any psychotropic medication to people with dementia in hospital, ascertaining:

  • The number of people with dementia taking already prescribed medication
  • The number of people with dementia whose prescription originated in hospital
  • The number of people with dementia who were discharged with a prescription in place
  • The dosage, dosage route and target symptoms recorded for each medication prescribed
  • The number of prescriptions that were reviewed on discharge
  • For prescription of antipsychotic medications, whether there is any record that a non-pharmacological intervention was attempted prior to prescription

Reporting will examine variance in prescribing practice and to look at whether the decrease nationally in prescription of antipsychotic medications has led to an increase in prescription of other medications for behavioural and psychological symptoms of dementia.

The optional casenote audit allows hospitals who wish to participate to build a year on year record of performance to submit further cases. The questions in the optional casenote are identical to the Round 4 casenote audit tool.

Data collection for the optional casenote audit is open until 20 September 2019 and data can be submitted online at You will need your Round 4 login details and hospital code to begin. Please contact the NAD Team if you need your login details.

If you would like to participate but have not yet registered, you still have time to fill in your details.

Throughout September and October 2019, we will be facilitating quality improvement workshops around England and Wales. The aim of these workshops is to develop practical applications to address hospital-specific shortfalls identified following the National Audit of Dementia Round 4 report. These workshops are open to audit leads, clinicians, QI and governance personnel and any other interested staff.

A main focus of the workshops will be action planning for which we have made an action planning toolkit (doc). Illustrative case studies from the Round 3 action plans can be found in our e-bulletin (PDF).

Workshop dates

  • No places left - Tuesday 3 September 2019 - London (Hallam Conference Centre)
  • Monday 9 September 2019 - York (Park Inn by Raddison)
  • Thursday 12 September 2019 - Cardiff (All Nations Centre)
  • Monday 16 September 2019 - Birmingham (The Priory Rooms)
  • No places left - Friday 27 September 2019 - Manchester (The Manchester Meeting Place)
  • Cancelled - Tuesday 1 October 2019 - London
  • Tuesday 8 October 2019 - Bristol (Engine Shed)
  • No places left - Monday 14 October 2019 - London (Hallam Conference Centre)

How to register

You will be able to register for up to 2 places per hospital but if places become available there will be a reserves list should you wish to add more attendees. If so, please email the NAD team with hospital name, additional attendee name, email and selected workshop.

Opportunities to present

We are inviting any participants who have implemented Quality Improvement projects following our last workshops to share with the group what they have implement through short presentations of 5-10 minutes (presentation templates will be provided). If you are interested please contact the NAD team and we will forward you the relevant resources.

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