NAD 2020-22

Please be advised that due to the current situation with coronavirus (Covid-19) our audit timelines have changed.

We will update this webpage as soon as any further information is available. If you have any questions in the meantime please contact

The next round of the audit will involve extensive changes to content and methodology. The aim is to:

  • move to more rapid and regular reporting, enabling sites to gauge the effect of local quality improvement initiatives  
  • move to prospective identification of patients for sampling, to aid above
  • focus on areas where there is lower/variable performance and reduce the total number of items measured
  • examine methods for collecting feedback from patients as well as carers on an annual basis.

We are working with pilot hospitals in different areas of England and Wales to develop and test these changes.

We are aiming to roll out the next round of audit for all hospitals in 2022 and this will be informed by the current pilot and evaluation process. We will provide further information about this at the end of 2021.

Netsolving guidance videos: 

1. Getting started

2. Adding users

3. Editing and deleting users

6. Reviewing, modifying and locking records

7. Export data

8. Import data (1)

9. Import data (2)

Netsolving guidance Pilot document 2021

As in previous years where there is no general data collection, we are offering an optional casenote audit data collection to any hospital wishing to collate some data to compare with their report from the last round. Please note, this will not involve the new methodology, data set or platform currently being piloted, but will be as the casenote audit for round 4. 

This data collection will take place between 21 June and 30 September. Registration for this has now closed. 

We are inviting all community-based memory services to take part in this spotlight audit topic. The spotlight will focus on waiting times, access to assessments, treatment and post-diagnostic support for people with dementia.

Registration for this audit is now open and data collection will commence on 7 September 2021 until 7 January 2022.

Register your service.

Data collection

Here you can submit data for the casenote audit and submit data for the organisational audit. Please note, one organisational questionnaire should be returned for each service/clinic taking part in the audit.

Data input guidance document

Registered services should have received their login details to access the tools above. If you do not have these, please get in touch with the team.

We have also created editable PDFs of the casenote audit and the organisational tools to aid data collection. 

A PDF version of the patient feedback survey is also available. 

Additional documents

To help you prepare for the audit, we have created a guidance document, which includes question level guidance.

You will find supplementary guidance about the patient/carer feedback tool here

Here is where you can find the Memory Services Spotlight Audit Standards.

Translated patient survey leaflets

  1. Urdu
  2. Punjabi
  3. Welsh
  4. English
  5. Gujarati
  6. Turkish
  7. Bengali


We held two webinars for memory services leads to discuss an audit in 2021 and how the impact of the pandemic should be taken into account. You can access the slides here:

We recorded the three external speakers and you can watch their presentations below.

Laura Cook


Dr Suzanne Joels


Dr Amanda Thompsell

As a result of the pandemic we have had to suspend the planned audit activity for NAD more than once and it is not currently possible to roll out the Carer questionnaire as originally planned. Therefore there will be no Quality Account data collection for hospitals taking place in 2021.

We are currently carrying out an evaluation of methods to collect and use carer feedback. As part of this work, we would like to survey hospitals about their current methods of collecting carer feedback, how much and what type of feedback they are able to get, and what they use the results for.  We would appreciate it if you could complete this short survey to assist with our evaluation process. 

Feedback from carers/families and hospital leads for dementia

The National Audit of Dementia (NAD) collected feedback between June and July 2020 to examine how the pandemic had affected hospital care for people with dementia. 

We would like to thank everyone who helped develop these surveys and everyone who completed them.

Related work

  • Emerging areas of positive practice highlighted in the report align with the work to embed an integrated approach to care as set out in the transformation framework (The ‘Well Pathway for Dementia’) , updated for the COVID era and the use of technology, aids and adaptations for people living with dementia in The Dementia Care Pathway: Full implementation guidance (2018).
  • To support the provision of person-centered care in inpatient settings for older people, including those with dementia, local NHS Trusts provide hospital passport templates that can be completed before attending hospital as an inpatient or outpatient. The hospital passport outlines, from the patient's perspective, what they would like staff to know about them and their care to help personalise their admission. In addition, the National Academy for Social Prescribing have put together a Personal Wellbeing Plan Template  which can be used to summarise what is most important to someone and shared, with consent, to support provision of personalised care, with services involved in their care.
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