NAD 2020-22

This spotlight audit examined waiting times, access to assessments, treatment and post-diagnostic support for people with dementia in memory assessment services, in the context of the COVID-19 pandemic.

Further information about the audit, and access to the National Report

FAQs

Here you will find a list of FAQs (PDF) for the NAD memory services spotlight audit 2021. 

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.

Here you can submit data for the total number of patients that have accessed your service between 01/01/21 and 31/08/2021.

View the Data input guidance document (PDF).

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 (PDF)and the organisational tools to aid data collection.

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

Additional documents

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

You can also view supplementary guidance about the patient/carer feedback tool (PDF), as well as the Memory Services Spotlight Audit Standards.

Translated patient survey leaflets

• Urdu (PDF)
• Punjabi (PDF)
• Welsh (PDF)
• English (PDF)
• Gujarati (PDF)
• Turkish (PDF)
• Bengali (PDF)

Webinars

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:

• Chloe Hood (NAD Programme Manager) (PDF)
• Laura Cook (Clinical Programme Lead, NHS London) (PDF)
• Dr Suzanne Joels (Clinical Director for Services for Ageing Mental Health, Camden and Islington) (PDF)
• Dr Amanda Thompsell (National Specialty Advisor - Older People’s Mental Health, NHSE&I) (PDF)

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

Laura Cook

Dr Suzanne Joels

Dr Amanda Thompsell

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.

Pilot audit tools

• Casenote audit questions (PDF)
• Annual dementia statement (PDF)
• Patient feedback questions (PDF)

• Group A guidance (PDF)
• Group B guidance (PDF)
• Group C guidance (PDF)
  

• Phase 1 guidance (PDF)
• Phase 2 guidance (PDF)

• List of Pilot Participants (Phase 1)  (PDF)
• List of Pilot Participants (Phase 2) (PDF)

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 are currently working on the pilot evaluation report and will open registration for the audit soon.

Netsolving guidance videos

• Getting started
• Adding users
• Editing and deleting users
• Overview of casenote submissions
• Entering data
• Reviewing, modifying and locking records
• Export data
• Import data (1)
• Import data (2)

You can also view the Netsolving guidance Pilot document 2021 (PDF).

As in previous years where there is no general data collection, we offered an optional casenote audit data collection to any hospital wishing to collate some data to compare with their report from the last round.

Data collection for the optional casenote audit took place between 21 June and 30 September 2021 and reports for participating sites have been circulated.

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. 

• Full report summarising the responses (PDF)
  
• Appendices (PDF)
• Summary of the main findings (PDF)
• Top tips about communication gathered from the feedback (PDF)

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 (PDF) (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.