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You hereby agree that by downloading these audit tools that you are entering into a licence agreement under the following Terms and Conditions.
All information, software, products and related graphics contained in the Audit Tool are provided "as is " without warranty, including but not limited to the implied warranties of satisfactory quality, fitness for a particular purpose, title and non-infringement of third party intellectual property rights.
In no event shall HQIP be liable for any direct, indirect, incidental, special or consequential damages for loss of profits, revenue, data or use incurred by you or any third party, whether in action in contract, tort, or otherwise, arising from your access to, or use of, the Audit Tool.
HQIP make no representations about the suitability, reliability, or timeliness, and accuracy of the information, software, products and related graphics contained in the Audit Tool. HQIP reserves the right to make improvements, changes or updates to the Audit Tool at any time without notice.
Round 4 includes a spotlight audit on 'Hospital initiated prescription of psychotropic medication for behavioural and psychological symptoms of dementia', this module forms part of the Quality Account in 2019.
Data collection for the spotlight audit is now closed and the report will be published in February 2020.
Participating hospitals in the spotlight audit (PDF)
- National Audit of Dementia Care in General Hospitals 2018-2019: Round Four Audit Report (PDF)
- Round four hospital local reports
- Round four regional reports
- Round four report for Wales (PDF)
- Round four report for Wales in Welsh (PDF)
- Accessible report (PDF)
- Commissioners' report (PDF)
Round 4 hospital scores across England and Wales
- Casenote Audit national data summary (doc)
- Carer Questionnaire national data summary (doc)
- Carer Questionnaire coding framework (doc)
- Organisational Checklist national data summary (doc)
- Staff Questionnaire national data summary (doc)
- Staff Questionnaire coding framework (doc)
- Eligible ICD10 codes (doc)
- Inter rater reliability analysis (doc)
- Round Four standards (PDF)
- Round 4 standards (pdf)
- Participating hospitals in the fourth round of audit (pdf)
- Outlier Policy (docx)
- Casenote audit data table (England) (csv)
- Casenote audit data table (Wales) (csv)
- Organisational checklist data table (csv)
Data collection tools
- A hospital level organisational checklist (pdf)
- A retrospective casenote audit (pdf) with a target of a minimum of 50 sets of patient notes
- A survey of carer experience of quality of care (pdf)
- A staff questionnaire (pdf) on providing care and support to people with dementia
Guidance for data collection tools
- Sampling for casenote audit (pdf)
- Using the online data entry system (pdf)
- Organisational checklist (pdf)
- Casenote audit questions (pdf)
- Staff questionnaire (pdf)
- Carer questionnaire (pdf)
- Scoring guidance (pdf) - scoring is used for easy comparison between hospitals across different themes of the audit
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 guidance prepared by HQIP. 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.
After analysing the data collected for Round 3, it became apparent that audit questions about delirium might be inconsistently interpreted, both within and between hospital sites. Hospitals were asked to submit data for a Spotlight audit focusing on the identification and assessment of delirium in order to look at variance in interpretation and to gain more accurate knowledge of the extent to which assessments are not performed.
- Sample copy of the tool (doc)
- Executive summary (PDF)
- Full report (PDF)
- Crynodeb Gweithredol (PDF)
- Summary report for hospital managers and commissioners (PDF)
- Accessible version of the National Report (PDF)
- Hospital reports from 2017
- Feasibility report for community hospitals (2016) (PDF).
Regional and Wales reports
Our online privacy notice gives you detailed information on when and why we collect personal information and how we use it.
Carer and staff surveys are anonymous and case note audit submissions are pseudonymised (we do not ask for any identifying information such as name or NHS number), and allocated a number for the purposes of audit. For further details please refer to our data flow chart (xls). We have completed a Data Protection Impact Assessment (DPIA) (doc) to review our management of these data.
Data collection is via an online audit tool using Formic’s Fusion Survey software. Formic abide by the stringent security requirements of the NHS for its systems and processes. Please see the following data security statement (PDF) on the Formic data collection software.
We used HQIP’s UPCARE tool (doc) to collate information about the project governance and methodology into a single document.