Guidance for acute hospital sites (Updated) guidance (updated) v0.1.pdfii Contents Introduction iii...
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1 Guidance for acute hospital sites (Updated) May 2016 © HQIP 2016
Transcript of Guidance for acute hospital sites (Updated) guidance (updated) v0.1.pdfii Contents Introduction iii...
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Guidance for acute hospital sites
(Updated)
May 2016
© HQIP 2016
ii
Contents
Introduction............................................................................ iii
Timeline for data collection....................................................... iv
Contacting the project team...................................................... v
Completing the Organisational Checklist...................................... 1
Completing the Casenote Audit................................................... 3
Distributing the Carer Questionnaire........................................... 6
Distributing the Staff Questionnaire........................................... 8
Data return.............................................................................. 9
APPENDIX A Inter-rater reliability check…..................................... 11
APPENDIX B List of eligible ICD10 codes ..................................... 12
APPENDIX C Template email to ask staff to complete a questionnaire 15
APPENDIX D Template to remind staff to complete a questionnaire.. 16
APPENDIX E Audit background and governance............................. 17
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Introduction
The third round of audit (2015 - 2017)
The Royal College of Psychiatrists has been awarded a three year contract to manage a further round of the audit.
Round three of the audit involves amendments to the casenote audit and
organisational checklist, a higher minimum number of casenotes, and two extra
surveys, one for staff and one for carers.
The 2016 dataset includes:
A survey of carer experience of quality of care; A casenote audit of people with dementia, focusing on key elements of
assessment, monitoring, referral and discharge; An organisational checklist focussing on organisational practice;
A staff questionnaire examining support available to staff and the effectiveness of training and learning opportunities.
A spotlight module on prescription of psychotropic medication is being developed
for roll out in 2017.
In 2017 hospitals will also have the opportunity to submit an additional (optional) casenote sample to enable them to compare their results with the previous year.
Scoring system
For this round of audit a scoring system has been developed and piloted. Please
see the guidance document on the scoring system for more information.
Data collection for audit 2016
Data collection for the tools above will run from 18 April to 28 October 2016.
Please see the timeline summary on the next page for start and end dates for each tool.
Key dates:
February 2015 - February 2016: Recruitment for main audit April - October 2016: Data collection period
April - June 2017: National and local reporting June - July 2017: Regional reporting November - December 2017: National event
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Timeline for data collection
The data collection period will be staggered as shown below. This is the overall
guidance document which provides an overview of the audit and its tools. Further
detailed guidance required for individual tools will be sent two to four weeks in
advance of the start of data collection. These individual guidance documents should
be read carefully when they are received.
Organisational
checklist
Casenote
audit
Carer
questionnaire
Staff
questionnaire
Online staff
questionnaire
(see below)
March Guidance issued
April 18 April Data
Collection opens
Guidance
issued
May Guidance
issued
Guidance
issued
Guidance
issued
June 17 June
deadline
1 June Data
collection
opens
1 June Data
collection
opens
1 June Paper
distribution on
3 wards
July
1 July Data
collection
opens
August
31 August
distribution end
date
31 August
distribution end
date
September
31
September
deadline
October 28 October
deadline
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Contacting the Project Team
For further information please contact the project team:
Chloë Hood, Programme Manager [email protected]
020 3701 2682
Chloe Snowdon, Deputy PM [email protected]
020 3701 2697
Sarah Keane, Project Worker [email protected]
020 3701 2688
Rahena Khatun, Project Administrator [email protected]
020 7977 2681
Alternatively, for general queries, email:
Website: www.nationalauditofdementia.org.uk
Before you begin:
TEST the online data collection link http://rcop.formic.com/webforms/
This brings up Formic Web Forms. Click the Login link on the left of the page to get to your
login.
If you cannot access the Formic Web Forms page, this is probably due to your local settings
and you will need to contact your IT department to reset. You and all staff receiving the staff
questionnaire will require access to this website so this will need to be arranged.
IDENTIFY the key people you are going to work with. This is a complex audit which should
not be carried out by a single lead. The guidance for each tool gives some suggestions of
colleagues who could help you to collect and co-ordinate the return of the different types of
data required.
Let us know if we can help. We are available to answer queries within office hours, or
you can email us and we will respond as soon as we can.
We hope that the changes made to the audit will allow a better insight into the improvements
that hospitals have carried out and further improvements for the future.
We look forward to working with you.
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Audit data set – how to complete and return data
Completing the organisational checklist
Each hospital site is expected to submit one organisational checklist between 18 April
and 18 June 2016.
For full guidance on the Organisational Checklist, please see the guidance document for
the Organisational Checklist, available on the website.
Input will be required from:
Your local audit lead; Senior staff from your Clinical Governance Board and Information Services (or
equivalent);
Staff who normally undertake audit, i.e. audit department or information services staff, or junior doctors.
Estimated time to complete:
Stage 1 The local audit lead should meet with a senior member of the clinical governance team for about an hour to go through the questions, allocate
responsibility for providing the information, and identify any other colleagues who may need to be involved.
Stage 2 A date should be set for a future meeting of 45 minutes at which any additional colleagues are present and the necessary information can be collated. This group then agrees and signs off the data provided.
Stage 3 The data should then be entered via the online tool. This will take a further
20-30 minutes.
N.B. Meetings may be face to face or virtual – some sites were able to complete the tool
using email and teleconferencing in previous rounds of audit.
Question routing
Some questions on this checklist are routed, depending on previous answers. This means
that some will not appear if a particular response to a previous question is chosen. The
routing of questions is detailed on the printable PDF form and questions will be skipped
automatically on the online form depending on previous responses.
When submitting data online you will be prompted to return and answer any questions
that are missed, unless questions are routed, or for some optional free text comment
boxes (which are indicated).
Guidance to questions
Guidance to individual questions is included in the tool. If you need any further guidance
before answering a question please contact the project team (see page v).
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How to enter data online
To access the organisational checklist you will need to log in to your hospital specific
account. More than one person can access this account at the same time so please make
sure you are aware of other people using the account to avoid duplication.
To log in, follow this link: http://rcop.formic.com/webforms/ and enter the username
and password sent to the NAD lead at your hospital. If you are not able to obtain these
details from your local audit lead, contact the project team on 020 3701 2697 or 020
3701 2688.
Saving a questionnaire
You can save an incomplete questionnaire and go back to it by clicking “Save” at any
point. You can re-access the form in 2 ways:
1. When you click save, you will be provided with a receipt ID code. Make a note of
this. When you log back in, click on “Receipt” and enter the receipt ID and it will direct you to the saved form.
2. Alternatively, all saved forms will appear when you click on the text which specifies
the number of partially completed forms you have when you log in. You can then select the one you were working on (which you can identify from the receipt ID).
You can continue to work on and save a form until it is ready to submit.
PLEASE NOTE: submission is final and data can no longer be retrieved or amended once the checklist has been submitted. All data must be submitted by 18 June.
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Completing the casenote audit
Each hospital site is expected to submit an audit of casenotes of patients discharged
with dementia, identified through ICD10 coding (listed at APPENDIX B). One form is to
be filled in per set of notes audited.
For full guidance on the Casenote Audit, please see the guidance document for the
Casenote audit, available on the website.
Data collection opens 1 June with a deadline of 31 September.
Each hospital will be asked for
1) the total number of eligible patients discharged from the hospital in April 2016.
2) an audit return of eligible casenotes, for which the minimum sample will be
50 and the maximum 100 patients. This will give larger hospitals the
opportunity to return a larger sample. If your hospital cannot identify 50
patients discharged in April, you may continue to identify patients discharged in
May. The overall sample will be contained within a smaller timeframe than
previous rounds enabling better comparison.
N.B.: The casenotes identified should be from a single hospital site and not Trust wide. The
number generated should be completed admissions and not consultant episodes, as there
will be many of these per patient. Where the patient has had more than one admission, please
include only the first admission for this patient in your patient list.
Input will be required from:
Your local audit lead;
The lead for dementia or a senior clinician working in this area; Staff who normally undertake casenote audit, i.e. audit department or information
services staff, junior doctors, dementia champions or nursing staff.
Estimated time to complete:
The casenote audit has been shortened and simplified. We predict that 2-3 hours will be required to identify the sample and each casenote will take between 15 minutes
and 50 minutes to submit, with the first couple of sets taking the longest to do, according to feedback from pilot sites.
A printable version of the data collection form can be downloaded from our website to
aid in data collection. Data entered on these forms can be submitted online by persons
other than the auditors.
Please note that some of the information required for this audit may be found in nursing
notes or therapy assessments as well as in the medical notes.
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Question routing
Some questions on the casenote form are routed, depending on previous answers. This
is specified on the printable PDF form and routed questions will be skipped automatically
on the online form.
When submitting data online you will be prompted to return and answer any questions
that are missed, unless questions are routed or free text comment is requested.
At the end of each section you will find a comment box. Use this to make any further
comments on your answers to the questions.
Guidance to questions
Guidance to individual questions is included in the tool. If you need any further guidance
before answering a question please contact the project team (see page v).
How to select your sample
1) A list of ICD10 codes used to generate HES data is provided (APPENDIX B). These codes indicate a diagnosis of dementia. They may appear in primary coding but are more likely to be a secondary or subsidiary code. Dementia may also appear in
current history. All casenotes with any of the codings provided are eligible and should be used to generate a list. Patients should:
i. Have been discharged between 1 April – 30 April 2016 (you may continue
into May if fewer than 50 patients were discharged in April); ii. Have a diagnosis of dementia;
iii. Have been admitted to hospital for 72 or more hours.
2) Submit the total number of patients identified via the short online form ”Total N patients identified for casenote audit”. You will be asked to enter the total number
identified from April (and May if enough casenotes could not be identified from April alone). A PDF form is attached for information. This data should be submitted
online from 1 June onwards.
3) Organise your list so that the patients identified are listed in date order that they were discharged from the hospital.
4) Allocate each casenote a number, from 1 to the total number of casenotes
identified. This is the number you will use when entering “number for patient” in the data collection form.
5) Online entry for each set of notes must be completed and submitted separately.
6) Whenever a set of notes is found to be ineligible for this audit (e.g. length of stay
less than 72 hours), exclude these from the data entry, go on to the next set in the sequence, but do not reallocate the number. E.g. if number 2 is ineligible, go
on to number 3 (so you may enter a total of 50 sets of casenotes but the numbering will go up to 51 as 2 will be allocated but not entered).
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7) Continue to skip excluded records and move on to the next consecutively discharged and numbered patients in the total series until you have reached your return total
of 50 - 100.
8) Identify casenotes for inter-rater reliability check (see APPENDIX A).
How to enter data online
To access the casenote audit tool, you will need to log in to your hospital specific account.
More than one person can access this account at the same time so please make sure
you are aware of other people using the account to avoid duplication.
To log in, follow this link: http://rcop.formic.com/webforms/ and enter the username
and password sent to the NAD lead at your hospital. If you are not able to obtain these
details from your local audit lead, contact the project team on 020 3701 2697 or 020
3701 2688.
Saving a questionnaire
You can save an incomplete casenote questionnaire and go back to it by clicking “Save”
at any point. You can re-access the form in two ways:
1. When you click “save”, you will be provided with a receipt ID code. Make a note of this. When you log back in, click on “Receipt” and enter the receipt ID and it
will direct you to the saved form. 2. Alternatively, all saved forms will appear when you click on the text which specifies
the number of partially completed forms you have when you log in. You can then
select the one you were working on (which you can identify from the receipt ID).
Please be very careful when doing this to ensure you do not enter half of one casenote and half of another. We recommend you use the first option to ensure this does not happen.
You can continue to work on and save a form until it is ready to submit.
PLEASE NOTE: submission is final and data can no longer be retrieved or amended, and
all data must be submitted by 31 September.
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Distributing the Carer Questionnaire
For full guidance on the Carer Questionnaire, please see the guidance document for the
Carer Questionnaire, available on the website.
The Carer Questionnaire is a new tool developed for the third round of NAD in conjunction
with the Patient Experience Research Centre at Imperial College London. It is designed
to assess carers’ perceptions of care received by the person they care for, in addition to
their satisfaction with their own involvement during the patient’s admission.
Each hospital site is expected to organise the distribution of carer questionnaires to
carers visiting patients in hospital during June-August 2016. The questionnaires will be
supplied in two packs of 100 together with prepaid envelopes so that they can be
returned directly to the project team.
The pilot showed that returns of the carer questionnaire were greatly increased if carers
were given the questionnaire directly by a member of staff who explained why it was
important and that it was about collating their views of the care received. A return of at
least 50 should be aimed for.
Input will be required from:
Your local audit lead; Carer experience lead/Dementia lead;
Patient experience and PALS/quality improvement staff; Ward Managers on adult wards admitting patients with dementia.
Estimated time to complete:
The local audit lead should initially organise a meeting with the carer experience/
dementia lead and staff member(s) from patient experience quality improvement team/
PALS to:
1. Discuss and organise the distribution of questionnaire to the carers and publicising the questionnaire within the hospital;
2. Allocate responsibility to team members to distribute the questionnaires to carers visiting the wards during the data collection period (see below for details).
This will take up to an hour. A further 1-2 hours will need to be allocated for any follow
up meetings required, and ward team members will need to allocate an hour each week
(probably spread over more than one day) for distribution.
How to distribute your carer questionnaires to each sample
The NAD project team will provide your hospital with hardcopies of the carer
questionnaire and pre-paid self-addressed envelopes for carers to return the
questionnaires.
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All carers of patients with known or suspected dementia should be offered the opportunity to complete a questionnaire if they come to visit between 1 June and
31 August 2016. Ward Managers should each nominate a person in charge of this exercise to give
out the questionnaires and envelopes and record the number given out. The questionnaire may also be given out at Dementia Cafes or advice sessions
held on site during the period, and posters with details of how to complete an
online version of the form will be sent to you.
Carers completing the questionnaire will be able to enter a prize draw.
PLEASE NOTE
The carer questionnaire is intended to be completed anonymously. Each will have
attached a pre-paid envelope to be sent back directly to the NAD project team.
Any questionnaires completed on the ward should only be returned to staff to
forward to the NAD team if sealed within an envelope. Staff should not assist with
completion of questionnaires, but patient/ public volunteers or representatives may
offer help.
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Distributing the Staff Questionnaire
For full guidance on the Staff Questionnaire, please see the guidance document for the
Staff Questionnaire, available on the website.
The staff questionnaire is a new audit tool developed for the third round of NAD and has
16 questions about support and training received for providing good dementia care. All
clinical staff working at the hospital in a patient-facing role involving contact with people
with dementia will be eligible to complete one.
The questionnaire is anonymous but does ask staff to identify their job role.
The staff questionnaire will have two samples, paper based and online:
1) Paper based: Each hospital is asked to select three wards (not mental health
wards) to which a large proportion of patients with dementia are admitted. These
will be the same wards identified in Q20 in the Organisational Checklist. Staff on
these wards will be asked to complete a paper questionnaire which will be
returned directly to the Project Team in a prepaid envelope.
This version should be distributed between 1 June and 31 August 2016.
Each site should aim to return 45-60 paper questionnaires.
2) Online: this version of the questionnaire should be sent out to all clinical and
ward based administrative staff working with adult inpatients (excluding
maternity).
Each hospital site is expected to return 50 to 75 staff questionnaires completed online.
The questionnaire should be distributed to members of staff identified in the staff sample
(see How to select your staff sample, below) between 1 July – 31 October 2016.
Staff completing either version will be able to enter a prize draw.
Input will be required from:
Your local audit lead Ward managers/ questionnaire leads on your selected wards Your HR or payroll department
Estimated time to complete:
Paper based questionnaire Online questionnaire
The audit lead should meet with ward/
directorate leads to:
identify the three wards
allocate the task of distributing the
paper copy of the staff questionnaire to
a member of staff on each ward (30
minutes)
The audit lead should meet with HR to discuss
distributing the online questionnaire to clinical
and ward based administrative staff (30
minutes) and nominate a member of staff to
do so.
The nominated questionnaire lead on each
ward should give out the questionnaire to ward
staff and issue reminders where necessary
(30-45 minutes per week)
The nominated member of staff should
distribute the online questionnaire link via
email (30 minutes) and set aside up to 30
minutes to send follow up/ reminder emails
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The audit lead or nominated staff member
should meet with IT (30-45 minutes) to
discuss setting up laptops in quiet zones or
cybercafé sessions to encourage staff to
complete the questionnaire.
Contacting staff
Please see APPENDIX C for a template email to send to staff selected to complete a
questionnaire including guidance on how to return the data and APPENDIX D for a
reminder email template.
How to select your staff sample
1) Paper based (three wards)
All clinical staff, qualified and unqualified, who work on the ward, plus
administrative or reception staff.
2) Online
All clinical staff working with adult inpatients (qualified and unqualified, excluding
those in maternity or paediatric services), plus ward based administrative or
reception staff.
Disseminating the Staff Questionnaire online
A nominated individual should send the template email to the staff identified within your
sample (see APPENDIX C).
These email addresses should be BCC’d, and retained for you to send reminder emails
(see APPENDIX D) at monthly intervals through the data collection period.
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Data return
Data for the organisational checklist, casenote audit and online staff questionnaire
should be submitted online. Printable PDF copies of the audit tools will be available to
download from our website throughout the audit www.nationalauditofdementia.org.uk.
Information on how to submit data via our online surveys will be sent to audit leads in
advance of data collection, including your allocated hospital code for data entry and your
password. If you have not received this by the opening of data collection (18 April),
please contact the project team (see page v).
Please note all data should be returned between:
18 April – 28 October 2016.
Timeline for data reporting
National Report: April 2017
Local Reports: May 2017. Please note that data may be edited or redacted wherever
necessary to safeguard confidentiality.
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APPENDIX A
Inter-rater reliability check
As part of the reporting process for this audit, we are asking sites to collect inter-rater data. This
will involve re-audit by a separate auditor of the first five casenote records. This will help to
establish the reliability of data returned.
The process requires two different people to extract and enter the data from the casenotes (first
five only) onto the data collection forms to test the reliability of data collection. This is an
important part of the audit.
The process for identifying casenotes for audit and for inter-rater data collection is described
above.
N.B. Reliability (agreement between auditors) is not the same as validity (accuracy of measure).
However establishing good agreement between auditors is an important part of the process of
validation as valid data by definition will have to be reliable.
Inter-rater reliability check
Identifying the cases to be double audited:
Obtain, organise and number your patient list - see “How to select your sample” (p 4)
Identify the first five consecutive (in discharge date order) that meet the sample criteria, i.e. correctly coded and with an admission of 72 hours or more
Extracting the data:
Identify two separate people who will extract data from the casenotes and enter data via the
online casenote audit data submission form.
These are called the ‘first’ and the ‘repeat’ auditor(s) for the instructions below.
Print two copies of the data collection forms for the first five consecutive notes
First auditor on their data collection form:
- Ticks “Yes” to “Has this casenote been selected as data reliability check?”
- For the first case, enter “1” in the box which says “Enter number for this patient”
- Collect all the information for this patient
- Do not involve the repeat auditor(s)
- Repeat the process for patients 2, 3, 4 and 5
Repeat auditor on their data collection form:
- Using the same five cases in the same order as the first
auditor(s)
- Ticks “Yes” to “Has this casenote been selected as data
reliability check?”
- Add “Rel” at the end of the number (so number 1 of the first auditor(s) is 1Rel of the repeat auditors)
- Enter the number in the box which says “Enter number for this patient” [1Rel for the first case, 2Rel for the second etc.]
- Collect all the information for this patient
- Do not involve the first auditor(s)
- Repeat the process for patients 2, 3, 4 and 5
N.B. if you have
excluded any notes
from your list due to
wrong coding etc. so
that (for example)
your notes are
numbers 1, 3, 4, 5,
6, then your second
auditor notes should
be numbered the
same, 1Rel, 3Rel, 4Rel, 5Rel, 6Rel.
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APPENDIX B
List of Eligible ICD10 codes
A81.0 Creutzfeldt-Jakob disease
Subacute spongiform encephalopathy
F00* Dementia in Alzheimer's disease
F00.0* Dementia in Alzheimer's disease with early onset
Alzheimer's disease, type 2
Presenile dementia, Alzheimer's type
Primary degenerative dementia of the Alzheimer's type, presenile onset
F00.1* Dementia in Alzheimer's disease with late onset
Alzheimer's disease, type 1
Primary degenerative dementia of the Alzheimer's type, senile onset
Senile dementia, Alzheimer's type
F00.2* Dementia in Alzheimer's disease, atypical or mixed type
Atypical dementia, Alzheimer's type
F00.9* Dementia in Alzheimer's disease, unspecified
F01 Vascular dementia
F01.0 Vascular dementia of acute onset
F01.1 Multi-infarct dementia
F01.2 Subcortical vascular dementia
F01.3 Mixed cortical and subcortical vascular dementia
F01.8 Other vascular dementia
F01.9 Vascular dementia, unspecified
F02* Dementia in other diseases classified elsewhere
F02.0* Dementia in Pick's disease
F02.1* Dementia in Creutzfeldt-Jakob disease
F02.2* Dementia in Huntington's disease
F02.3* Dementia in Parkinson's disease
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Dementia in:
· paralysis agitans
· parkinsonism
F02.4* Dementia in human immunodeficiency virus [HIV] disease
F02.8* Dementia in other specified diseases classified elsewhere
Dementia in:
· cerebral lipidosis
· epilepsy
· hepatolenticular degeneration
· hypercalcaemia
· hypothyroidism, acquired
· intoxications
· multiple sclerosis
· neurosyphilis
· niacin deficiency [pellagra]
· polyarteritis nodosa
· systemic lupus erythematosus
· trypanosomiasis
· vitamin B 12 deficiency
F03 Unspecified dementia
Presenile:
· dementia NOS
· psychosis NOS
Primary degenerative dementia NOS
Senile:
· dementia:
· NOS
· depressed or paranoid type
· psychosis NOS
F04 Organic amnesic syndrome, not induced by alcohol and other psychoactive
substances
Korsakov's psychosis or syndrome, nonalcoholic
F05.1 Delirium superimposed on dementia
F07.2 Postconcussional syndrome
Postcontusional syndrome (encephalopathy)
Post-traumatic brain syndrome, nonpsychotic
F10.6
F11.6
F13.6
Amnestic disorder, alcohol- or drug-induced
Korsakov's psychosis or syndrome, alcohol- or other psychoactive
substance-induced or unspecified
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X C
F14.6
F15.6
F16.6
F17.6
F18.6
F19.6
G30.0 Alzheimer's disease with early onset
G30.1 Alzheimer's disease with late onset
G30.8 Other Alzheimer's disease
G30.9 Alzheimer's disease, unspecified
G31.0 Circumscribed brain atrophy
Pick's disease
Progressive isolated aphasia
G31.1 Senile degeneration of brain, not elsewhere classified
G31.8 Other specified degenerative diseases of nervous system
Grey-matter degeneration [Alpers]
Lewy body(ies)(dementia)(disease)
Subacute necrotizing encephalopathy [Leigh]
I67.3 Progressive vascular leukoencephalopathy
Binswanger's disease
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APPENDIX C
Template Email to invite staff to complete a questionnaire
Dear all
You are invited to complete a staff questionnaire for the third round of the National Audit of
Dementia (NAD). This is an audit which examines the care provided to people with dementia in
acute hospital settings in England and Wales and includes a questionnaire to staff asking about
the support and resources they can access to provide good care. Any member of staff completing
the questionnaire will have the chance to enter a prize draw for one of five prizes of £50 in
vouchers.
Any information you provide will be fed back anonymously to our service in the form of a hospital-
level report and used in national reporting.
Clinical staff working with adult inpatients at this hospital, and ward administrative staff, will be
asked to complete a questionnaire. You will also be able to comment and make a suggestion for
improving care.
Please complete the survey online at www.nadstaff.uk . This should take no longer than 10-15
minutes.
You will be asked to enter our unique hospital code at the start of the questionnaire. This is:
X
X
X
X
[Audit leads should know this – if not, please contact NAD project team]
The deadline for submitting a questionnaire is 28 October 2016.
Please note that this is an anonymous questionnaire, and you will not be identifiable by your
responses. Your feedback will help us to improve patient care, and help define the performance
of hospitals in England and Wales, so I would be very grateful if you could take the time to
complete it.
Many thanks
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APPENDIX D
Template Email to remind staff to complete a questionnaire
Dear all,
Thanks to those of you who have already completed an online questionnaire for the
National Audit of Dementia.
The deadline for completing the questionnaire is approaching, and I would be very
grateful if you could complete a questionnaire if you have not yet done so. Your feedback
will help us identify what we are currently doing well to support staff to provide good
quality care to patients with dementia, and what we can do better.
Many thanks,
The link to the questionnaire is www.nadstaff.uk
You will also need the hospital code:
X
X
X
X
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APPENDIX E
Audit background and governance
What is the National Audit of Dementia?
The National Audit of Dementia is commissioned by the Healthcare Quality Improvement
Partnership (HQIP) and funded by NHS England and the Welsh Government to measure criteria relating to care delivery which are known to impact on people with dementia
admitted to hospital.
Criteria include policies and governance in the hospital that recognise and support the
needs of people with dementia, elements of comprehensive assessment, involvement of
carers, discharge planning, and identified changes to support needs during admission.
The first round of audit took place in 2010. Nearly all (99%) acute Trusts/Health Boards
in England and Wales registered one or more sites to participate.
The second round of audit took place in 2012. All acute Trusts/Health Boards in England
and Wales registered one or more sites to participate.
Management of the audit
The audit is managed by the Royal College of Psychiatrists’ Centre for Quality
Improvement, guided by the Steering Group and Clinical leads.
The professional bodies for five of the main disciplines involved in providing dementia
services are collaborators in this project, together with voluntary sector providers of
support and services:
the Royal College of Psychiatrists; the British Geriatrics Society;
the Royal College of Nursing; the Royal College of Physicians; the Royal College of General Practitioners;
Age UK; the Alzheimer’s Society;
Dementia Action Alliance.
Steering Group
Dawn Brooker, Director, University of Worcester Association for Dementia (Consultant)
Amanda Buttery, Innovation Fellow Dementia, South London Academic Health Science Network
Angela Connelly, Carer representative
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Robert Colgate, Consultant Psychiatrist, Abertawe Bro Morgannwg (to end 2015)
Oliver Corrado, Consultant Physician to the audit), Leeds Teaching Hospitals' Dementia
Champion and Co-Clinical Lead for Yorks and Humber SCN for Dementia
Mike Crawford, Director, Royal College of Psychiatrists’ Centre for Quality
Improvement
Peter Crome, Emeritus Professor, DeNDRoN Lead, West Midlands and Honorary Professor, Primary Care and Population Health, University College London (Chair)
Duncan Forsyth, Consultant Geriatrician, Cambridge University Hospitals/ British Geriatrics Society
Dawn Garrett, Lead - care for older people, Royal College of Nursing
Tom Gentry, Health and Care Policy Adviser, Age UK
Nicci Gerrard, Carer representative John’s Campaign
Rowan Harwood, Professor of Geriatric Medicine, Nottingham University Hospitals
Janet Husk, Programme Manager, Healthcare of Older People, Clinical Effectiveness
and Evaluation Unit (CEEU), Royal College of Physicians
Phil Freeman, Executive Lead, Dementia Action Alliance
Sam Ladhani, Senior Programme Manager, Royal College of General Practitioners -
CIRC
Kelly Kaye, Dementia Action Alliance
Derek Lowe, Statistical Consultant, Royal College of Physicians
Maureen McGeorge, Quality Improvement advisor (development of staff questionnaire)
Sue Pierlejewski, Carer representative
Alan Quirk, Senior Programme Manager (Research and Audit), Royal College of
Psychiatrists’ Centre for Quality Improvement
Kevin Stewart, Clinical Director, Clinical Effectiveness and Evaluation Unit (CEEU), Royal College of Physicians
Beth Swanson, Nurse Consultant to the audit, Lead Nurse / Project Manager Dementia Quality, The James Cook University Hospital
Gavin Terry, Senior Policy Adviser, Alzheimer’s Society
Daphne Wallace, Living With Dementia
James Warner, Chair, Faculty of Old Age Psychiatry, Royal College of Psychiatrists
i
National Audit of Dementia
Royal College of Psychiatrists
21 Prescot Street
London
E1 8BB
www.nationalauditofdementia.org.uk
