National audit of dementia care in general hospitals published
A new National Audit of Dementia (care in general hospitals) (NAD) has been published. The audit examines aspects of care received by people with dementia in general hospitals in England and Wales. In addition, NAD provides national and local reports to support hospitals to identify areas for quality improvement and share good practice, helping to improve outcomes for patients. NAD has carried out three rounds of audit, reporting in 2011, 2013 and 2017.A spotlight audit on delirium has been carried out to look in more detail at an area where hospitals have seemingly been underperforming and to clarify inconsistencies in the data.This report is designed to inform:
- People who receive care or provide care for someone – people with dementia and their families
- People involved in providing care – professional staff, managers and trust boards working in general hospitals in England and Wales
- People involved in commissioning care – NHS England, Welsh Government, clinical commissioning groups
- People who regulate care – including the Care Quality Commission, clinical audit and quality improvement professionals.
- A high proportion of patients with dementia admitted as emergencies to hospital did not receive an initial assessment for delirium, even after adjustment.
- Questions about initial screen or assessment for delirium are inconsistently interpreted.
- Over a quarter of patients have no confusion or cognitive tests recorded.
- Delirium not included in discharge correspondence.
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