Return to NG97 Overview

Dementia: assessment, management and support for people living with dementia and their carers [NG97]

Measuring the use of this guidance

Recommendation: 1.1.3

Consider using a structured tool to assess the likes and dislikes, routines and personal history of a person living with dementia.

What was measured: Proportion of hospitals which reported having a formal system in place for collecting personal information about people with dementia.
Data collection end: October 2018
97%
Number that met the criteria: 190 / 195
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.


Recommendation: 1.2.2

If dementia is still suspected after initial assessment: •conduct a physical examination and •undertake appropriate blood and urine tests to exclude reversible causes of cognitive decline and •use cognitive testing.

What was measured: DEM005: The percentage of patients with a new diagnosis of dementia recorded in the preceding 1 April to 31 March with a record of FBC, calcium, glucose, renal and liver function, thyroid function tests, serum vitamin B12 and folate levels recorded between 12 months before or 6 months after entering on to the register.
Data collection end: March 2019
70.01%
Area covered: National
Source: Health and Social Care Information Centre. Quality and Outcomes Framework.


Recommendation: 1.3.5

Staff delivering care and support should maximise continuity and consistency of care. Ensure that relevant information is shared and recorded in the person's care and support plan.

What was measured: Proportion of hospitals which reporting having a system in place on the ward to ensure that staff were aware of the person's dementia and how it affected them.
Data collection end: October 2018
93%
Number that met the criteria: 181 / 195
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.

What was measured: Proportion of hospitals which reported having a system that works between or across wards or treatment areas to ensure that staff are aware of the person's dementia and how it affects them.
Data collection end: October 2018
77%
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.


Recommendation: 1.7.3

Only offer antipsychotics for people living with dementia who are either: at risk of harming themselves or others or experiencing agitation, hallucinations or delusions that are causing them severe distress.

What was measured: Proportion of people in hospital with dementia who had a new prescription for psychotropic medication who had the reason for the prescription recorded.
Data collection end: April 2019
57%
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.


Recommendation: 1.7.6

When using antipsychotics: use the lowest effective dose and use them for the shortest possible time reassess the person at least every 6 weeks, to check whether they still need medication.

What was measured: Proportion of people in hospital with dementia who had a new prescription for psychotropic medication who had the prescription reviewed at discharge.
Data collection end: April 2019
80%
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.



 Return to NG97 Overview