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Dementia: support in health and social care [QS1]

Measuring the use of this guidance

Statement: 1

People with dementia receive care from staff appropriately trained in dementia care.

Quality standard measure: Evidence of local arrangements to provide and maintain up to date dementia training for staff
What was measured: Proportion of acute trusts that have specific dementia training for all staff caring for older people.
Data collection end: October 2015
89%
Area covered: England
Source: NHS Benchmarking Network. Older People’s Care in Acute Settings Benchmarking Report.

Quality standard measure: Evidence of local arrangements to provide and maintain up to date dementia training for staff.
What was measured: Hospitals that had a training and knowledge framework that identifies necessary skill development in working with and caring for people with dementia
Data collection end: November 2016
96%
Number that met the criteria: 190 / 199
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.

Quality standard measure: Evidence of local arrangements to provide and maintain up to date dementia training for staff.
What was measured: The proportion of hospitals providing dementia awareness training to nurses.
Data collection end: November 2016
100%
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.

Quality standard measure: Evidence of local arrangements to provide and maintain up to date dementia training for staff.
What was measured: The proportion of hospitals providing dementia awareness training to healthcare assistants.
Data collection end: November 2016
100%
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.

Quality standard measure: Evidence of local arrangements to provide and maintain up to date dementia training for staff.
What was measured: The proportion of hospitals providing dementia awareness training to allied healthcare professionals
Data collection end: November 2016
98%
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.

Quality standard measure: Evidence of local arrangements to provide and maintain up to date dementia training for staff.
What was measured: The proportion of hospitals providing dementia awareness training to doctors.
Data collection end: November 2016
93%
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.

Quality standard measure: Evidence of local arrangements to provide and maintain up to date dementia training for staff.
What was measured: The proportion of hospitals providing dementia awareness training to support staff.
Data collection end: November 2016
91%
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.


Statement: 4

People with dementia have an assessment and an ongoing personalised care plan, agreed across health and social care, that identifies a named care coordinator and addresses their individual needs.

Quality standard measure: Proportion of people with dementia whose individual needs are assessed and whose care plan states how those needs will be addressed.
What was measured: Hospitals that had a formal system in place for gathering information pertinent to caring for a patient with dementia
Data collection end: November 2016
99%
Number that met the criteria: 196 / 199
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.


Statement: 6

Carers of people with dementia are offered an assessment of emotional, psychological and social needs and, if accepted, receive tailored interventions identified by a care plan to address those needs.

Quality standard measure: Proportion of carers of people with dementia who are offered an assessment of their needs.
What was measured: Case notes analysed that had a record of the assessment of the carers current needs
Data collection end: November 2016
67%
Number that met the criteria: 2605 / 3868
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.


Statement: 8

People with suspected or known dementia using acute and general hospital inpatient services or emergency departments have access to a liaison service that specialises in the diagnosis and management of dementia and older people's mental health.

Quality standard measure: Proportion of people with suspected or known dementia using acute and general hospital facilities that are assessed by a liaison service that specialises in the diagnosis and management of dementia and older people's mental health.
What was measured: Proportion of patients aged 75 and over admitted or accepted for emergency care with a length of stay of more than 72 hours who are asked the dementia case finding question or who have a known diagnosis of dementia or clinical diagnosis of delirium.
Data collection end: March 2014
83.5%
Number that met the criteria: 143550 / 171840
Data collection end: March 2015
90.1%
Number that met the criteria: 170504 / 189308
Data collection end: March 2016
90%
Number that met the criteria: 168777 / 187485
Data collection end: March 2017
88.5%
Number that met the criteria: 163543 / 184715
Data collection end: March 2018
85%
Number that met the criteria: 166289 / 195672
Data collection end: March 2019
85%
Area covered: England
Source: NHS England - Dementia Assessment and Referral

Quality standard measure: Proportion of people with suspected or known dementia using acute and general hospital facilities that are assessed by a liaison service that specialises in the diagnosis and management of dementia and older people's mental health.
What was measured: Proportion of patients aged 75 and over admitted or accepted for emergency care with length of stay of more than 72 hours who have answered positively on the dementia case finding question or who have a known diagnosis of dementia or clinical diagnosis of delirium who are reported as having had a dementia diagnostic assessment including investigation.
Data collection end: March 2014
90.3%
Number that met the criteria: 29035 / 32157
Data collection end: March 2015
94.8%
Number that met the criteria: 34825 / 36754
Data collection end: March 2016
95.2%
Number that met the criteria: 30795 / 32345
Data collection end: March 2017
92.7%
Number that met the criteria: 27988 / 30201
Data collection end: March 2018
93.2%
Number that met the criteria: 29306 / 31433
Data collection end: March 2019
92%
Area covered: England
Source: NHS England - Dementia Assessment and Referral



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