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Dementia [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 reported staff induction programmes that include dementia awareness
Data collection end: October 2012
59.05%
Number that met the criteria: 124 / 210
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: Hospitals reporting mental health liaison teams providing training for ward staff
Data collection end: October 2012
64.76%
Number that met the criteria: 136 / 210
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: 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: October 2012
78.1%
Number that met the criteria: 164 / 210
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: 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: October 2012
89%
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: October 2012
90%
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: October 2012
79%
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: October 2012
79%
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: October 2012
60%
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: October 2012
73.81%
Number that met the criteria: 155 / 210
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.

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: October 2012
71.73%
Number that met the criteria: 2337 / 3258
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.

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: 7

People with dementia who develop non-cognitive symptoms that cause them significant distress, or who develop behaviour that challenges, are offered an assessment at an early opportunity to establish generating and aggravating factors. Interventions to improve such behaviour or distress should be recorded in their care plan.

Quality standard measure: Evidence that individually tailored care plans, that help carers and staff address the behaviour that challenges, are recorded in the notes and reviewed regularly.
What was measured: Proportion of hospitals report having a protocol in development governing the use of interventions for patients who present with behavioural and psychological symptoms of dementia
Data collection end: October 2012
30%
Number that met the criteria: 63 / 210
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.

Quality standard measure: Proportion of people with dementia with mild-to-moderate non-cognitive symptoms who are prescribed anti-psychotic medication. (Goal to be 0% reflecting the Department of Health report on the use of anti-psychotic medication for people with dementia and its aim to reduce the use of anti-psychotic medication for people with dementia.)
What was measured: Of those that had a protocol (n=128), the proportion of hospitals that was in line with NICE recommendations for the administration of anti-psychotic drugs
Data collection end: October 2012
84%
Number that met the criteria: 107 / 128
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: Evidence of local arrangements to provide a liaison service specialising in the diagnosis and management of dementia and older people's mental health.
What was measured: Hospitals that reported having access to liaison psychiatry service
Data collection end: October 2012
94.29%
Number that met the criteria: 198 / 210
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.

Quality standard measure: Evidence of local arrangements to provide a liaison service specialising in the diagnosis and management of dementia and older people's mental health.
What was measured: Of those hospitals with a liaison service, those able to provide an emergency or urgent assessment
Data collection end: October 2012
84.85%
Number that met the criteria: 168 / 198
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.

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: Assessed case notes that contained a referral to liaison psychiatry
Data collection end: October 2012
16.38%
Number that met the criteria: 1297 / 7916
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.

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: June 2013
71.8%
Data collection end: September 2013
79.16%
Data collection end: December 2013
81.54%
Data collection end: March 2014
83.5%
Data collection end: June 2014
86.2%
Data collection end: September 2014
88.4%
Data collection end: December 2014
89%
Data collection end: March 2015
90.1%
Data collection end: June 2015
90.2%
Data collection end: September 2015
90%
Data collection end: December 2015
90%
Data collection end: March 2016
90%
Data collection end: June 2016
90.1%
Data collection end: September 2016
89.9%
Data collection end: December 2016
88.9%
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: June 2013
86.2%
Data collection end: September 2013
89.17%
Data collection end: December 2013
89.19%
Data collection end: March 2014
90.3%
Data collection end: June 2014
92.4%
Data collection end: September 2014
93.2%
Data collection end: December 2014
93.5%
Data collection end: March 2015
94.6%
Data collection end: June 2015
94.6%
Data collection end: September 2015
95.5%
Data collection end: December 2015
95.1%
Data collection end: March 2016
95.2%
Data collection end: June 2016
94.4%
Data collection end: September 2016
95.4%
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: September 2015
95.4%
Data collection end: December 2015
95.1%
Data collection end: December 2016
93.5%
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 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: September 2015
90.9%
Data collection end: December 2015
90%
Area covered: England
Source: NHS England - Dementia Assessment and Referral



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