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The Royal College of Psychiatrists Improving the lives of people with mental illness

National Audit of Dementia

Information about the third round of audit (2015-2017)



Hospitals taking part in the third round of audit, please log in to data collection here.


Please find below links to all of the tools used in the third round of NAD (acute sites):

Please find below the guidance documents for the third round of NAD (acute sites):



The 2016 audit data collection includes:

  • Organisational checklist: This module looks at the structures, key staff and care processes that impact on service planning and provision for the care of people with dementia within a general hospital. Each participating hospital is expected to submit one checklist.

Changes to the organisational checklist: For this round, the audit remit is to provide a focus on organisational practice. Policy based items have been removed. New items on training provision, environmental review, carer engagement and staffing level review are included.


  • Casenote audit: This module looks at assessment, personal information use and discharge. Each hospital is expected to submit 50-100 casenotes of patients identified via ICD10 coding.

Changes to the casenote audit: Changes were made to reduce the burden of casenote audit by shortening the tool, focussing on themes which would provide data allowing for comparison between sites. Many routed questions (sub questions) have been removed, and two sections on referral to liaison psychiatry and prescription of antipsychotics have also been removed as they were applicable to only a small number of patients in each sample.

N.B. A separate study is underway to determine which characteristics of liaison services tend to result in better care and treatment. Prescription of psychotropic medication will become the subject of a separate module in 2017. A new question was also included on application of the Mental Capacity Act during discharge discussion.


  • Carer questionnaire: This questionnaire was newly developed for audit by the Patient Experience Research Centre at Imperial College London. The questions are identified by carers as top priority items relating to the care of people with dementia that all carers/ family members visiting find relevant and will be able to answer. The Friends and Family Test question is also included for comparison.


  • Staff questionnaire: This was newly developed for audit via a process of consultation with staff based at each of the pilot sites. Workshops identified key items for inclusion and the preferred format for questions. There are 16 questions focussed on training and support available for care provision. The questionnaire is for distribution to clinical and administrative staff in 3 wards where you have the highest admissions of people with dementia, and also online throughout the hospital to clinical and administrative staff who work on wards with adult inpatients (please see guidance).



Registration for the wider pilot (2016) has now closed.

You can view a list of the hospitals that took part in the pilot here. Find out more about the community hospitals pilot here.



What was the pilot for?

In the third round of NAD new tools will be used. During piloting, feedback was gathered from hospitals, to ensure that any changes produce good quality data when implemented in the main audit. 

You can find more information on the pilot and feasibility study, as well as an update on the audit proper in our progress report.


Who was involved?

Ten acute sites were recruited from England and Wales. Hospitals were recruited based on their size and location, to ensure that feedback was gathered on different types of organisations and catchment areas.



You can view more information on the feasibility study here.

Who was involved?  

Five community hospitals in England and Wales were recruited for the feasibility study. 


  Where next...


National Audit of Dementia,

21 Prescot Street, London, E1 8BB    

Fax: 020 3701 2761




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