National Audit of Dementia 2016-17,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Data field description for case note audit data table,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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Data field position,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81,82,83,84,85,86,87,88,89,90,91,92,93,94,95,96,97,98,99,100,101,102,103,104,105,106,107,108,109,110,111,112,113,114,115,116,117,118,119,120,121,122
Data field name,Trust,Hospital,Start period,End period,Number cases requested,Number cases submitted,Patient died (%),Min length stay (days),Median length stay (days),Max length stay (days),Assessment of mobility (%),Assessment of mobility (N),Assessment of nutritional status (%),Assessment of nutritional status (N),Nutrition BMI recording (%),Nutrition Other action (%),Nutrition BMI or other action (%),Nutritional status assessed (N),Pressure sore risk assessment (%),Pressure sore risk assessment (N),Continence needs (%),Continence needs (N),Presence of any pain (%),Presence of any pain (N),Assessment of functioning (%),Assessment of functioning OT/Physio (%),Assessment of functioning other HCP (%),Assessment of functioning combined (%),Assessment of functioning (N),Mental status test (%),Mental status test (N),Assessment presence of delirium (%),Presence of delirium (%),Absence of delirium (%),Assessment presence of delirium (N),Clinical assessment for delirium (%),Clinical assessment for delirium (N),Care assessment information gathering (%),Care assessment information gathering (N),Information gathering: personal details (%),Information gathering: personal details (N),Information gathering: food and drink(%),Information gathering: food and drink(N),Information gathering: personal care (%),Information gathering: personal care (N),Information gathering: distress (%),Information gathering: distress (N),Information gathering: calming agitation (%),Information gathering: calming agitation (N),Information gathering: aiding communication (%),Information gathering: aiding communication (N),Patient's level of cognitive impairment summarised and recorded at discharge (%),Cognitive impairment at discharge (N),Cognitive impairment not summarised: Unwell (%),Cognitive impairment not summarised: Advanced dementia (%),Cognitive impairment not summarised: Not routine (%),Cognitive impairment not summarised: Not documented (%),Cognitive impairment not summarised: Dementia diagnosis (%),Cognitive impairment not summarised (N),Cause of cognitive impairment summarised and recorded at discharge (%),Cognitive impairment at discharge (N),Symptoms of delirium (%),Symptoms of delirium (N),Symptoms of delirium summarised for discharge (%),Symptoms of delirium summarised for discharge (N),Behavioural and Psychiatric symptoms of dementia (BPSD) (%),Behavioural and Psychiatric symptoms of dementia (BPSD) (N),Symptoms of BPSD summarised for discharge (%),Symptoms of BPSD summarised for discharge (N),Care needs assessment social work referral (%),Social work referral (N),Capacity to consent to referral (%),Capacity to consent (N),Concerns with capacity: consent (%),Concerns with capacity: best interests decision (%),Concerns with capacity: no record (%),Concerns with capacity (N),No concerns with capacity: consent (%),No concerns with capacity: no record (%),No concerns with capacity (N),Named person coordinated the discharge plan (%),Named person coordinated the discharge plan (N),Appropriate place of discharge and support needs discussed with the person with dementia (%),Discussion with person with dementia (N),Appropriate place of discharge and support needs discussed with the person's carer/relative (%),Discussion with care (N),Appropriate place of discharge and support needs discussed with consultant (%),Discussion with consultant (N),Appropriate place of discharge and support needs discussed with MDT (%),Discussion with MDT (N),A single plan for discharge produced (%),Single plan (N),Support needs are documented in  discharge plan (%),Support needs documented (N),Patient and/or carer received a copy of discharge plan  (%),Patient and/or carer copy (N),GP discharge plan communication (%),GP discharge plan communication (N),Discharge planning initiated within 24 hours (%),Discharge planning initiated within 24 hours (N),Discharge planning delayed: Unwell (%),Discharge planning delayed:  Awaiting assessement (%),Discharge planning delayed: Awaiting history (%),Discharge planning delayed: Awaiting surgery (%),Discharge planning delayed: Presenting confusion (%),Discharge planning delayed: End of life plan (%),Discharge planning delayed: Transfer (%),Discharge planning delayed: Unresponsive (%),Discharge planning delayed: Nursing or residential care (%),Discharge planning delayed (N),Notice of discharge: Less than 24 hours (%),Notice of discharge: 24 hours (%),Notice of discharge: 24-48 hours (%),Notice of discharge: More than 48 hours (%),Notice of discharge: No notice (%),Notice of discharge: No carer (%),Notice of discharge: Not documented (%),Notice of discharge: Information withheld (%),Notice of discharge: No contact (%),Notice of discharge (N),Assessment of the carer’s needs (%),Assessment of the carer’s needs (N)
Data field description,Trust name,Hospital name,Start period for audit,End period for audit,Total number of case notes requested,Number of case notes submitted by the hospital,Patient died during admission,Length of stay (minimum number of days),Length of stay (median number of days),Length of stay (maximum number of days),An assessment of mobility was performed by a healthcare professional,Number of patients where assessment of mobility was appropriate,An assessment of nutritional status was performed by a healthcare professional,Number of patients where assessment of nutritional status was appropriate,There is a recording of the patient’s BMI or weight following nutritional assessment,Other action was taken relating to the assessment of nutritional status,BMI recording or other action combined,Number of patients with a  nutritional assessment.,A formal pressure sore risk assessment has been carried out and score recorded,Number of patients where assessment of pressure sore risk was appropriate,The patient has been asked about any continence needs (This question had kappa<0.5 in inter-rater reliability analysis),Number of patients where assessment of continence needs was appropriate,The patient has been assessed for the presence of any pain (This question had kappa<0.5 in inter-rater reliability analysis),Number of patients where assessment of pain was appropriate,"An assessment of functioning, using a standardised assessment, has been carried out (This question had kappa<0.5 in inter-rater reliability analysis)",An occupational therapy and/or a physiotherapy assessment has been carried out (This question had kappa<0.5 in inter-rater reliability analysis),Another form of assessment of functioning has been carried out by  (This question had kappa<0.5 in inter-rater reliability analysis),"An assessment of functioning, using a standardised assessment, has been carried out (This question had kappa<0.5 in inter-rater reliability analysis)",Number of patients where assessment of functioning was appropriate,A standardised mental status test has been carried out,Number of patients where mental status assessment was appropriate,An assessment has been carried out for recent changes or fluctuation in behaviour that may indicate the presence of delirium,Following assessment there were indications that delirium may be present,Following assessment there was no indication that delirium may be present,Number of patients where assessment for delirium was appropriate,"Where indications of delirium were present on assessment, the patient was clinically assessed by a healthcare professional",Number of patients where delirium was present,"The care assessment contains a section dedicated to collecting information from the carer, next of kin or a person who knows the patient well?",Number of patients where information gathering from a carer was appropriate,"Information has been collected about the patient regarding personal details, preferences and routines? ",Number of patients where appropriate information could be collected,Information has been collected about the patient's food and drink preferences,Number of patients where appropriate information could be collected,Information has been collected about the patient regarding reminders or support with personal care,Number of patients where appropriate information could be collected,Information has been collected about the patient regarding recurring factors that may cause or exacerbate distress?,Number of patients where appropriate information could be collected,Information has been collected about the patient regarding support or actions that can calm the person if they are agitated,Number of patients where appropriate information could be collected,Information has been collected about the patient regarding life details which aid communication,Number of patients where appropriate information could be collected,"At the point of discharge the patient's level of cognitive impairment, using a standardised assessment, was summarised and recorded",Number of patients where discharge summary was appropriate,Cognitive impairment was not assessed because the patient was too unwell or unresponsive,Cognitive impairment was not assessed because the patient has advanced dementia which makes the assessment not appropriate,Cognitive impairment was not assessed because this is not standard practice,Cognitive impairment was not assessed and the reason is not documented,Cognitive impairment was not assessed because the patient has a dementia diagnosis,Number of patients without a summary where a discharge summary was appropriate,At the point of discharge the cause of cognitive impairment was summarised and recorded,Number of patients where discharge summary was appropriate,There have been symptoms of delirium,Number of patients where discharge summary was appropriate,"Patients who had symptoms of delirium, had these summarised for discharge",Number of patients with symptoms of delirium,"There have been some persistent behavioural and psychiatric symptoms of dementia (wandering, aggression, shouting) during the admission",Number of patients where discharge summary was appropriate,Patients who had symptoms of behavioural and psychiatric symptoms of dementia had these summarised for discharge,Number of patients with BPSD,There is a recorded referral to a social worker for assessment of housing and care needs due to a proposed change in residence,Number of patients where residence change was proposed,There are documented concerns about the patient’s capacity to consent to the social work referral,Number of patients where referral was recorded,The patient had capacity on assessment and their consent is documented,The patient lacked requisite capacity and evidence of a best interests decision has been recorded,There is no record of either consent or best interest decision making,Number of patients with concerns with capacity,The patients consent was requested and this is recorded,There is no record of the patients consent,Number of patients with no concerns with capacity,A named person coordinated the discharge plan,Number of patients where discharge was being planned,The discharge coordinator/person or team planning discharge has discussed appropriate place of discharge and support needs with the person with dementia. (This question had kappa<0.5 in inter-rater reliability analysis),Number of patients where this discussion would be appropriate,The discharge coordinator/person or team planning discharge has discussed appropriate place of discharge and support needs with the person's carer/relative,Number of patients where this discussion would be appropriate,The discharge coordinator/person or team planning discharge has discussed appropriate place of discharge and support needs with the consultant responsible for the patient’s care,Number of patients where this discussion would be appropriate,The discharge coordinator/person or team planning discharge has discussed appropriate place of discharge and support needs with other members of the multidisciplinary team,Number of patients where this discussion would be appropriate,A single plan for discharge with clear updated information was produced. (This question had kappa<0.5 in inter-rater reliability analysis),Number of patients where discharge was being planned,Any support needs that have been identified are documented in the discharge plan or summary. (This question had kappa<0.5 in inter-rater reliability analysis),Number of patients where discharge was being planned,The patient and/or carer received a copy of the plan or summary,Number of patients where discharge was being planned,A copy of the discharge plan/ summary was sent to the GP/ primary care team on the day of discharge.,Number of patients where discharge was being planned,Discharge planning was initiated within 24 hours of admission,Number of patients where discharge planning within 24 hours would be appropriate,Discharge planning could not be initiated within 24 hours because the patient was acutely unwell,Discharge planning could not be initiated within 24 hours because the patient was awaiting assessement,Discharge planning could not be initiated within 24 hours because the patient was awaiting history or results,Discharge planning could not be initiated within 24 hours because the patient was awaiting surgery,Discharge planning could not be initiated within 24 hours because the patient was presenting confusion,Discharge planning could not be initiated within 24 hours because the patient was on end of life plan,Discharge planning could not be initiated within 24 hours because the patient was being transferred to another hospital,Discharge planning could not be initiated within 24 hours because the patient was unresponsive,Discharge planning could not be initiated within 24 hours because the patient was being discharged to nursing or residential care,Number of patients where discharge planning within 24 hours would not be appropriate,Less than 24 hours notice of discharge was given to carers or family,24 hours notice of discharge was given to carers or family,24-48 hours notice of discharge was given to carers or family,More than 48 hours notice of discharge was given to carers or family,Carers or family were given no notice of the discharge,"There was no carer, family, or friend to be contacted.",The notice of discharge given to carers and family was not documented,The patient specified that the information should be withheld.,"No contact could be made with any carer, family, or friend.",Number of patients where discharge was being planned,An assessment of the carer’s current needs has taken place in advance of discharge,Number of patients where assessment of carers' needs would not be appropriate
Report numbering,,,,,,,,,,,14,14,15,15,15a,15a,15a,15a,16,16,17,17,18,18,19,19,19,19,19,20,20,21,21,21,21,21a,21a,22,22,22a,22a,22b,22b,22c,22c,22d,22d,22e,22e,22f,22f,23,23,23a,23a,23a,23a,23a,23a,24,24,25,25,25a,25a,26,26,26a,26a,27,27,27a_i,27a_i,27a_ii,27a_ii,27a_ii,27a_ii,27a_iii,27a_iii,27a_iii,28,28,29a,29a,29b,29b,29c,29c,29d,29d,30,30,31,31,32,32,33,33,34,34,34a,34a,34a,34a,34a,34a,34a,34a,34a,34a,35,35,35,35,35,35,35,35,35,35,36,36
Data field type,Text,Text,Date,Date,Integer,Integer,Percentage,Integer,Numeric,Integer,Percentage,Integer,Percentage,Integer,Percentage,Percentage,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Percentage,Percentage,Percentage,Integer,Percentage,Integer,Percentage,Percentage,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Percentage,Percentage,Percentage,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Percentage,Percentage,Integer,Percentage,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Integer,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Integer,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Integer,Percentage,Integer
Data field format,Text,Text,"""dd-Mon-yy""","""dd-Mon-yy""",Integer,Integer,"""00.0%""",Integer,"""00.0""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""","""00.0%""","""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""","""00.0%""","""00.0%""","""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""","""00.0%""","""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""","""00.0%""","""00.0%""","""00.0%""","""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""","""00.0%""","""00.0%""",Integer,"""00.0%""","""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""",Integer,"""00.0%""","""00.0%""","""00.0%""","""00.0%""","""00.0%""","""00.0%""","""00.0%""","""00.0%""","""00.0%""",Integer,"""00.0%""","""00.0%""","""00.0%""","""00.0%""","""00.0%""","""00.0%""","""00.0%""","""00.0%""","""00.0%""",Integer,"""00.0%""",Integer
How null data are handled,"Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" """