Flex Report December 2023

1 | P a g e NAD R5 Care in General Hospitals Flex Report RVR05 National Audit of Dementia Care in General Hospitals Round 5 Flex Report December 2023 St Helier Hospital Epsom and St Helier University Hospitals NHS Trust2 | P a g e NAD R5 Care in General Hospitals Flex Report RVR05 Authors This report was compiled by the National Audit of Dem [...] Available from: National Audit of Dementia (NAD) | Royal College of Psychiatrists (rcpsych.ac.uk) © 2023 Healthcare Quality Improvement Partnership (HQIP)3 | P a g e NAD R5 Care in General Hospitals Flex Report RVR05 Contents Page Introduction ................................................................................................................................................ [...] 284 | P a g e NAD R5 Care in General Hospitals Flex Report RVR05 List of Figures and Tables Figure 1: Gender ......................................................................................................................................................................................................................................................... 9 Figure 2: Ethnicity .......... [...] 205 | P a g e NAD R5 Care in General Hospitals Flex Report RVR05 Introduction Background The National Audit of Dementia care in general hospitals (NAD) examines aspects of care received by people with dementia in general hospitals in England and Wales. The audit is commissioned by the Healthcare Quality Improvement Partnership on behalf of NHS England/NHS Improvement and the Welsh Gove [...] • Appendix tables with a full breakdown of Round 5 flex results for the casenote audit. [...] Data verification and analysis6 | P a g e NAD R5 Care in General Hospitals Flex Report RVR05 Participating sites were asked to check their data at the end of the data collection period, and also received specific data cleaning queries relating to anomalous entries. The confirmed datasets were aggregated and analysed for national reporting. [...] Recommendations Please see National Report page 5 for Round 5 recommendations.7 | P a g e NAD R5 Care in General Hospitals Flex Report RVR05 Summary Mandatory Period Patients Identified: 42 Mandatory Period Selected Sample 42 Flex Period Patients Identified: 9 Mandatory Period Casenotes within Admission Period: Flex Period Casenotes within Admission Period: 19/09/2 [...] noted on admission) 87% 92.9% 91.4% % Pain assessment 92% 100% 100% % Pain reassessment 92% 88.1% 94.3% % Pain tool – question only 61% 100% 34.3% % Initiation of discharge plan in first 24 hours 45% 92.9% 5.7%9 | P a g e NAD R5 Care in General Hospitals Flex Report RVR05 This data has been suppressed due to identifiable information. [...] The casenote audit tool allows the response “N/A for recorded reasons” and these responses have been excluded from totals. Table 3: Any Pain Assessment Any Pain Assessment (excluding NA) National R5 % RVR05 R5 Mandatory Period % RVR05 R5 Flex Period % Assessment within 24 hours 85% 97.6% 85.7% Assessment more than 24 hours 7% 2.4% 14.3% No pain assessment 8% 0% 0%16 | P a g e N [...] National R5 % (N/D) RVR05 R5 Flex Period % (N/D) RVR05 R5 Mandatory Period % (N/D) Yes, within 24 hours of admission 39% (4152/10642) 8.6% (3/35) 92.9% (39/42)45 | P a g e NAD R5 Care in General Hospitals Flex Report RVR05 Yes, more than 24 hours after admission 33.2% (3538/10642) 77.1% (27/35) 2.4% (1/42) No 27.7% (2949/10642) 14.3% (5/35) 4.8% (2/42) Yes (combined)