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Dementia Assessment and Referral Data Collection – June 2018

Dementia Assessment and Referral data collection – Q1 2018-19

The June 2018 and Quarter 1 2018-19 data for the Dementia Assessment and Referral data collection in England by NHS England were released on 5th September 2018 according to the arrangements approved by the UK Statistics Authority.

The collection’s purpose is to improve the identification of older patients with dementia and delirium, to monitor appropriate assessment and to prompt appropriate referral and follow up after they leave hospital. Three measures are reported – the number and proportion of patients aged 75 and over admitted as an emergency for more than 72 hours:

  1. who have a diagnosis of dementia or delirium or to whom case finding is applied; [Find]
  2. who, if identified as potentially having dementia or delirium, are appropriately assessed; [Assess/Investigate], and,
  3. where the outcome was positive or inconclusive, are referred on to specialist services. [Refer]

The Dementia Assessment and Referral collection was retired as a CQUIN collection at the start of April 2016 but has been retained in the standard contract as a mandatory submission for acute trusts. The desired level of performance is at least 90% on each part of the indicator. Data are not collected from community trusts or CCGs. The acute trusts have maintained a good response rate similar to previous months.

Monthly Publication –June 2018

The total number of data returns submitted by NHS Foundation and Non-Foundation Trusts providing acute funded care was 140 in June 2018, compared to 140 in May 2018. There were 3 nil returns, compared to 3 in May. Nil returns are excluded from the results presented below.

Data by Total Patients

  1. Overall, 87.6% of patients aged 75 and over admitted as an emergency for more than 72 hours were initially identified or given case finding for potential dementia in June 2018, compared to 86.8% in May.
  2. Of the patients initially identified or found as potentially having dementia, 91.5% were further appropriately assessed in June 2018, compared with 92.8% in May.
  3. Of the patients whose outcome was positive or inconclusive, 93.4% were referred for specialist services in June 2018, compared with 94.5% in May.

Data by Acute Trusts

  1. 70.1% (96 trusts) achieved at least 90% in June 2018 in carrying out initial identification (using case finding) for potential cases of dementia amongst patients aged 75 and over who were admitted as an emergency for more than 72 hours, compared to 67.9% (93 trusts) in May.
  2. 75.2% (103 trusts) achieved at least 90% in June 2018 in carrying out further appropriate assessments, compared with 73.7% (101 trusts) in May.
  3. 74.5% (102 trusts) achieved at least 90% in June 2018 in referring on to specialist services, compared with 74.5% (102 trusts) in May.

72 acute trusts (52.6%) achieved at least 90% in all three measures in June 2018.

Quarterly Publication – Quarter 1 2018/19 (April, May, June combined)

The total number of NHS Foundation and Non-Foundation Trusts providing acute funded care who submitted data returns, in at least one of the months, was 141 in Quarter 1 2018/19, compared to 142 in Quarter 4 2017/18. Of these three trusts submitted only nil returns, compared to 2 in Quarter 4 2017/18. Nil returns are excluded from the results presented below.

Data by Total Patients

  1. Overall, 86.8% of patients aged 75 and over admitted as an emergency for more than 72 hours were initially identified or given case finding for potential dementia in Quarter 1 2018/19, compared to 85.0% in Quarter 4 2017/18.
  2. Of the patients initially identified or found as potentially having dementia, 92.5% were further appropriately assessed in Quarter 1 2018/19, compared with 93.2% in Quarter 4 2017/18.
  3. Of the patients whose outcome was positive or inconclusive, 94.3% were referred for specialist services in Quarter 1 2018/19, compared with 94.2% in Quarter 4 2017/18.

Data by Acute Trusts

  1. 67.4% (93 trusts) achieved at least 90% in Quarter 1 2018/19 in carrying out initial identification (using case finding) for potential cases of dementia amongst patients aged 75 and over who were admitted as an emergency for more than 72 hours, compared to 61.4% (86 trusts) in Quarter 4 2017/18.
  2. 76.1% (105 trusts) achieved at least 90% in Quarter 1 2018/19 in carrying out further appropriate assessments, compared with 75.7% (106 trusts) in Quarter 4 2017/18.
  3. 72.5% (100 trusts) achieved at least 90% in Quarter 1 2018/19 in referring on to specialist services, compared with 72.9% (102 trusts) in Quarter 4 2017/18.

69 acute trusts (50.0%) achieved at least 90% in all three measures in Quarter 1 2018/19.

 

The full data tables and the return guidance can be found on the NHS England website:

http://www.england.nhs.uk/statistics/dementia/