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Dementia Assessment and Referral data collection – Quarter 3 2019/20

Dementia Assessment and Referral data collection – Quarter 3 2019/20

 

The Collection

The December 2019 and Quarter 3 2019/20 data for the Dementia Assessment and Referral data collection in England by NHS England were released on 4th March 2020 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 summary results for the current period and comparison with the previous period are presented in the tables below.

 

 

 

 

 

 

Monthly Publication – December 2019

Data Returns

  November 2019 December 2019
Total number of returns submitted by NHS trusts providing acute funded care 136 134
Number of nil returns (these are excluded from the results presented below) 5 4

 

Data by Total Patients

  November 2019 December 2019
% of patients aged 75 and over admitted as an emergency for more than 72 hours who were initially identified or given case finding for potential dementia 82.3% 81.2%
% of patients initially identified or found as potentially having dementia who were further appropriately assessed 92.4% 91.4%
% of patients whose assessment outcome was positive or inconclusive who were referred for specialist services

 

95.7% 95.9%

 

Data by Acute Trusts

  November 2019 December 2019
% of trusts achieving at least 90% 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 63.4%

(83 Trusts)

56.9%

(74 Trusts)

% of trusts achieving at least 90% in carrying out further appropriate assessments

 

74.8%

(98 Trusts)

70.0%

(91 Trusts)

% of trusts achieving at least 90% in referring on to specialist services

 

73.3%

(96 Trusts)

70.8%

(92 Trusts)

% of trusts achieving at least 90% in all three measures 45.8%

(60 Trusts)

40.0%

(52 Trusts)

 

 

 

Quarterly Publication – Quarter 3 2019/20 (October, November and December combined)

Data Returns

  Q2 2019/20 Q3 2019/20
Total number of returns submitted by NHS trusts providing acute funded care 137 136
Number of nil returns (these are excluded from the results presented below) 3 4

 

Data by Total Patients

  Q2 2019/20 Q3 2019/20
% of patients aged 75 and over admitted as an emergency for more than 72 hours who were initially identified or given case finding for potential dementia 83.7% 81.8%
% of patients initially identified or found as potentially having dementia who were further appropriately assessed 92.0% 91.8%
% of patients whose assessment outcome was positive or inconclusive who were referred for specialist services

 

95.8% 95.9%

 

Data by Acute Trusts

  Q2 2019/20 Q3 2019/20
% of trusts achieving at least 90% 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 63.4%

(85 trusts)

60.6%

(80 trusts)

% of trusts achieving at least 90% in carrying out further appropriate assessments

 

69.4%

(93 Trusts)

74.2%

(98 Trusts)

% of trusts achieving at least 90% in referring on to specialist services

 

73.1%

(98 Trusts)

73.5%

(97 Trusts)

% of trusts achieving at least 90% in all three measures 44.8%

(60 trusts)

43.9%

(58 trusts)

 

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

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