Full report of the Irish National Audit of Dementia
Please click here INAD FULL REPORT 2014 to download the full report of the Irish National Audit of Dementia.
Download the Executive Summary
Audit Tools from INAD 2014
The Irish National Audit of Dementia (INAD) was comprised of four parts, employing tools adapted from the 2010 UK Audit for the Irish population;
Casenote Audit - Each participating hospital is asked to identify the records of 30 patients with a diagnosis or current history of dementia. Of these 30 case notes, 20 which meet the inclusion criteria of the project are audited against a checklist of standards that relate to admission, comprehensive multi-disciplinary assessment, care planning/delivery, and discharge.
Hospital Organisational Audit - This section of the audit looks at the structures, policies, guidelines, care processes and key staff that impact on service planning and provision for care of people with dementia within each general hospital.
Ward Organisational Audit - The purpose of this tool is to investigate; staffing levels and practices, ward access to services, information availability and provision to dementia patients and carers/relatives, as well as nutrition and communication. The ward organisational audits are carried out on at least one surgical and one medical ward in each participating hospital.
Ward Environmental Checklist - This checklist involves investigation of wards through observation of the environment i.e. layout/size, signage/mapping, floors, bedding, accessibility of toilets and bathing facilities, patients safety, and the promotion of patient independence, all as they relate to dementia care.
Below are PDF files of the tools employed to carry out the first INAD. The tools below have been modified for use in the Irish population with the full permission of the original authors, the Healthcare Quality and Improvement Partnership (HQIP). The tools below must not be reproduced, distributed, modified or used without permission from HQIP.
Partner Organisations in INAD 2014
The first INAD was a joint initiative between The Centre for Gerontology and Rehabilitation, University College Cork (Dr. Suzanne Timmons and Dr. Paul Gallagher), The Centre for Ageing, Neuroscience and the Humanities, Trinity Centre for Health Sciences, Tallaght Hospital Dublin (Prof. Des O’Neill and Dr. Sean Kennelly) and the HSE Quality and Patient Safety Directorate (Ms. Denise McArdle).
Funding for this national audit of dementia care was very generously given by Atlantic Philanthropies and the Meath Foundation.
Audit Management for INAD 2014
Centre for Ageing, Neuroscience and the Humanities, Trinity Centre for Health Sciences, Tallaght Hospital; Professor Des O’Neill, FRCP Consultant Physician in Geriatric & Stroke Medicine & Professor in Medical Gerontology, Tallaght Hospital & Trinity College Dublin/ Dr. Sean Kennelly, Consultant Physician in Geriatric and Internal Medicine, Adelaide and Meath Hospital, Tallaght, Clinical Senior Lecturer in Medical Gerontology, Trinity College Dublin.
Centre for Gerontology and Rehabilitation, University College Cork; Dr. Suzanne Timmons, Senior Lecturer, Centre for Gerontology and Rehabilitation, School of Medicine, UCC/ Dr. Paul Gallagher, Consultant Physician in Geriatric Medicine, Cork University Hospital & St. Finbarr's Hospital, Senior Lecturer, School of Medicine, UCC.
Quality and Patient Safety Directorate (QPS); Edwina Dunne, Director QPS
INAD Audit Team
INAD National Coordinator
Ms. Anna de Siún
Quality and Patient Safety Audit;
Ms. Denise McArdle
Ms. Patricia Gibbons
Ms. Marie Gilligan
INAD Research Assistant
Ms. Emma O’ Shea
INAD Steering Committee
Alzheimer Society of Ireland; Ms. Grainne McGettrick, Research and Policy Manager.
Office of the Nursing and Midwifery Services Directorate (ONMSD); Ms Mary Manning, Interim Director NMPD Midlands.
Faculty of Psychiatry of Old Age, College of Psychiatrists of Ireland; Dr. Geraldine McCarthy, Consultant in Psychiatry of Old Age, Honorary Senior Lecturer and Dean of Medical Education, Sligo Medical Academy, NUI Galway.
Association of Occupational Therapists of Ireland; Ms. Monica Devine, Chairperson, AOTI Advisory Group for Older People.
INAD Advisory Group
Trinity College Dublin (Associate Professor) and the Dementia Services Information and Development Centre (Director): Professor Suzanne Cahill.
Irish Hospice Foundation Hospice Friendly Hospitals Programme ; Dr Kathleen McLoughlin, National Audit and Review Co-ordinator (End of Life).
All Ireland Gerontological Nursing Association; Dr Amanda Phelan, Subject Head: Older Persons' Nursing, UCD School of Nursing, Midwifery & Health Systems, Co-Director UCD National Centre for the Protection of Older People.
Health Information and Quality Authority, John Farrelly, Head of Older Persons Programme.
Department of Health, Services for Older People; Ms. Sinead Quill/ Mr Ronan Toomey.
Irish College of General Practitioners; Prof. Colin Bradley, Chair, Dept. of General Practice, UCC.
Royal College of Physicians/National Clinical Programme for Older People; Dr. Diarmuid O’Shea.
Dementia Services Information and Development Centre; Mr. Matthew Gibb, Senior Social Worker.
Health Service Research; Prof. John Browne, Department of Epidemiology and Public Health, UCC.
National Audit of Dementia care in general hospitals (UK); Ms Chloë Hood, Programme Manager, Royal College of Psychiatrists’ Centre for Quality Improvement.
Royal College of Physicians, London; Dr Kevin Stewart, Clinical Director, Clinical Effectiveness and Evaluation Unit (CEEU); UK National Audit Steering Group.
Conference 2014: Dementia Care in Acute Hospital Settings
National Conference on Dementia Care in Acute Hospitals
Over 170 delegates from a wide range of disciplines attended the first National Conference on Dementia Care in Acute Hospitals in University College Cork on Friday 31st January 2014. The conference, which was opened by Ms Kathleen Lynch, Minister for Disability, Older People, Equality & Mental Health, included speakers from a wide range of backgrounds, including Gerontology, Psychiatry of Old Age, Nursing, Social Work, General Practice and the HSE. This ensured that a broad spectrum of perspectives on the experience and issues of caring for older people with dementia during an acute hospital admission were presented throughout the day.
An expert panel discussion, chaired by Professor Des O’Neill, ensured that delegates could explore issues most pertinent to them and facilitated information sharing and discussion. Questions and answers throughout the day continued to generate discussion around each of the subjects presented.
Topics discussed on the day included community perspectives on acute hospital care, aspects of the National Dementia Strategy, the economic case for better dementia care in acute hospitals, and emerging data from the Dementia in Acute Cork Hospitals Study (ODCACS). Two breakout sessions in the afternoon gave delegates the choice to attend lectures focused on ‘challenging behaviour and delirium’ or ‘towards better care’. These sessions included presentations on the acute hospital environment, the National Dementia Education Programme and perspectives on end of life and palliative care.
The conference also saw the official launch of the results of the first Irish National Audit of Dementia care in Acute Hospitals, which found that Ireland does not yet have standardised care for people with dementia in acute hospitals. The audit also showed differences in the access to dementia-relevant services between hospitals, with poor access to many diagnostic and support services. The results highlighted inadequate assessment of cognition, delirium, mood, and behavioural and psychological symptoms in people with dementia during their admission, and where assessed and discovered, issues were not highlighted on discharge. Media coverage of the report can be found at https://storify.com/UCC_Ireland/national-dementia-audit-in-acute-hospitals-shows
Dr Kevin Stewart shared learning from the UK experience of conducting national audits, including the second round of the National Dementia Audit. This presentation gave insight into the challenges of translating research and audit findings into practical change and improvement in service delivery and structure.
Overall the day was a great success and provided a rich learning experience for all those attending. The argument for developing appropriate and responsive dementia care in all acute hospitals in Ireland was clearly and eloquently presented, along with a number of practical steps necessary to achieving this goal.
Download the conference presentations below
Conference Announcement - Dementia Care in Acute Hospital Settings
The Centre for Gerontology and Rehabilitation, University College Cork, in conjunction with our partners, is proud to host the inaugural National Conference on Dementia Care in Acute Hospitals, which will take place on Friday January 31st 2014, from 9.30am to 4.15pm, in U.C.C.
This one-day interdisciplinary conference will be opened by Minister for Disability, Older People, Equality & Mental Health, Kathleen Lynch, T.D, in the Western Gateway Building.
The Conference Programme boasts speakers from a wide range of backgrounds including Gerontology, Psychiatry and Psychiatry of Old Age, Nursing, Occupational Therapy, General Practice and the HSE. The event will provide a forum for the most cutting-edge developments in research and practice relating to dementia care in hospital settings to be disseminated and discussed.
Some highlights of the conference will include an expert panel discussion, chaired by Professor Des O’ Neill, focusing on the issues surrounding best care for people with dementia in acute hospitals, and an afternoon breakout session for delegates with a special interest in the area of delirium in the acute hospital setting.
Topics will include the National Dementia Strategy, GP/community perspectives, the economic perspective, challenging behaviour, delirium, the hospital environment, education, and end of life and palliative care, all as they relate to dementia care in acute hospitals.
This event will also host the official launch of the results of the first ever ‘Irish National Audit of Dementia Care in Acute Hospitals’ (INAD), a collaboration between UCC, TCD and the HSE Quality and Patient Safety Directorate.
RCPI approval for 6 external CPD credits.
An Bord Altranais Category 1 approval for 5 CEUs (credits).
To avoid disappointment, delegates can register early by purchasing their ticket below.
Delegate Registration – €45
Student Registration – €35
Contact: Emma O’Shea, Centre for Gerontology and Rehabilitation, UCC
Email: firstname.lastname@example.org. Tel: +353 21 4901930.
Click here to browse some of the photos from the conference.