• Renata Souza, Aarti Gandesha, Chloe Hood, Robert Chaplin, John Young, Peter Crome, and Mike J Crawford.
• College Centre for Quality Improvement, Royal College of Psychiatrists, London, UK.
• Clin Med (Lond). 2014 Oct 1; 14 (5): 490494490-4.

AbstractThere have been recent reports of poor quality care in the National Health Service in the UK, and older people with dementia are particularly vulnerable. This study aims to examine the quality of assessment of people with dementia admitted to hospital. Cross-sectional case-note audit of key physical and psychosocial assessments was carried out in 7,934 people with dementia who were discharged from 206 general hospitals. Most people had no record of a standardised assessment of their cognitive state (56.8%, 95% confidence interval [CI] = 55.8-58.0) or functioning (74.2%, 95% CI = 73.2-75.1). Information from carers was documented in 39.0% of cases (95% CI = 37.9-40.1). There was considerable variation across hospital sites. Key assessments were less likely when people were admitted to surgical wards. Assessments fall well below recommended standards especially with regard to social and cognitive functioning. Problems are particularly marked on surgical wards.© 2014 Royal College of Physicians.

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